MB BCh BAO, MRCPI, MD, Movement Disorder Fellow, Movement Disorder Unit, Department of Neurology, Westmead Hospital, Westmead, NSW
Late-stage Parkinson’s disease is a syndrome of frequent falls, cognitive impairment, visual hallucinations and need for residential care.
The general practitioner has a vital role in timely diagnosis, effective communication, referral and treatment, which can have a lasting impact on the patient experience.
In late-stage Parkinson’s disease there is a shift to increasing disability from non-motor symptoms unresponsive to levodopa.