Parkinson's Disease for Hip Arthroplasty

You have been asked to review a 78-year-old woman who is scheduled to undergo left hip arthroplasty in two months' time for the management of osteoarthritic pain. She lives in a residential aged care facility. She enters your rooms using a 4-wheel walker escorted by her daughter. Medical History Parkinson's disease diagnosed ten years prior Gastroesophageal reflux Osteoarthritis Hypertension She has never smoked and does not drink alcohol Medications Stalevo (levodopa 200 mg/carbidopa 50 mg /entacapone 200 mg) four times daily Rasagiline 1 mg mane Baclofen 30 mg mane and 40 mg nocte Quetiapine 12.5 mg nocte Escitalopram 10 mg nocte Telmisartan 40 mg nocte Esomeprazole 20 mg bd Paracetamol 665 mg, 2 tablets bd Movicol 2 sachets nocte Vital Signs HR 85 bpm BP 110/70 mmHg RR 18 bpm SpO2 94% in room air Temperature 36.7°C Height 167 cm Weight 55 kg BMI 19.7 kg/m2