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J Neurol Neurosurg Psychiatry 74:iii42-iii47 doi:10.1136/jnnp.74.suppl_3.iii42

Autonomic diseases: management

Table 4

Management strategies in autonomic diseases that affect multiple systems

▸Specific For orthostatic hypotension, and bladder, bowel and sexual dysfunction
 –non-pharmacological and pharmacological therapy 
 For respiratory abnormalities: consider tracheotomy 
 For oropharyngeal dysphagia: consider PEG 

▸General For depression
▸Education Of patients and partners, relatives, carers, medical practitioners, supportive therapists, to include physiotherapists, occupational therapists, speech therapists and dietitians
▸Autonomic nurse specialists and autonomic liaison nurses To coordinate and streamline care between hospital and home
▸Patient support groups To disseminate information and increase awareness
  • –Autonomic Disorders Association, Sarah Matheson Trust in UK

  • –National Dysautonomia Research Foundation, USA

  • –Shy-Drager Association, USA

  • –Syncope and Reflex Anoxic Seizures (STARS) Trust, UK

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