Community Outreach Palliative Engagement for Parkinson's Disease

Improving care for ALL people living with Parkinson's and their families

Living with Parkinson's disease or related disorders is difficult.
Getting the care you and your family deserve should not be.

The COPE-PD project is dedicated to making high quality care easily accessible for all people living with Parkinson’s and their families, no matter where you live or receive your care. We invite you to learn more about how palliative care can help people throughout their illness, how research improves care, and what factors may lead to unequal access to care. We’ll also share with you educational resources, opportunities to improve your care, and opportunities to get involved with research.

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Parkinson's disease and related disorders can affect anyone.

Contrary to popular images, Parkinson's doesn't just affect older white men. Not only can it affect people of all ages and races, it also impacts their care partners, families and loved ones. Its symptoms also go far beyond tremor. Learn more about Parkinson's Disease

Individuals with other forms of Parkinsonism also have many unmet needs.

Parkinson’s disease is the leading cause of parkinsonism. Other causes include corticobasal degeneration (CBD), Lewy Body Dementia (LBD), multiple system atrophy (MSA), progressive supranuclear palsy (PSP) and vascular parkinsonism. People with these conditions frequently struggle to get an accurate diagnosis and adequate care.

Individuals with PD and their families have many unmet needs.

Understanding the diverse challenges that individuals with Parkinson's disease and their families face is crucial. Beyond the physical aspects, they encounter a spectrum of unmet needs such as grief, spiritual distress, planning for the future, the necessity for caregiver support, and the importance of seamless care coordination. Addressing the full spectrum of needs is integral to fostering supportive and comprehensive care for those affected by Parkinson's.

Palliative Care Can Help with your Unmet Needs

What is palliative care?

A holistic approach to care focused on improving quality of life starting at diagnosis. It supports patients and families in managing challenging symptoms, difficult emotions, spiritual wellbeing, social connections and preparing for the future. Basic palliative care support can be provided by a wide-range of healthcare professionals while more complex and intensive support may require the input of palliative care specialists.

Is palliative care the same as hospice?

It's a misconception that palliative care is the same thing as hospice. Hospice is palliative care for people nearing the end of life and provides support to help people live at home in comfort and dignity. Importantly, people can receive other forms of palliative care from the time of diagnosis onwards depending on their needs.

When should you consider palliative care?

The palliative care approach has something to offer people at every stage of illness . This can include getting help with difficult symptoms, preparing for the future, or improving coordination of care. Getting early palliative care can be thought of as similar to getting an umbrella  before you need it (and before you get wet).

Figure.  Illustrated Metaphor of Late vs Early Palliative Care. Read JAMA Article
Zimmermann C, Mathews J. Palliative Care Is the Umbrella, Not the Rain—A Metaphor to Guide Conversations in Advanced Cancer. JAMA Oncol. 2022;8(5):681–682. doi:10.1001/jamaoncol.2021.8210

Benefits of palliative care:

Palliative care is all about living as well as possible for as long as possible. It improves quality of life, offers support to family, provides relief from pain and other distressing symptoms, addresses psychosocial and spiritual issues, and affirms life and regards dying as a normal process.

How does palliative care differ from standard care for PD?

Standard care for PD focuses on the motor symptoms of PD, and occasionally provides support for nonmotor symptoms. Palliative care provides complementary care to help with planning for the future, addressing nonmotor symptoms, supporting family carers, and promoting spiritual and emotional wellbeing.

Is palliative care only for cancer patients?

No, palliative care is not exclusive to cancer patients. While it is often associated with cancer care, palliative services are beneficial for individuals dealing with a variety of serious illnesses such as heart failure, Parkinson's disease, dementia, and many others.

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Evidence Shows Palliative Care Improves Patient & Care Partner Outcomes in Parkinson's

In a 2016 study palliative care needs were shown to be as common in Parkinson's disease as in people with cancer. These needs were strongly correlated with quality of life.

In a 2020 study

- Parkinson's patients who received palliative care had better quality of life at 6 months
- Patients receiving palliative care also had improved nonmotor symptom control, motor symptom control, and completion of advance care planning
- Care partners of patients receiving palliative care reported experiencing less anxiety and improved spiritual wellbeing

Disparities in Care & Research

We still have a long way to go.

Throughout history, clinical trials have frequently overlooked the inclusion of individuals who truly reflected the most impacted groups by specific diseases, conditions, or behaviors. Instead, these trials heavily relied on white male participants receiving care at urban academic centers, leading to substantial knowledge gaps in our understanding of diseases, their preventive factors, and treatment efficacy across various populations.*

Get Involved in Research

A clinical trial is a type of clinical research that assesses the impact of interventions (medications, medical devices, surgical procedures, dietary regimens, behavioral techniques, and lifestyle adjustments) on biomedical or behavioral outcomes relevant to health.

Learn More

*2021 Study: "Reporting of Participant Race, Sex, and Socioeconomic Status in Randomized Clinical Trials in General Medical Journals, 2015 vs 2019"

Explore More!

From exploring insights from partner organizations to accessing all our educational infographics for download, discover more on our Additional Resources page. Find valuable information and support to enhance your understanding of Parkinson's disease and its impact on the community.