Spontaneous wriggling or writhing movements which can occur when the medicine is working (i.e. the patient is 'on').
A rhythmic, oscillating movement, most commonly of the hands and or limbs.
When the patient is adequately treated and movements are reasonably fluent and spontaneous.
When when the patient's medication has worn off and movements are slow, deliberate and difficult. Other less visible symptoms of pain and distress may be a feature for some patients.
A noticeable transition from 'on' to 'off' occurring between doses of medication.
An umbrella term for the motor complications of more 'brittle' advanced disease. Patients can fluctuate from 'off', to 'on' and "on with dyskinesia." The change may be gradual or a sudden switch.

For Clinicians

Parkinson's Disease


What is Parkinson's Disease?

Care of the Dying Pathway

Inpatient Care

Non Motor Symptoms

PD Care - Top 12 Tips

PD & Surgical Admissions

The first 24 hours

Medications & NBM Guidelines

Help us track our patients

Other web resources

Criteria for Urgent Review

Parkinson's Service - Contacts

Help us track our patients - admission notification

Not all Parkinson's patients will need review during their stay.

But it helps the service to know that they have been admitted, especially the PD nurse specialists who may plan a review soon after discharge.

Please use our voicemail service (ext 1028) to let us know the name, number, ward and admission reason for the patient.

This will NOT request an urgent review – if this is needed, 'pink slip' the team in the normal way.

It will however mean that the secretary will send you copies of recent clinic letters and PD nurse specialist reviews to help with discharge planning. She will also notify the PD Nurse Specialists of the admission – and will send them a copy of the Discharge Summary

back to top