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Parkinson's disease - Management
How do I manage people with Parkinson's disease who present with a history of falls?
- If falls occur soon after the onset of parkinsonism, suspect an alternative diagnosis, such as progressive supranuclear palsy.
- Refer to the person's Parkinson's disease specialist for review of the diagnosis.
- Assess and treat Postural (orthostatic) hypotension.
- Consider referral for multifactorial and multidisciplinary assessment and interventions to prevent falls.
- This is likely to be delivered by a specialist falls service and, ideally, will include a professional with understanding of Parkinson's disease.
- For more information, see the CKS topic on Falls - risk assessment.
In depth
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