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PARKINSON’S DISEASE: National clinical guideline for diagnosis and management in primary and secondary care

For environmental programs such as water clean-up programs, trained observers might assess water visibility. For hiking and biking trail programs, trained observers might assess various physical conditions such as the condition of the trails and their cleanliness. A form of trained observer procedures has been used to assess the progress of clients of various rehabilitation and physical care programs, for example, to rate the ability to undertake activities of daily living. Exhibit 10 lists the basic tasks for implementing trained observer measurements. Program staff or volunteers (perhaps students from nearby high schools or colleges) might be used. For example, the Near Northside Partners Council in Fort Worth, Texas, trained more. | The National Collaborating Centre for Chronic Conditions Funded to produce guidelines for the NHS by NICE PARKINSON S DISEASE National clinical guideline for diagnosis and management in primary and secondary care Published by Royal College of Physicians Setting higher medical standards Acknowledgements The National Collaborating Centre for Chronic Conditions would like to thank Rob Grant Susan Varney Ian Lockhart Lina Bakhshi Alison Richards Jane Ingham Ester Klaeijsen Nick Latimer and Bernard Higgins for their work and advice on this project. The Royal College of Physicians The Royal College of Physicians plays a leading role in the delivery of high quality patient care by setting standards of medical practice and promoting clinical excellence. We provide physicians in the United Kingdom and overseas with education training and support throughout their careers. As an independent body representing over 20 000 Fellows and Members worldwide we advise and work with government the public patients and other professions to improve health and healthcare. The National Collaborating Centre for Chronic Conditions The National Collaborating Centre for Chronic Conditions NCC-CC is a collaborative multiprofessional centre undertaking commissions to develop clinical guidelines for the NHS in England and Wales. The NCC-CC was established in 2001. It is an independent body housed within the Clinical Standards Department at the Royal College of Physicians of London. The NCC-CC is funded by the National Institute for Health and Clinical Excellence NICE to undertake commissions for national clinical guidelines on an annual rolling programme. Citation for this document National Collaborating Centre for Chronic Conditions. Parkinson s disease national clinical guideline for diagnosis and management in primary and secondary care. London Royal College of Physicians 2006. Copyright All rights reserved. No part of this publication may be reproduced in any form including photocopying or .