Treatment of Parkinson's disease by apomorphine pump
WHAT IS APOMORPHINE?
Apomorphine (Apokinon®) is an anti-Parkinson treatment. It acts at the level of dopaminergic receptors by reproducing the action of dopamine. It is used in combination with levodopa when motor fluctuations are too important and cause disabling motor disorders (on-off effects).
WHAT IS AN APOMORPHINE PUMP?
The apomorphine is contained in a syringe which is attached to the pump. The treatment is administered via continuous subcutaneous delivery according to a program predetermined by the neurologist.
Pump calibration is initially carried out in a hospital in order to determine the proper dosage. At home, the patient places the pump them self in the morning and maintains the treatment for 12h, a nurse or another individual then removes the pump in the evening. If needed, bolus doses may be added during the day. The pump can be placed 24/7 when the evolution of the disease requires it.
THE MISSIONS OF THE AGIR à dom.
NURSE ARE TO
- be a single point of contact, to listen,
- verify the correct programming and use of the pump,
- ensure good tolerance of the treatment,
- ensure training of the home health nurse(s) and the entourage,
- ensure the supply of materials by making the link with the pharmacist,
- communicate regularly with the specialist physician and the treating physician.