what difference can the vcare virtual coach make …...duodopa pump. parkinson’s disease: general...
TRANSCRIPT
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WHAT DIFFERENCE CAN THE VCARE VIRTUAL COACH MAKE
FOR A PARKINSON PATIENTCoaching Technologies for Active Ageing and Wellbeing – the EUProjects Experience Iñigo Gabilondo (Serv. Vasco de Salud - Osakidetza, Spain)
SAAM Final EventMay 26th , 2020
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VCARE & PARKINSON’S DISEASE PATHWAY
12 partners from 7 European countries
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VCARE & PARKINSON’S DISEASE PATHWAY
12 partners from 7 European countries
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VCARE & PARKINSON’S DISEASE PATHWAY
12 partners from 7 European countries
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VCARE & PARKINSON’S DISEASE PATHWAY
Basque CountryPopulation: 2,220,504 people
Parkinson’s disease patients ≈ 7,000
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VCARE & PARKINSON’S DISEASE PATHWAY
Cruces University Hospital
1356 hospital admission bedsReference center for 170.000 Vizcaya citizens
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PRESENTATION OVERVIEW
PARKINSON’S DISEASE: GENERAL CONCEPTS
PARKINSON’S DISEASE: UNMET NEEDS
VCARE & PARKINSON’S DISEASE PATHWAY
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PRESENTATION OVERVIEW
PARKINSON’S DISEASE: GENERAL CONCEPTS
PARKINSON’S DISEASE: UNMET NEEDS
VCARE & PARKINSON’S DISEASE PATHWAY
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PARKINSON’S DISEASE: GENERAL CONCEPTS
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• 2nd neurodegenerative disorder after AD
• Associated to ageing
• Prevalence 2-5% after 60-70 years of age
Age
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PARKINSON’S DISEASE: GENERAL CONCEPTS
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• 2nd neurodegenerative disorder after AD
• Associated to ageing
• Prevalence 2-5% after 60-70 years of age
• Unknown cause, rare genetic cases
• Dopamine deficiency in substantia nigra
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MOTOR MANIFESTATIONS
PARKINSON’S DISEASE: GENERAL CONCEPTS
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PARKINSON’S DISEASE: GENERAL CONCEPTS
“OFF” SITUATION:
• Adequate levels of dopamine in the brain
• Sufficient motor agility to walk and daily activities
• Usually with active tremor
“ON” SITUATION:
• Low levels of dopamine in the brain
• High bradykinesia & rigidity (limbs-trunk)
• High limitation to walk and daily activities
• Risk of falling
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Unified Parkinson's Disease Rating Scale
PARKINSON’S DISEASE: GENERAL CONCEPTS
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PARKINSON’S DISEASE: GENERAL CONCEPTSNON-MOTOR MANIFESTATIONS
Cognitive impairment/dementiaPsychosisImpulse control disorderDepressionSleep disorders
Visual perception and visuospatial disability
Orthostatic hypotension
ConstipationUrinary disordersSexual problems
Increased sweating
Difficulty speakingExcessive salivationDifficulty swallowingRespiratory problems
Bowing of shouldersSwelling of feet
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PARKINSON’S DISEASE: GENERAL CONCEPTSSTANDARD PARKINSON’S TREATMENT
LevodopaDopamine agonistsMAO-b inhibitorsCOMT inhibitors
ORAL/TRANSDERMAL MEDICATIONS
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ORAL/TRANSDERMAL MEDICATIONS
PARKINSON’S DISEASE: GENERAL CONCEPTSSTANDARD PARKINSON’S TREATMENT ADVANCED PD TREATMENT
Surgery (Deep Brain Stimulation)
LevodopaDopamine agonistsMAO-b inhibitorsCOMT inhibitors Subcutaneous
apomorphine PumpIntestinal Duodopa Pump
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PARKINSON’S DISEASE: GENERAL CONCEPTSMOTOR & NEUROPSYCHIATRIC COMPLICATIONS
(ADVANCED PARKINSON’S DISEASE)
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PARKINSON’S DISEASE: GENERAL CONCEPTSMOTOR & NEUROPSYCHIATRIC COMPLICATIONS
(ADVANCED PARKINSON’S DISEASE)
Motor fluctuations
Dyskinesias
Related with reduction orCHANGES IN RESPONSE TO LEVODOPA
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PARKINSON’S DISEASE: GENERAL CONCEPTSMOTOR & NEUROPSYCHIATRIC COMPLICATIONS
(ADVANCED PARKINSON’S DISEASE)
Motor fluctuations
Dyskinesias
Freezing of gate
Postural imbalance
FALLS
Related with disease-associatedBRAIN NEURODEGENERATION
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PARKINSON’S DISEASE: GENERAL CONCEPTSMOTOR & NEUROPSYCHIATRIC COMPLICATIONS
(ADVANCED PARKINSON’S DISEASE)
Cognitive impairment & dementia
Depression
Psychosis (delirium & hallucinations)
Impulse control disorder (ICD) Related withMEDICATION & BRAIN NEURODEGENERATION
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PARKINSON’S DISEASE: GENERAL CONCEPTS
Kalia, L. V., & Lang, A. E. (2015). Parkinson’s disease. The Lancet, 386(9996), 896–912.
RBD: REM Sleep Behavior DisorderEDS: Excessive Daytime Sleepiness
MOTOR & NEUROPSYCHIATRIC COMPLICATIONS (ADVANCED PARKINSON’S DISEASE)
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PARKINSON’S DISEASE: GENERAL CONCEPTS
Kalia, L. V., & Lang, A. E. (2015). Parkinson’s disease. The Lancet, 386(9996), 896–912.
MCI: Mild Cognitive Impairment
MOTOR & NEUROPSYCHIATRIC COMPLICATIONS (ADVANCED PARKINSON’S DISEASE)
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PARKINSON’S DISEASE: GENERAL CONCEPTS
Kalia, L. V., & Lang, A. E. (2015). Parkinson’s disease. The Lancet, 386(9996), 896–912.
MOTOR & NEUROPSYCHIATRIC COMPLICATIONS (ADVANCED PARKINSON’S DISEASE)
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PRESENTATION OVERVIEW
PARKINSON’S DISEASE: GENERAL CONCEPTS
PARKINSON’S DISEASE: UNMET NEEDS
VCARE & PARKINSON’S DISEASE PATHWAY
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PARKINSON’S DISEASE: UNMET NEEDS
• Continuous & objective monitoring of motor and non-motor manifestations
• Risk detection and prevention
• Continuity of care
• Promotion of autonomy and self-care of the patient
• Communication tools for patient/caregivers w/ healthcare professionals
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Mov Disord. 2016 Sep;31(9):1272-82. doi: 10.1002/mds.26642. Epub 2016 Apr 29
PARKINSON’S DISEASE: UNMET NEEDS
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Mov Disord. 2016 Sep;31(9):1272-82. doi: 10.1002/mds.26642. Epub 2016 Apr 29
PARKINSON’S DISEASE: UNMET NEEDS
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Mov Disord. 2016 Sep;31(9):1272-82. doi: 10.1002/mds.26642. Epub 2016 Apr 29
PARKINSON’S DISEASE: UNMET NEEDS
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PARKINSON’S (PAPER) DIARY
24 hours registry (form) completed by patient
regarding motor status and complications
Parkinson Home Diary
PARKINSON’S DISEASE: UNMET NEEDS
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OBJECTIVE QUANTITATIVE MOTOR ASSESSMENT
PARKINSON’S DISEASE: UNMET NEEDS
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PARKINSON’S DISEASE: UNMET NEEDS
OBJECTIVE QUANTITATIVE MOTOR ASSESSMENT
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PRESENTATION OVERVIEW
PARKINSON’S DISEASE: GENERAL CONCEPTS
PARKINSON’S DISEASE: UNMET NEEDS
VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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Encouraging Self-Manage-ment
Continuity ofCare at Home
Virtual Coaching System
Enhancement of Quality of Life
ContinousPersonalization
AutomatedAdaptation
IndividualClinical
Pathway
Basis for Rehab Program
Conditions
Habits
Context
VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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W1 W2 W3
TreatmentClinical
Evaluation
Feedback
Exceptionalprocedure
VCARE & PARKINSON’S DISEASE PATHWAY
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Driven by experience in
lab Driven by
experience at home
Driven by co-design
approach
Driven by Use Cases
Driven by real life experience
Driven by technical
requirementsTech-Lab
PhaseLiving Lab
PhasePilot Test
Phase
Tech-Lab Phase
Living Lab Phase
Pilot Test Phase
Focus on the functionality of requirements
Focus on the adaptation
Focus on the clinical outcomes
ACTIVITIES WITH PATIENTS
ACTIVITIES WITH TEACH TEAM
VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
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VCARE & PARKINSON’S DISEASE PATHWAY
Living lab for Parkinson’s disease (Bilbao, Spain)
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VCARE & PARKINSON’S DISEASE PATHWAY
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