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Parkinson Disease: HELP
Articles by Brian H. Wood
Based on 6 articles published since 2010
(Why 6 articles?)

Between 2010 and 2020, Brian Wood wrote the following 6 articles about Parkinson Disease.
+ Citations + Abstracts
1 Guideline Managing impulse control behaviours in Parkinson's disease: practical guidelines. 2013

Macphee, Graeme J A / Chaudhuri, K Ray / David, Anthony S / Worth, Paul / Wood, Brian. ·Southern General Hospital, Glasgow, UK. graeme.macphee@ggc.scot.nhs.uk ·Br J Hosp Med (Lond) · Pubmed #23665786.

ABSTRACT: -- No abstract --

2 Article Medication use in people with late stage Parkinson's disease and parkinsonism living at home and in institutional care in north-east England: A balance of symptoms and side-effects? 2016

Hand, Annette / Gray, William K / Oates, Lloyd L / Woolford, Megan / Todd, Anna / Bale, Elizabeth / Jones, Catherine / Wood, Brian H / Walker, Richard W. ·Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear, UK. Electronic address: annette.hand@nhct.nhs.uk. · Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear, UK. · The Medical School, Newcastle University, Newcastle-upon-Tyne, UK. · Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear, UK; Institute of Health and Society, Newcastle University, Newcastle-upon-Tyne, UK. ·Parkinsonism Relat Disord · Pubmed #27622968.

ABSTRACT: BACKGROUND: People with Parkinson's disease (PD) and parkinsonism living in care homes (residential or nursing care) in the UK represent around 10-15% of all people with PD and 3-5% of all care home residents. There are few previous data on medication use in those living in care homes with PD. In this study we aimed to compare medication use in a representative cohort of people with PD living in care homes in north-east England with those living in their own homes. METHOD: All people with late stage (Hoehn and Yahr III-V) idiopathic PD, PD dementia, or atypical parkinsonian syndromes under the care of the Northumbria Healthcare NHS Foundation Trust PD service on 1st January 2015 were identified. Demographic, disease characteristics and medication use data were collected from an audit of medical notes of all those identified. RESULTS: We identified 377 people who met the inclusion criteria, 91 (24.1%) of whom were living in a care home. Disease stage, age and age at disease onset were all significantly higher and levodopa equivalent dose significantly lower in those living in care homes, although disease duration and levodopa dose were not. Greater age, lower levodopa equivalent dose and higher disease stage were independently associated with being in a care home. CONCLUSIONS: Although people in care homes had more advanced disease, they were on a significantly lower levodopa equivalent dose. This is likely to be due to the requirement to balance symptom management with drug side-effects.

3 Article Palliative care in people with idiopathic Parkinson's disease who die in hospital. 2014

Walker, Richard W / Churm, Deepta / Dewhurst, Felicity / Samuel, Maria / Ramsell, Amy / Lawrie, Claire / Hill, Jessica / Threapleton, Christopher J D / Wood, Brian / Gray, William K. ·Department of Medicine, North Tyneside General Hospital, North Shields, UK. ·BMJ Support Palliat Care · Pubmed #24644773.

ABSTRACT: BACKGROUND: The UK National Institute for Health and Clinical Excellence guidelines state that palliative care options for people with Parkinson's disease (PD) should be discussed. AIMS: To investigate whether palliative care guidelines are adhered to for people with PD who die in hospital. SETTING/PARTICIPANTS: The medical notes of all people with a diagnosis of idiopathic PD who were living in two adjacent areas of northeast England and who died over a 3-year period were examined. Demographic data and specific information regarding events around the time of death were recorded. RESULTS: For the 236 patients identified, the average age at death was 82.8 years. Of these patients, 110 (46.6%) died in hospital, 56 (23.7%) at home, 59 (25.0%) in a care home and for 11 patients (4.7%) the place of death was not recorded. For those who died in hospital, only three patients, and seven relatives of patients, had had a recorded discussion with a clinician regarding their preferred place of death and only 15 (13.6%) were referred to a specialist palliative care team. Forty-six patients (41.8%) were placed on the Liverpool Care Pathway. CONCLUSIONS: For those dying in hospital, there are few previously documented end-of-life care discussions with patients or their relatives. The use of end-of-life pathways and access to specialist palliative care is variable. Following the Neuberger report, the Liverpool Care Pathway is to be replaced with individual end-of-life care plans. It is important to engage patients, and their relatives, in decision making regarding preferences at the end of life.

4 Article Experience of care home residents with Parkinson's disease: Reason for admission and service use. 2014

Walker, Richard W / Palmer, Jessica / Stancliffe, Jonathan / Wood, Brian H / Hand, Annette / Gray, William K. ·Department of Medicine, Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK; Institute of Health and Society, Newcastle University, Newcastle-upon-Tyne, UK. ·Geriatr Gerontol Int · Pubmed #24320887.

ABSTRACT: AIM: The care needs of people with Parkinson's disease (PD) are poorly understood. We aimed to investigate the factors that precipitate entry to institutional care, and on-going care needs once in care, within a representative cohort of community-dwelling people with PD. METHOD: All people with idiopathic PD, Parkinson's plus syndromes and vascular parkinsonism under the care of the Northumbria Healthcare NHS Foundation Trust PD service who were living in care homes on 1 January 2013 were included. Disease severity (Hoehn and Yahr stage) and demographic data were collected. Admissions to hospital over the previous 2 years and in the year before institutional care admission were documented. RESULTS: A total of 90 patients (51 females) with a mean age of 81.3 years were included. During care home stay, the median number of emergency department attendances, the median number of hospital admissions and the median length of stay for those admitted per year were significantly lower than before care home admission. Both before care home admission and during care home stay, falls were the most common diagnoses in people attending emergency departments, with 32 of 65 (49.2%) admissions before and 34 of 59 (57.6%) admissions during care home stay having falls recorded as a cause of attendance. CONCLUSIONS: Hospital attendances and admissions were relatively common, even after institutional care home placement. Events precipitating admission, such as falls, might be preventable. PD nurse specialists could be an effective way to help train staff in homes where someone is known to have PD.

5 Article The prevalence of Parkinson's disease in a rural area of North-East England. 2010

Walker, Richard W / Hand, Annette / Jones, Catherine / Wood, Brian H / Gray, William K. ·Department of Medicine, North Tyneside General Hospital, Rake Lane, North Shields, Tyne and Wear NE28 9NH, UK. Richard.walker@nhct.nhs.uk ·Parkinsonism Relat Disord · Pubmed #20674462.

ABSTRACT: AIMS AND OBJECTIVES: We have previously reported the age-adjusted prevalence of idiopathic Parkinson's disease (PD) in North Tyneside, an urban area of North-East England, as 139 cases (95% CI 116 to 162) per 100,000. The aim of this study was to report the prevalence of idiopathic PD in a rural area of North-East England. METHODS: The same case-finding methodology as that employed in North Tyneside was used to identify cases of PD in an area of North Northumberland with a population of 59,613 at the 2001 UK census. All GPs in the study area were asked to provide details of patients registered with their service that may have PD or were on PD medication. Furthermore, all patients registered with the local PD service or under the care of a consultant neurologist or other relevant secondary care specialist were considered for inclusion. Inclusion in the study required fulfillment of the UK Brain Bank criteria. RESULTS: One-hundred-and-six cases were identified (50 women and 56 men), giving crude and age-adjusted prevalence estimates of 178 cases (95% CI 144 to 212) and 142 cases (95% CI 118 to 165) per 100,000 respectively. The age-adjusted prevalence rate within our rural study area was remarkably similar to that seen in other urban UK studies. Only 71 cases (67.0%) were identified through GP records. CONCLUSIONS: The prevalence of PD rural and urban areas of North-East England is remarkably similar.

6 Unspecified Developing an innovative online medication calculator for patients with Parkinson's disease who are nil by mouth. 2017

Fisher, James / Hand, Annette / Jamieson, Daniel / Wood, Brian / Walker, Richard W. ·Northumbria Healthcare NHS Foundation. · Northumbria NHS Foundation Trust, North Shields, UK. · Open Lab School of Computing Science, Newcastle University, Newcastle upon Tyne, UK. ·Future Hosp J · Pubmed #31098280.

ABSTRACT: Missed Parkinson's disease (PD) medications when patients are admitted to hospital are associated with increased -morbidity and mortality. Swallowing difficulties in hospitalised PD patients are common and should prompt clinicians to -consider conversion of a patient's PD medications to a non-oral form - this is, however, recognised as a challenging area with potential for error. Northumbria Healthcare NHS Foundation Trust's PD service set out to address this patient safety issue through the development of an innovative online medication -calculator (pdmedcalc.co.uk). This article summarises the development process underpinning the calculator, presents numerical data on the usage of the calculator and presents survey data -relating to user experiences of the calculator. Lastly, we highlight how user feedback has been used to refine subsequent iterations of the calculator and how use of the calculator has rapidly spread beyond our trust because of it being freely accessible online.