Repatriation of a patient with Parkinson's disease
This information supports an individual transport file and does not replace assessment or treatment by the responsible physician.
Timely medication is crucial
Request an exact medication schedule including the product, dose and time. Parkinson's medication can be time-critical; the escort must know when the last dose was given and when the next one is due.
Medication must remain accessible and must not be placed in checked baggage. Changes are made only according to the treating physician's instructions.
Account for on and off periods
Mobility can vary throughout the day. Where possible, plan transfers around the individual's functioning and record how much assistance is needed when standing up, turning and sitting down.
A brief period of good functioning does not demonstrate that all transfers can be completed independently.
Swallowing, saliva and nutrition
Swallowing problems increase the risk associated with eating, drinking and taking tablets. Use the prescribed consistency and positioning; in the event of coughing, choking or drowsiness, stop administration and have the escort assess the situation.
Required nutrition and aids are prepared for the entire route.
Stimuli, communication and cognition
Stress, fatigue and an unfamiliar environment can worsen symptoms. Provide brief explanations, sufficient time and a familiar contact person.
Note any hallucinations, confusion or communication problems so that behaviour is not misinterpreted.
Arrival and subsequent medication
The Belgian receiving party is given the schedule, last doses, mobility level and any problems encountered en route. The next medication time is clear before handover.
This ensures that Parkinson's care continues through all transfers and prevents an unintended interruption upon returning home or being admitted.