Driving in Parkinson's Disease: Mobility, Accidents, and Sudden Onset of Sleep at the Wheel PDF Download
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Author: C. Meindorfner
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
Only few studies have addressed driving ability in Parkinson's disease (PD) to date. However, studies investigating accident proneness of PD patients are urgently needed in the light of motor disability in PD and - particularly - the report of sleep attacks at the wheel. We sent a questionnaire about sudden onset of sleep (SOS) and driving behavior to 12,000 PD patients. Subsequently, of 6,620 complete data sets, 361 patients were interviewed by phone. A total of 82% of those 6,620 patients held a driving license, and 60% of them still participated in traffic. Of the patients holding a driving license, 15% had been involved in and 11% had caused at least one accident during the past 5 years. The risk of causing accidents was significantly increased for patients who felt moderately impaired by PD, had an increased Epworth Sleepiness Scale (ESS) score, and had experienced SOS while driving. Sleep attacks at the wheel usually occurred in easy driving situations and resulted in typical fatigue-related accidents. Those having retired from driving had a more advanced (subjective) disease severity, higher age, more frequently female gender, an increased ESS score, and a longer disease duration. The study revealed SOS and daytime sleepiness as critical factors for traffic safety in addition to motor disabilities of PD patients. The results suggest that real sleep attacks without any prior sleepiness are rare. However, our data underline the importance of mobility for patients and the need for further studies addressing the ability to drive in PD.
Author: C. Meindorfner
Publisher:
ISBN:
Category :
Languages : en
Pages : 11
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Book Description
Only few studies have addressed driving ability in Parkinson's disease (PD) to date. However, studies investigating accident proneness of PD patients are urgently needed in the light of motor disability in PD and - particularly - the report of sleep attacks at the wheel. We sent a questionnaire about sudden onset of sleep (SOS) and driving behavior to 12,000 PD patients. Subsequently, of 6,620 complete data sets, 361 patients were interviewed by phone. A total of 82% of those 6,620 patients held a driving license, and 60% of them still participated in traffic. Of the patients holding a driving license, 15% had been involved in and 11% had caused at least one accident during the past 5 years. The risk of causing accidents was significantly increased for patients who felt moderately impaired by PD, had an increased Epworth Sleepiness Scale (ESS) score, and had experienced SOS while driving. Sleep attacks at the wheel usually occurred in easy driving situations and resulted in typical fatigue-related accidents. Those having retired from driving had a more advanced (subjective) disease severity, higher age, more frequently female gender, an increased ESS score, and a longer disease duration. The study revealed SOS and daytime sleepiness as critical factors for traffic safety in addition to motor disabilities of PD patients. The results suggest that real sleep attacks without any prior sleepiness are rare. However, our data underline the importance of mobility for patients and the need for further studies addressing the ability to drive in PD.
Author: Aleksandar Videnovic
Publisher: Springer
ISBN: 3709116317
Category : Medical
Languages : en
Pages : 231
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Book Description
This book is the first to take into account the rapidly growing body of knowledge on the relation between sleep and PD. Gathering contributions from internationally recognized experts, it provides a unique source of in-depth information on sleep and circadian dysregulation in Parkinson’s disease. The book is divided into two parts: the first comprises chapters on normal sleep-wake homeostasis, followed by changes that occur in PD and discussions of available tools for the assessment of sleep-wake cycles in PD. In the second part, sleep and circadian disorders associated with PD are described in individual chapters, including sections on epidemiology, etiology, pathogenesis, differential diagnosis, and treatment. Controversies in the field, such as the relations between cognition and sleep, fatigue and sleepiness, and the potential impact of surgical therapies on sleep-wake cycles are discussed separately. The book closes with a chapter on future directions and unmet needs in the field of sleep, circadian biology and PD. This comprehensive text offers a readily accessible resource for clinicians and researchers alike, addressing the needs of neurologists, sleep and movement disorders specialists, and all trainees and allied health professionals involved in the care of patients affected by Parkinson’s disease.
Author: Lana Chahine
Publisher: Elsevier Health Sciences
ISBN: 0323673759
Category : Medical
Languages : en
Pages : 162
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Book Description
Patients with Parkinson’s disease commonly struggle with sleep disorders that which negatively affect their quality of life. Sleep Considerations in the Management of Parkinson's Disease provides a comprehensive overview of common sleep issues and related topics in in this complex field. Each chapter begins with a case that describes a typical scenario related to a sleep problem in Parkinson’s disease, followed by a discussion of both the sleep problem and the specifics of the case, providing practical, real-world information to help you provide better patient care. Includes concise chapters authored by Dr. Lana Chahine, each carefully reviewed and supplemented by expert contributors in the specific field. Addresses a wide variety of topics including sleep-onset insomnia, nocturnal manifestations of anxiety disorders, REM sleep behavior disorder, restless legs syndrome and periodic limb movements, and excessive daytime sleepiness. Consolidates today's available information and experience in this important area into one convenient resource.
Author: Dr Jeremy R Playfer
Publisher: CRC Press
ISBN: 1315347253
Category : Medical
Languages : en
Pages : 495
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Book Description
"Parkinson's Disease in the Older Patient, Second Edition" has been fully revised, updated and expanded to include new treatments and entirely new chapters. This authoritative text is written by recognised national specialists in the field and provides accessible, easy-to-read information. The practical and versatile approach comprehensively covers all aspects of treatment, and although it focuses on the older patient, it is also highly relevant for younger patient groups with an emphasis on multidisciplinary assessment and management. Detailed information on the aetiology and pathogenesis of the condition, drug and surgical treatments, sleep disturbances, quality of life and careers is now included, along with the more prevalent older patient issues such as neuropsychiatric disturbances, speech and swallowing problems, balance and falls, and autonomic disturbances. The updates also include new advice on the management and services in primary care, linked to the recent NICE guidelines.With official endorsement from The Parkinson's Disease Academy of the British Geriatrics Society, this new edition is highly recommended for general practitioners, geriatricians, neurologists and psychiatrists. Physiotherapists, occupational therapists, speech therapists, dieticians, and psychologists will also find it invaluable. It is suitable for general and specialist nurses, and will be of great use to researchers with an interest in Parkinson's disease.
Author: S. R. Pandi-Perumal
Publisher: CRC Press
ISBN: 0203089898
Category : Medical
Languages : en
Pages : 298
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Book Description
Psychosomatic illness can generally be considered as physical illnesses that are believed to be psychologically based; hence they are often referred to as "psychophysiological" disorders. Focusing on the emerging challenges in the fields of both sleep and psychosomatic medicine, Sleep and Psychosomatic Medicine interphases between psychiatry, sleep
Author: K. Ray Chaudhuri
Publisher: Oxford University Press, USA
ISBN: 0199684243
Category : Medical
Languages : en
Pages : 517
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Book Description
Patients with Parkinson's disease (PD) are known to suffer from motor symptoms of the disease, but they also experience non-motor symptoms (NMS) that are often present before diagnosis or that inevitably emerge with disease progression. The motor symptoms of Parkinson's disease have been extensively researched, and effective clinical tools for their assessment and treatment have been developed and are readily available. In contrast, researchers have only recently begun to focus on the NMS of Parkinson's Disease, which are poorly recognized and inadequately treated by clinicians. The NMS of PD have a significant impact on patient quality of life and mortality and include neuropsychiatric, sleep-related, autonomic, gastrointestinal, and sensory symptoms. While some NMS can be improved with currently available treatments, others may be more refractory and will require research into novel (non-dopaminergic) drug therapies for the future. Edited by members of the UK Parkinson's Disease Non-Motor Group (PD-NMG) and with contributions from international experts, this new edition summarizes the current understanding of NMS symptoms in Parkinson's disease and points the way towards future research.
Author: Glenda M. Halliday
Publisher: Oxford University Press
ISBN: 0195371089
Category : Medical
Languages : en
Pages : 337
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Book Description
In recent years it has become increasingly obvious that PD is more than a disorder of movement with pathology localized to the dopaminergic nigrostriatal pathway. This book therefore seeks to take this discussion into this new area of research and define the nature of the non-dopaminergic features of PD in a new and exciting way. This includes joint discussions by clinicians and pathologists in many chapters to highlight how one disciple can inform the other and by so doing the chapters have an integrated and complete analysis of the topic under discussion.
Author: Steven J. Frucht
Publisher: Springer Nature
ISBN: 3030758982
Category : Medical
Languages : en
Pages : 602
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Book Description
This book logically and systematically reviews the major movement disorder emergencies. It instructs the reader on how to recognize and manage these problems. This updated new edition of Movement Disorder Emergencies consists of five comprehensive sections. It begins with chapters that relay the various practical approaches one can administer when treating a patient with a movement disorder emergency. Section two then delves into specific hyperacute movement disorder emergencies such as acute parkinsonism, serotonin syndrome, and malignant catatonia. Following this, section three examines various acute movement disorder emergencies, including tic emergencies and Sydenham’s chorea. Sections four and five explore issues that can occur during treatment, such as pitfalls in diagnosis and risks in the clinic. Written by prominent neurologists from around the world, Movement Disorder Emergencies, 3rd edition is a practical reference that achieves excellence in diagnosis and management of movement disorder emergencies.
Author: Carlos Singer
Publisher: Elsevier Health Sciences
ISBN: 0323698190
Category : Medical
Languages : en
Pages : 240
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Book Description
This issue of Clinics in Geriatric Medicine, guest edited by Drs. Carlos Singer and Stephen G. Reich, is devoted to Parkinson Disease. Articles in this issue include: Parkinson Disease: An overview of epidemiology, pathology, genetics and pathophysiology; Diagnosis and Differential Diagnosis of Parkinson Disease; Tremor in the Elderly: Is it Parkinson Disease?; Management of Early Parkinson Disease; Management of Advanced Parkinson Disease; Orthostatic Hypotension in Parkinson Disease; Management of Urological and Sexual Dysfunction in Parkinson Disease; Gastrointestinal Care of the Parkinson Patient; Cognitive Impairment and Dementia in Parkinson Disease; Depression and Anxiety in Parkinson Disease; Hallucinations, Delusions, and Impulse Control Disorders in Parkinson Disease; Sleep Disorders in Parkinson Disease; Orthopedic Care of the Parkinson Patient; Driving in Parkinson Disease; Palliative Care in Parkinson Disease; Multidisciplinary Care of Parkinson Disease: Fall prevention, fatigue, exercise, rehabilitative therapies, caregiver strain; and Hospitalization of the Patient with Parkinson Disease.
Author: Ronald F. Pfeiffer
Publisher: CRC Press
ISBN: 1439807140
Category : Science
Languages : en
Pages : 1335
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Book Description
In recent years, considerable advances have been made in our knowledge and understanding of Parkinson's disease (PD). In particular, there has been an explosion of information regarding genetic contributions to the etiology of PD and an increased awareness of the importance of the non-motor features of the disease. Theories regarding the pathogenesis and pathophysiology of PD have also been refined, and new treatment modalities and advances implemented. Reflecting these changes, this second edition features new chapters devoted to genetic aspects of PD, non-motor features of the disease, and aspects of the pathophysiology, pathogenesis, and treatment of PD.
