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Parkinson’s Rehab Teams -Moving Beyond a One-Size-Fits-All Approach by John Dean,
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Faculty:: John Dean
Duration:: 6 Hours 6 Minutes
Format:: Audio and Video
Copyright:: Nov 02, 2017

Description

Current Treatment Strategies for Parkinson’s Disease

Study with Parkinson’s expert, John Dean, MA, CCC-SLP, as he shares the best practices for a comprehensive, team approach to treat Parkinson’s, in which rehab disciplines collaborate closely, dovetailing their expertise and scopes of practice in order to seamlessly integrate a cohesive treatment plan.

In addition, Mr. Dean will discuss core concepts for dual task treatment, combining movement and voice, as well as components to drive functional improvements in this population. You will learn how best to treat people with Parkinson’s who have undergone deep brain stimulation (DBS) surgery, as well as those dealing with atypical diagnoses such as progressive supranuclear palsy (PSP), multiple system atrophy (MSA), and corticobasal ganglionic degeneration (CBD). You will discover effective strategies and interventions to address this highly variable disease and teach your patients techniques they can utilize in their daily struggles with Parkinson’s.

Handouts

Outline

REVIEW OF PARKINSON’S DISEASE AND RELATED DISORDERS

History of Parkinson’s

PARKINSON’S MEDICATIONS

Basic methods of action for primary PD medication
Common ancillary medications for:
- Psychological symptoms
- Orthostatic hypotension
- Incontinence
- Daytime fatigue/sleepiness
- Cognitive changes
Timing of PT/OT/ST interventions in conjunction with meds

{CASE STUDY} RECENTLY DIAGNOSED MALE WITH YOUNG ONSET PD

ADVANCED THERAPIES FOR PARKINSON’S

Deep brain stimulator surgery (side effects and issues)
Enteral suspension of carbidopa/levodopa
Ablative surgeries
On the horizon – subcutaneous continuous release of apomorphine and carbidopa/levodopa, A2A receptor antagonists and other targets

{CASE STUDY} FEMALE WITH MID-STAGE PD, S/P DBS SURGERY

OVERVIEW AND HISTORY OF REHAB TEAM APPROACHES TO TREATMENT

Center of Excellence Model
Interdisciplinary and transdisciplinary team models around the world

KEY ASPECTS OF PARKINSON’S TEAM DEVELOPMENT

Key training and competencies
Roles of key members including discipline-specific competencies
- Gait and balance deficits
- Functional transfers
- ADLs
- Communication and swallowing deficiencies

ASSESSMENTS AND DOCUMENTATION

Intake and evaluation
Key metrics of clinical progress including minimum detectable-change

SPECIAL TOPICS

Dual task treatment for PD with PT/OT/ST team
- Key concepts with research underpinning
- Techniques for team approaches
  - Sequencing activities
  - Safety awareness
  - Memory deficits
Marketing a team-based Parkinson’s program
- Including sample presentations for consumer populations as well as medical presentations
- Sample press release
Differential diagnosis of atypical Parkinson’s disorders
- Specific clinical features
  - Progressive supranuclear palsy
  - Corticobasal ganglionic degeneration
  - Multiple system atrophy

{CASE STUDY} FEMALE W/ 4-YEAR HISTORY OF UNSPECIFIED PARKINSONISMS

Faculty

John Dean, MA, CCC-SLP Related seminars and products: 4

John Dean, MA, CCC-SLP, has been specializing in the treatment of Parkinson’s and related disorders since 2007. In addition to clinical work, he has been involved in an array of Parkinson’s related projects ranging from the development of interdisciplinary Parkinson’s rehab networks for a large healthcare company, founding startups that build technologies for people living with Parkinson’s and even a stint as a member of the senior leadership at the Davis Phinney Foundation.

He resides in Lisbon, collaborating with Josefa Domingos to develop exercise activities that combine movement, voice, and cognition, as well as launching a startup that creates technologies to help scale up dual-task training for patients around the world.

Speaker Disclosures:

Financial: John Dean maintains a private practice. He is director at Davis Phinney Foundation. Mr. Dean receives a speaking honorarium from PESI, Inc.

Non-financial: John Dean is a member of the American Speech-Language-Hearing Association; and the International Parkinson and Movement Disorder Society (MDS).

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Status	Available
Total size	6 Hours 06 Minutes
Format	Audio and Video
Language	English
Author	John Dean