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How to care for end-stage Parkinson’s disease

What is Parkinson's disease?

Parkinson's disease is a progressive condition in which parts of the brain become progressively damaged over many years.

The NHS states that the main symptoms of Parkinson’s disease are involuntary shaking of particular parts of the body (tremors), slow movement and stiff and inflexible muscles. A person with Parkinson’s disease can also experience a wide range of other physical and psychological symptoms such as:

  • Depression
  • Loss of smell (anosmia)
  • Memory problems
  • Balance problems
  • Problems sleeping (insomnia)
  • Anxiety
  • respite care

    What is end stage Parkinson’s?

    Some of the main symptoms of end-stage Parkinson’s include:

    Mobility issues

    Most people may need full assistance for movement and are often confined to a wheelchair. Stiffness, severe tremors, and difficulty in maintaining balance or initiating movement are common.

    Cognitive decline

    Dementia or significant cognitive impairment frequently develops, affecting memory, attention, problem-solving, and even recognition of familiar people and places.

    Communication decline

    Late-stage Parkinson’s disease may cause speech to become soft and slurred. They may become harder to understand and individuals may struggle to form words or sentences.

    Difficulty swallowing and eating

    Dysphagia (difficulty swallowing) can make eating and drinking dangerous, leading to risks of choking or aspiration pneumonia. Nutritional challenges can be a challenge during this stage of Parkinson’s.

    Autonomic dysfunction

    Issues with the nervous system can worsen, leading to severe constipation, low blood pressure (orthostatic hypotension), and incontinence. This can also be called ‘autonomic dysfunction’.

    Emotional and physciatric symptoms

    Naturally, this time may be distressing and cause anxiety and depression. In some cases, hallucinations may occur which may require management from a medical professional.

    Call us now to arrange Parkinson's care
    0330 037 6958

    What to expext with end-stage Parkinson's disease

    There are many resources available to support you through end-stage Parkinson's.

    Parkinson’s UK states that Parkinson’s is a progressive condition that gets worse over time. It can be difficult to predict at what speed your Parkinson’s will progress or what symptoms you may get as the condition affects everyone differently. The main symptoms include tremors, rigidity and slowness of movement, but these may develop into the symptoms listed above. Some helpful resources and charities that can support you include:

  • Parkinsons UK
  • Parkinson's Foundation
  • NHS
  • Cure Parkinson's
  • Marie Curie
  • Hospice UK
  • Anne Robson Trust
  • Parkinson's Care and Support UK
  • dementia care

    How to care for end stage Parkinson’s disease

    Symptom management

    Carers can help you to ensure proper pain management and control of symptoms. This may involve adjustments to treatment plans to minimise any discomfort. Adjusting their diet to allow easy-to-swallow foods and making sure to keep them hydrated is crucial. You can also implement specialised equipment too such as adapted beds.

    Emotional support

    Spend quality time with the person to help alleviate feelings of isolation. During late-stage, mood changes are common and it can be a good idea to speak with healthcare professionals about therapies or medications to manage emotional distress. You can help their environment by reducing noise and minimising disruptions, creating a peaceful space.

    Specialised and palliative care

    Palliative care specialists can assist in managing symptoms and improve the person’s quality of life. Taking care of a loved one full-time can be physically and emotionally draining. So, you can try care services to help with the load, such as Helping Hands’ respite care. Make sure to discuss and follow the person’s wishes regarding their end-of-life decisions.

    Home care for Parkinson’s customers with Helping Hands

    At Helping Hands, we can offer superb Parkinson’s care, alongside end-of-life care, so your condition is taken care of in compassionate and experienced hands.

    visiting care
    Visiting care​
    Our visiting care is designed around your needs. From 30 minutes a week to several visits a day, having a visiting carer can provide you with the extra support you need to live well at home.​
    Visiting care enables you to continue to live the way you choose, allowing you to maintain your routines and independence. ​
    Visiting care enables you to access what you need as your needs change. From support with meal preparation and light housework to assistance with getting the shops or managing medication, you are in control. ​
    Your visiting carer offers companionship as well as care at every visit. Families often value the peace of mind this brings if they are not able to visit on a regular basis. ​
    Learn more
    live in care
    Live-in care​
    Our live-in care provides 24/7 support from a dedicated carer who lives with you in your home. Personalised, one to one care, so you can maintain your independence in the way you wish.
    We know that having a carer live with you in your home can feel daunting which is why you can be reassured all our carers are handpicked for their kindness, patience, and empathy. They care for you or your family as we’d want our own families to be cared for.​
    Our team of specialist nurses train, support and oversee the delivery of care with our live-in carers. If you have complex needs or need help managing a condition, we can help.​
    For families that live some distance away, live-in care provides peace of mind that a loved one has the help they need.​
    Learn more
    Contact us to hear more about our home care
    0330 037 6958

    A fully regulated home care provider ​

    Here at Helping Hands, our service is regulated by the Care Quality Commission (CQC) and the Care Inspectorate Wales (CIW)​

    This means we need to consistently meet high standards and are monitored by our regulators.​

    ​Why is being a regulated care provider important?​

    Independent inspections of our service, giving you peace of mind​
    Fully vetted, high-quality carers
    Guaranteed training and development for our staff