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Sunday, 25 Aug 2019, 15:52
Site: OpenLearn Create
Course: Parkinson's: managing palliative and end of life care (Parkinson's palliative end of life care)
Glossary: Glossary of terms
A

Acetylcholinesterase inhibitors

Acetylcholinesterase inhibitors: drugs that block the action of the enzyme acetylcholinesterase that quickly breaks down the neurotransmitter acetylcholine.


ACP

ACP: advance care planning or advance care plan (a non-legally binding document that is reviewed and updated as a person’s views or situation change that must be taken into account when acting in a person’s best interests).


Adjuvant analgesics

Adjuvant analgesics: drugs used to increase pain tolerance when conventional analgesics are non-effective.


ADRT

ADRT: advance decision to refuse treatment.


Advance care planning

Advance care planning: a documented discussion between a health and social care professional, a patient and those closest to them, that covers the patient’s wishes and preferences for their care and treatments in the future (what they want, what they don’t want and who will speak for them).


Advanced directives

Advanced directives: instructions given by a person before they become mentally or physically incapacitated, that covers their future care and may include ADRT and Enduring Power of Attorney.


Anticholinergics

Anticholinergics: agents that block the passage of impulses through the parasympathetic nerves.


Antimuscarinics

Antimuscarinics: an agent that counteracts the effects of muscarine or blocks the muscarinic receptors.


Apomorphin

Apomorphine: a drug used for acute, intermittent treatment of hypomobility episodes in advanced parkinsonism.


C

Combativeness

Combativeness: propensity to quarrel.


COMT inhibitors

COMT inhibitors: drugs that block catechol-o-methyl transferase, an enzyme that breaks down dopamine.


D

DBS

DBS: deep brain stimulation, a form of surgery that is used to treat some of the symptoms of Parkinson's.


Dopamine agonists

Dopamine agonists: drugs that stimulate dopamine receptors in the brain.


Duodopa

Duodopa®: enterally administered levodopa/carbidopa gel used for the treatment of advanced Parkinson's in patients with motor fluctuations and dyskinesias.


Dysarthria

Dysarthria: inability to speak normally due to loss of control of the muscles of the tongue, lips, cheeks or larynx.


Dyskinesia

Dyskinesia: involuntary movements caused by long term use of Levodopa


Dysphagia

Dysphagia: Swallowing difficulties.


Dysphasia

Dysphasia: difficulty with speaking and sometimes with comprehending speech.


E

End of life care

End of life care: holistic care that focuses on quality of life issues for a person who will die within the next 12 months and those closest to them.


Enteral administration

Enteral administration: feeding or drug administration by the digestion process of the gastrointestinal tract.


EPA

EPA: enduring power of attorney is a legal document that enables you to appoint someone to manage your financial affairs now or in the future when you become mentally or physically unable to do so yourself.


G

Gastrostomy feeding

Gastrostomy feeding: feeding through a tube inserted through the skin and stomach wall.


H

Hypophonia

Hypophonia: soft speech resulting from a lack of coordination in the vocal muscles.


L

LSVT

LSVT: Lee Silverman Voice Technique is a treatment delivered by a speech therapist that focuses on increasing vocal loudness through exaggerated motions and behaviours.


M

MAO-B inhibitors

MAO-B inhibitors: Monoamine oxydase B is an enzyme that breaks down dopamine in the brain. Inhibiting it prolongs the action of dopamine.


Midazolam

Midazolam: a muscle relaxing / anticonvulsant drug generally given as a sedative.


Multidisciplinary team

Multidisciplinary team: a variety of health and social care professionals involved in the physical, social, psychological and spiritual care of a person.


Muscarine

Muscarine: A highly toxic alkyloid with neurologic effects.


N

NCPC

NCPC: National council for palliative care.


NG tube

NG tube: Nasogastric tube inserted up the nose and down the throat into the stomach.


NICE

NICE: National Institute for Health and Care Excellence.


P

Palliative care

Palliative care: active total care of people whose condition is not responsive to curative treatment, and involves the physical, psychological, spiritual and social aspects of care.


Parathesia

Parathesia: an abnormal sensation such as burning or prickling.


Parenteral administration

Parenteral administration: drug administration delivered by routes other than the gastrointestinal tract.


PEG

PEG: Percutaneous endoscopic gastrostomy.


Person centred care

Person centred care: coordinated and seamless care that promotes satisfaction and improved care outcomes for a person.


Psychosis

Psychosis: a symptom of mental illness where a patient believes their hallucinations and/or delusions are real.


R

RIG

RIG: Radiologically-inserted gastrostomy.


S

Sialorrhea

Sialorrhea: excessive salivation.


SIGN

SIGN: Scottish Intercollegiate Guidelines Network.


Somnolence

Somnolence: sleepiness.


Specialist palliative care services

Specialist palliative care services: pain relief care from a variety of specialist health professionals triggered at certain times in a condition’s trajectory.


Subcutaneously

Subcutaneously: located or placed just beneath the skin.


Sundowning

Sundowning: a state of disorientation or agitation that sometimes occurs in late afternoon or evening in people with later stage dementia.


T

Team approach

Team approach: involving all the disciplines and agencies giving care to a person.


Transdermally

Transdermally: through or by way of the skin.


W

WHO

WHO: World Health Organisation.