Document Detail


Palliative therapy in the terminal stage of neurological disease.
MedLine Citation:
PMID:  9402547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As recently pointed out by the American Academy of Neurology, providing adequate palliative care to dying patients is the duty of every neurologist. Because of a lack of relevant articles in the neurological literature, we have compiled current treatment recommendations for the most important symptoms arising in the endstage of neurological diseases. These recommendations include treatment of dyspnea, death rattle, restlessness, pain, thirst, depression, and others. A discussion of difficult decisions is included, e.g., the appropriate extent of fluid substitution or the ethical implications of sedation in the terminal phase. It is hoped that this compilation may provide a basis for future research in palliative therapy in neurology.
Authors:
R Voltz; G D Borasio
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurology     Volume:  244 Suppl 4     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1998-01-27     Completed Date:  1998-01-27     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  S2-10     Citation Subset:  IM    
Affiliation:
Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY 10021, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Advance Directives
Brain Neoplasms / psychology,  therapy
Delirium / drug therapy,  etiology
Dyspnea / etiology,  psychology,  therapy
Fluid Therapy
Glioblastoma / psychology,  therapy
Humans
Hypnotics and Sedatives / therapeutic use
Male
Middle Aged
Muscular Atrophy, Spinal / complications,  psychology,  therapy
Narcotics / therapeutic use
Nervous System Diseases / complications,  psychology,  therapy*
Pain / drug therapy,  etiology
Palliative Care*
Quality of Life
Respiratory Sounds
Suicide / prevention & control
Terminal Care*
Truth Disclosure
Chemical
Reg. No./Substance:
0/Hypnotics and Sedatives; 0/Narcotics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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