title: [Problem solving care models for Parkinson's disease].
abstract: BACKGROUND
  Parkinson's disease affects more than 6,3 million people worldwide. Most patients and relatives are left alone to struggle with the symptoms associated with fluctuations in drug levels and the psychotic side effects of the anti-Parkinson's medications. Moreover, quite often even health providers may find difficult to interpret and manage the problems that have been encountered.
  
  
  OBJECTIVE
  The aims of the authors were to analyze systematically the biopsychosocial needs of Parkinson's patients, and to develop a complex, evidence-based Parkinson's-nursing-care model.
  
  
  METHODS
  Patients' needs were assessed based on an observational study involving an old patient with Parkinson's disease for more than 28 years. The model has been specified as a multidisciplinary care framework adapted to the special characteristics of Parkinson's disease which transcends the limitations of different standard nursing models.
  
  
  RESULTS
  The elaborated model contains a detailed description of cooperative problem solving, which is organized around individual patients along with recommendations for addressing various potential problems that might be encountered.
  
  
  CONCLUSIONS
  Implementation of the presented model can improve the life quality of Parkinson's patients and can facilitate the life of affected families provided that these families are well aware about the potential benefits of the novel care delivery system.
authors.affiliation: Alkalmazott Egészségtudományi Intézet, Ápolástan Tanszék, Semmelweis Egyetem, Egészségtudományi Kar Budapest, Vas u 17., 1088.
authors.forename: Mária
authors.initials: M
authors.lastname: Csóka
authors.affiliation: Országos Egészségbiztosítási Pénztár Budapest.|Doktori Iskola, Semmelweis Egyetem Budapest.
authors.forename: Sándorné
authors.initials: S
authors.lastname: Molnár
authors.affiliation: Egészségügyi Ágazati Humánerőforrás-stratégiai Főosztály, Emberi Erőforrások Minisztériuma Budapest.|Egészségfejlesztési és Klinikai Módszertani Intézet, Semmelweis Egyetem, Egészségtudományi Kar Budapest.
authors.forename: Éva
authors.initials: É
authors.lastname: Kellős
authors.affiliation: Egészségfejlesztési és Klinikai Módszertani Intézet, Semmelweis Egyetem, Egészségtudományi Kar Budapest.
authors.forename: Gyula
authors.initials: G
authors.lastname: Domján
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000203:Activities of Daily Living; D000369:Aged, 80 and over; D000978:Antiparkinson Agents / Q000008:administration & dosage / Q000009:adverse effects; D060825:Cognitive Dysfunction / Q000188:drug therapy / Q000209:etiology; D003248:Constipation / Q000209:etiology / Q000517:prevention & control; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D004435:Eating; D005260:Female; D006212:Hallucinations / Q000209:etiology / Q000517:prevention & control; D018939:Holistic Nursing / Q000379:methods / Q000592:standards / Q000639:trends; D006801:Humans; D007189:Indans / Q000627:therapeutic use; D018696:Neuroprotective Agents / Q000627:therapeutic use; D010300:Parkinson Disease / Q000150:complications* / Q000188:drug therapy / Q000451:nursing* / Q000503:physiopathology / Q000523:psychology; D010348:Patient Care Team; D011014:Pneumonia / Q000209:etiology / Q000517:prevention & control; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control; D011340:Problem Solving; D011595:Psychomotor Agitation / Q000209:etiology / Q000517:prevention & control; D011788:Quality of Life; D017592:Skin Care; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology / Q000517:prevention & control; D016138:Walking
chemical_list: D000978:Antiparkinson Agents; D007189:Indans; D018696:Neuroprotective Agents; C031967:rasagiline
keywords: Parkinson ápolási-gondozási modell; Parkinson-kór; Parkinson-szindróma; Parkinson’s diseae; Parkinson’s nursing-care model; Parkinson’s syndrome; betegedukáció; nursing care plan; patient education; quality of life; ápolási-gondozási terv; életminőség