Annette Hand

Annette Hand
The Newcastle upon Tyne Hospitals NHS Foundation Trust · Department of Care of the Elderly

DNursing

About

39
Publications
4,843
Reads
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3,346
Citations
Additional affiliations
November 2018 - October 2020
Northumbria University
Position
  • Professor (Associate)
Education
October 2013 - December 2017
Northumbria University
Field of study
  • Nursing

Publications

Publications (39)
Chapter
Sexual needs and sexuality in older adults continues to be a neglected area of clinical intervention, particularly in longer term care settings. This is often due to older adults in long term care beds presenting with increased frailty, and often with significant neurocognitive disorders, making it difficult for care staff to evaluate the capacity...
Article
Background: Parkinson's disease (PD) is a multi-system disorder that can impact on driving ability. Little is known about how these changes in driving ability affect people with PD, making it difficult for clinicians and carers to offer appropriate support. Objective: To assess patient views concerning the effect of PD on their driving ability,...
Article
Background: Parkinsonism, including Parkinson's disease (PD) are progressive neurological conditions. As these condition progress, individuals will need more support with their care needs to maintain independent community-living. Care needs are mainly met by unpaid, informal caregivers, usually close family members or friends. Caregiver strain is...
Article
Full-text available
Introduction There are multiple configurations of specialist nurses working in the field of Parkinson’s. Parkinson’s Nurse Specialists (PNSs) are recognised as playing a pivotal role; however, there is little published evidence to demonstrate their effectiveness. Further evidence is needed to establish which aspects of the PNSs provide the greatest...
Article
The impact of COVID-19 has been, and continues to be, felt across the world. For some people the risks associated with contracting this virus are greater than others due to underlying health conditions. This article explores the impact of COVID-19 for people with Parkinson's and how specialist health services are having to change to continue to sup...
Article
Objectives Previous studies have looked at the reasons for hospital admission in people with parkinsonism (PwP), yet few have looked at factors that precipitate admission. Methods People with parkinsonism with a diagnosis of idiopathic Parkinson disease of Hoehn and Yahr stage III-V and those with Parkinson plus syndromes were assessed for motor a...
Article
This study aimed to explore the decision-making processes at the time of placement and the experiences of care homes residents with Parkinson’s. This study was part of the larger Northumbria Care Needs Project and was a qualitative, experiential account of people with Parkinson’s living in care homes.
Article
Care home residents often live with multiple morbidities. One of these, which can have a significant impact on motor and cognitive functions, is Parkinson's disease (PD). Peter Brock et al discuss a survey on how to improve care for residents living with PD.
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Full-text available
Parkinson’s disease is a chronic multi-system disease that can cause motor and non-motor symptoms, cognitive changes and variably effective medications. Optimal management of the condition requires a multi-disciplinary team of healthcare professionals to work closely with the patient and their carers. The National Institute for Health and Care Exce...
Article
Background: In the United Kingdom, people with Parkinson disease (PD) and atypical parkinsonism will require more support with their care needs as the condition progresses. There are few data on the nature of care input required and the amount of informal and formal care needed by people with PD to enable them to remain within their own home. Met...
Article
Objectives: We hypothesized that the number and length of hospital admissions in people with Parkinson's disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died. Method: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years...
Article
2017 marks 200 years since James Parkinson's published his 'Essay on the Shaking Palsy'. Although now most famous for describing the condition that came to bear his name, Parkinson had a wide range of interests and his influence spread beyond medicine. In this review, we provide a biography of James Parkinson's remarkable life.Parkinson's paper not...
Article
Background: Many people with Parkinson's disease (PD) (PwP) require care from either informal or formal carers, due to worsening symptoms. Carer strain is a recognised consequence of caring. However there are few data on the role and profile of informal carers and if this impacts on carer strain. Method: People with moderate to advanced PD, with an...
Article
Full-text available
Missed Parkinson's disease (PD) medications when patients are admitted to hospital are associated with increased morbidity and mortality. Swallowing difficulties in hospitalised PD patients are common and should prompt clinicians to consider conversion of a patient's PD medications to a non-oral form – this is, however, recognised as a challenging...
Article
Background: People with Parkinson's disease (PD) and parkinsonism living in care homes (residential or nursing care) in the UK represent around 10-15% of all people with PD and 3-5% of all care home residents. There are few previous data on medication use in those living in care homes with PD. In this study we aimed to compare medication use in a...
Article
Parkinson's is a complex neurological disorder characterised by a large number of motor and non-motor features. As a consequence of these wideranging symptoms, quality of life (QoL) in patients with Parkinson's can be affected by many factors that can also vary depending on social support, activity, and environment. The large number of issues that...
Article
The care needs of people with Parkinson's disease (PD) are poorly understood. We aimed to investigate the factors that precipitate entry to institutional care, and on-going care needs once in care, within a representative cohort of community-dwelling people with PD. All people with idiopathic PD, Parkinson's plus syndromes and vascular parkinsonism...
Article
Background: The aim of this study was to evaluate the extent and nature of sleep problems in a community-dwelling cohort of people with Parkinson’s disease (PD). Methods: Cases were identified from a prevalence study. Participants were assessed for excessive daytime sleepiness using the Epworth sleepiness scale and were also asked a series of quest...
Article
We have previously reported the age-adjusted prevalence of idiopathic Parkinson's disease (PD) in North Tyneside, an urban area of North-East England, as 139 cases (95% CI 116 to 162) per 100,000. The aim of this study was to report the prevalence of idiopathic PD in a rural area of North-East England. The same case-finding methodology as that empl...
Article
To quantify the extent of self-reported sexual and relationship problems in people with Parkinson's disease (PD). A cross-sectional correlation design was used. All people with idiopathic PD, according to the UK Brain Bank criteria, who were known to the Northumbria Healthcare NHS Trust PD service, were asked to participate. Those who consented wer...
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Full-text available
Availability and accessibility of high-quality information is inconsistent nationally and improving information is central to Department of Health policy. This article outlines an information prescription (IP) pilot. Using a quality-improvement cycle, feedback was gathered from stakeholders to develop an IP service for people with Parkinson's disea...
Article
Non-motor symptoms (NMS) in Parkinson's disease (PD) are common, significantly reduce quality of life and at present there is no validated clinical tool to assess the progress or potential response to treatment of NMS. A new 30-item scale for the assessment of NMS in PD (NMSS) was developed. NMSS contains nine dimensions: cardiovascular, sleep/fati...
Article
2006, there was, no single instrument (questionnaire or scale) for attempting a comprehensive assessment of the wide range of nonmotor symptoms (NMS) of Parkinson's disease (PD). The PD nonmotor group, a multidisciplinary group of experts including patient group representatives developed and validated the NMS screening questionnaire (NMSQuest) comp...
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Full-text available
The issue of when to start treatment in Parkinson's disease (PD) remains controversial. Some favour treatment at diagnosis while others opt for a "wait and watch" policy. The effect of the latter policy on the self reported health status of people with PD is unknown. To record self reported health status through longitudinal use of a validated PD s...
Article
Nonmotor symptoms (NMS) of Parkinson's disease (PD) are not well recognized in clinical practice, either in primary or in secondary care, and are frequently missed during routine consultations. There is no single instrument (questionnaire or scale) that enables a comprehensive assessment of the range of NMS in PD both for the identification of prob...
Article
This study compares the sensitivity of a Patient Questionnaire versus information gathered by clinicians at a routine clinic visit in recognizing symptoms of wearing-off in early Parkinson's disease (PD). This Patient Questionnaire, containing 32 items representing a wide spectrum of motor and nonmotor wearing-off symptoms, was administered to subj...
Article
People with Parkinson's Disease need information and support if they are to maintain an independent lifestyle. The establishment of a dedicated team in Northumbria for these patients is helping them and their carers to become involved in their care by offering education, counselling and information about medication.
Article
People with Parkinson's Disease need information and support if they are to maintain an independent lifestyle. The establishment of a dedicated team in Northumbria for these patients is helping them and their carers to become involved in their care by offering education, counselling and information about medication.
Article
This manuscript provides a practical summary of guidelines for institution of apomorphine subcutaneous injectable therapy, including patient education, pre-treatment issues, dosage titration and side-effect care. The timing of each injection is crucial if an impending "off" period is to be averted. Patients need to be aware of symptoms of an approa...
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Full-text available
To accurately establish the incidence of falls in Parkinson's disease (PD) and to investigate predictive risk factors for fallers from baseline data. 109 subjects with idiopathic PD diagnosed according to the brain bank criteria underwent a multidisciplinary baseline assessment comprising demographic and historical data, disease specific rating sca...

Projects

Project (1)