SPIKES to deliver diag

get to know pt and what they know about the disease, then fill in the gaps

assess priorities: pts and yours.

aim to keep hobbies alive as long as possible

exercise ASAP

meds only if symptoms bothering them

parkinsons specific interventions

• educations
• medication for motor and non motor
• supports
• allied health - physio, OT, speech path, psych
  • make sure to ask about coughing/swallow/slow eating/difficulty on first swallow
  • falls risk assessment/physio
• future planning

impulse control disorders - look it up. “medication makes people want to do all the fun things and they do”