4.2 Developing a holistic approach

Utilising the principles of end of life care highlighted earlier in section 2.4 of this course, we will examine how to effectively manage and guide the person with Parkinson’s, and those closest to them, through this end stage with the minimum of distress.

Promoting holistic assessment which respects the autonomy and choice of the person with Parkinson’s is important and involves them in planning their end of life care through early discussions about advance care planning (ACP) and advance decision to refuse treatment (ADRT), as discussed in section 3.3

Holistic assessment in the end of life stage focuses on the physical, psychological, social and spiritual aspects of care for the person with Parkinson’s. We will examine these in greater depth.

4.1 What are the indicators for the end stage of life?

4.3 The management of physical symptoms