Conversations About Off Time In Patients With Parkinson Disease

Video content above is prompted by the following:

Physician-Patient Communication About Off Time

• Structured assessment using validated tools (Movement Disorder Society (MDS), Unified Parkinson's Disease Rating (UPDRS), Wearing Off Questionnaire-9 (WOQ-9), Hauser Diary)
• Dedicated time to discuss daily symptom patterns and medication response
• Use of accessible language and visual aids to explain pharmacokinetics
• Involvement of caregivers to provide collateral information
• Setting realistic expectations about treatment goals
• Shared decision-making approach to treatment selection
• Regular follow-up with focused reassessment of off time
• Discussion of impact on quality of life and function, not just motor symptoms
• Education about differentiating off symptoms from nonmotor manifestations