Phys Clinical Cases · geriatric
Parkinson S Disease IN Older Adults — DCE Clinical Case
DCE long-case and short-case station for Parkinson S Disease IN Older Adults.
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Parkinson S Disease IN Older Adults — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Parkinson S Disease IN Older Adults. [1]
Presenting complaint: Subacute or acute symptoms referable to Parkinson S Disease IN Older Adults, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Parkinson S Disease IN Older Adults, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Fogaça LZ, Schveitzer MC, Ferreira A, Feitosa ADC, et al. Evidence map of Tai Chi interventions for older adults Front Public Health, 2026.PMID 42465647
- [2]Kim JY, Park HC, Park SW, Rhee CS Sensory Impairment and Risk of Neurodegenerative Diseases: A Nationwide Cohort Study in Korea Clin Exp Otorhinolaryngol, 2026.PMID 42458698
- [3]Kong J, Yang Z, Liu Y, Chen W Apathy and Reduced Voluntary Activity in Older Adults with Parkinson's Disease: Mechanisms, Clinical Assessment, and Rehabilitation Implications Clin Interv Aging, 2026.PMID 42445620
- [4]Montúffar-Otero NV, Gómez-Coello A, Murphy P, Murillo-Chavez AA, et al. Top-Cited Articles on Dysphagia and Cognitive Impairment: A Scopus-Based Bibliometric Analysis of Publications Retrieved Through October 2025 Cureus, 2026.PMID 42434674
- [5]Rogatto FBT, Guelfi ÉTN, Alflen VEV, Silva LBB, et al. Linking the Pre-Assessment Information Form (PIF) to the ICF: Enhancing Standardized Functional Assessment in Parkinson's Disease Physiother Res Int, 2026.PMID 42287705
- [6]Sriram D, Pourzinal D, Bailey DX, Brooks D, et al. Recommendations to Improve Healthcare Service Provision for Cognitive Impairment in People With Parkinson's Disease: A Mixed Methods Study of the Lived Experience Expert Perspective Health Expect, 2026.PMID 41834361
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005