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Titlebook: Neuropalliative Care; A Guide to Improving Claire J. Creutzfeldt,Benzi M. Kluger,Robert G. Ho Book 2019 Springer International Publishing A

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Severe Acute Brain Injuryting, and discuss communication skills for clinicians engaging with family members, especially around prognosis and treatment goals. Research and education needs in this area of palliative care are substantial.
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Prolonged Coma and Early Disorders of Consciousnessa difficult decision-making process. This chapter will follow the clinical course of a patient and stop along the way to discuss the pertinent issues around prolonged unconsciousness in the ICU setting. The conditions discussed in this chapter are complementary to the acute presentation of severe ac
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Parkinson’s Disease and Related Disorderss, sleep and pain. Recommendations for weaning dopaminergic medications in advanced disease are reviewed noting that abrupt cessation or withholding levodopa is contraindicated at all stages of PD. We discuss prognostic indicators and when enrolment in hospice should be considered.
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Dementiaurse and effectively target cognitive and behavioral symptoms, other gaps in our understanding of disease also need attention. Prognostic uncertainty contributes to the aggressive and burdensome care that many patients experience at end-of-life, as well as low hospice utilization. The accuracy of th
发表于 2025-3-25 23:57:01 | 显示全部楼层
Neuromuscular Diseasesiscussions regarding end-of-life care and advance care planning are recommended throughout the course of disease and certain triggers may prompt these conversations at specific time points. At the end of life, some patients may decide to transition to comfort care through hospice services, which off
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Communicating Effectivelyd attending to emotions with empathy; (2) discussing prognosis and understanding the informational needs of the patient; (3) exploring goals of care by mapping patient’s values and preferences with both patient’s and their surrogate decision-makers.
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Addressing and Managing Requests to Hasten Death, PAD, or VAE are being considered. Neurologic patients may present particular challenges in these circumstances. We use amyotrophic lateral sclerosis (ALS), Parkinson disease, Alzheimer’s disease, Huntington’s disease, stroke, and glioblastoma as model diseases to explore the special circumstances
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Withholding and Withdrawing Life-Sustaining Treatmentect response depends on the analysis of the underlying reasons of conflict. The chapter ends with some practical suggestions concerning advance care planning, palliative care consultation and clinical ethics consultation.
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