Motor symptoms of Parkinson’s disease can initially be well controlled with oral dopamine replacement. Most people experience motor fluctuations with periods of immobility as the disease progresses. Over time, these fluctuations can worsen leading to periods of immobility. Attempts to control fluctuations can lead to disabling dyskinesia with its involuntary jerky movements. Difficult-to-control motor symptoms can be treated with subcutaneous infusion of the dopamine agonist, apomorphine.
Nursing Older People. 31, 2, 10-10. doi: 10.7748/nop.31.2.10.s8
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