๐Ÿง  Parkinson's Disease

Your family member
has Parkinson's.
What happens next?

Parkinson's is a progressive condition โ€” but progression is slow and unpredictable, and most people live well for many years. This guide is for the family in the car park after the appointment, trying to understand what this actually means.

๐Ÿฉบ Written by a practising GP  ยท  ๐ŸŒ Six countries covered

What Parkinson's actually is โ€” and what it isn't

Parkinson's is caused by the loss of dopamine-producing cells in the brain. Dopamine coordinates movement โ€” which is why the most visible symptoms are physical: tremor, stiffness, slowness of movement, balance problems.

What surprises most families: Parkinson's is not primarily a memory disease. Many people have no significant cognitive impairment for many years after diagnosis. It is also not immediately life-limiting โ€” most people live for 10โ€“20 years, often with good quality of life for much of that time.

What does change, gradually: physical symptoms worsen and become more complex. Medications become more intricate to manage. Falls become a growing concern. None of this happens overnight โ€” and none of it is inevitable immediately after diagnosis.

The first weeks โ€” what genuinely cannot wait

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Get to a specialist โ€” neurologist or geriatrician with Parkinson's experience
A Parkinson's Disease Nurse Specialist (PDNS) is often the most practically useful member of the team. If one hasn't been assigned, ask specifically.
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Understand the medication โ€” especially timing
Parkinson's medications must be given at specific times and cannot be delayed without consequences. This is critical in hospital settings where medication timing is often poorly managed. Establish the routine now and document it everywhere.
โš–๏ธ
Power of Attorney โ€” now, not later
Parkinson's eventually affects cognition in many people. The window to set up Power of Attorney is while your family member has legal capacity โ€” which is now. This is the most time-sensitive legal action after any progressive neurological diagnosis.
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Occupational therapy home assessment
An OT can assess the home and recommend modifications โ€” rails, shower seats, ramp access โ€” that prevent falls and extend independent living. Request this through the GP now, before it becomes urgent.
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Connect with the Parkinson's organisation in your country
Every country has a peak organisation with helplines, support groups, specialist nurse referrals, and practical guides. See the country guide below.

What caring for someone with Parkinson's actually involves

In early Parkinson's, your role may be minimal. As the condition progresses, the caring role typically expands around three areas:

The medication schedule becomes central. Parkinson's medications must be taken on time โ€” missing or delaying a dose can cause significant deterioration. Understanding the medication schedule is one of the most important skills a Parkinson's carer develops.

Falls become the primary safety concern. Parkinson's causes balance problems, freezing of gait, and postural instability. Falls are the most common cause of hospitalisation. Home modifications, physiotherapy, and falls risk assessment are the most important preventive actions.

Communication changes over time. Many people with Parkinson's develop soft or slurred speech. This is frustrating for them โ€” not a sign of cognitive decline. A speech pathologist can help significantly. Allow more time; do not finish their sentences.

When to call urgently

๐Ÿ”ด
Sudden significant worsening of symptoms
Parkinson's does not worsen overnight. A sudden dramatic deterioration is almost always caused by something else โ€” infection, medication change, dehydration. Treat as a medical emergency, not disease progression.
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New confusion or visual hallucinations
Often medication-related in Parkinson's. Sudden onset confusion needs same-day review โ€” may indicate infection, medication toxicity, or dehydration.
๐Ÿ”ด
Medication seeming to stop working or causing involuntary movements
Contact the Parkinson's specialist or nurse โ€” not just the GP. Medication management in Parkinson's is specialist work.
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Any fall with head injury
Needs prompt assessment, especially if on blood thinners or anticoagulants.

Services and support โ€” in your country

Every country has different services, funding pathways, and support organisations. Select yours for specific contacts and next steps.

Your country
๐Ÿ‡ฆ๐Ÿ‡บ Australia
๐Ÿ‡ฌ๐Ÿ‡ง UK
๐Ÿ‡บ๐Ÿ‡ธ USA
๐Ÿ‡จ๐Ÿ‡ฆ Canada
๐Ÿ‡ณ๐Ÿ‡ฟ New Zealand
๐Ÿ‡ฎ๐Ÿ‡ช Ireland
Peak organisation
Parkinson's Australia
๐Ÿ“ž 1800 644 189
NDIS may fund significant supports for people with Parkinson's under 65 โ€” apply early. Over 65: My Aged Care pathway. Parkinson's Disease Nurse Specialists available through major hospitals.
Funding & support
Home Care Package (ACAT assessment required). NDIS for under-65. Carer Allowance for family carers โ€” not income-tested.
Peak organisation
Parkinson's UK
๐Ÿ“ž 0808 800 0303
Parkinson's UK has a network of specialist nurses โ€” ask your neurologist for a referral. Local support groups nationwide.
Funding & support
NHS-funded medication and specialist review. Local authority care assessment for support needs. CHC in later stages. DLA/PIP for the person with Parkinson's. Carer's Allowance if providing 35+ hours care.
Peak organisation
Parkinson's Foundation
๐Ÿ“ž 1-800-473-4636
The Foundation connects to movement disorder specialists. Medicare covers neurologist visits, medications, and physical/occupational/speech therapy.
Funding & support
Medicare covers specialist visits and therapies. Medicaid HCBS waivers for home care. Veterans may have additional VA coverage. SSDI if working age and unable to work.
Peak organisation
Parkinson Canada
๐Ÿ“ž 1-800-565-3000
Parkinson Canada has provincial resource centres and a national helpline. Provincial drug benefit programs cover most Parkinson's medications.
Funding & support
Provincial drug benefits. Home care through HCCSS/Health Authority assessment. Canada Caregiver Credit. Disability Tax Credit.
Peak organisation
Parkinson's New Zealand
๐Ÿ“ž 0800 473 4636
Parkinson's NZ has regional coordinators who connect you with local services and specialist nurses. NASC assessment for funded home support.
Funding & support
NASC for funded home support. Carer Support Subsidy (up to 28 funded respite days/year). Parkinson's NZ equipment and support.
Peak organisation
Parkinson's Association of Ireland
๐Ÿ“ž 1800 359 359
The Association has regional resource workers and a helpline. HSE Home Support and public health nurse referrals are the primary community care pathways.
Funding & support
HSE Home Support hours (PHN referral). Drug Payment Scheme (80 euros/month cap). Carer's Allowance/Benefit. Carer's Support Grant (1850 euros/year).

Important: This guide provides navigational information only โ€” not medical advice. Treatment decisions for parkinson's disease should be made with the specialist medical team. Services, funding, and eligibility rules change โ€” verify current details with the relevant organisation in your country.

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