Palliative Neurology

di Maddocks - Brew - Waddy - Williams • 2005 • dettagli prodotto

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DESCRIZIONE

This handbook offers practical advice about how the multi-disciplinary approach to comprehensive care that developed in early models of the palliative management of cancer sufferers can bring practical support and symptom relief to those who suffer from a wide range of chronic neurological diseases.Table of Contents Part I. Palliative Management: 1. Introduction to palliation2. Characteristics of palliation3. Nodal points in decision-making for neurological diseases4. Potential deficiencies in palliative management in neurology5. Common themes in palliation practicePart II. 1. Fatigue: 2. Problems with muscles and movement3. Bulbar symptoms4. Respiratory symptoms5. Gastro-intestinal symptoms6. Urological symptoms7. Pain8. Cognitive, behavioural and psychological symptoms9. Miscellaneous symptomsPart III. Major Neurological Conditions Requiring Palliation: 1. Cerebrovascular diseases and stroke2. Demyelinating diseases (MS)3. Parkinson's disease and related disorders4. Dementia5. ALS (motor neurone disease)6. Viral and prion infections - rabies, HIV, CJD7. Muscular dystrophies8. Neuropathy9. Huntington's disease10. Cerebral neoplasms11. Sequelae of traumatic brain injury and spinal injuryPart IV. Ethical Issues: 1. Consent and decision-making2. Advance directives3. Proxy decision-making4. Ethical issues in states of altered consciousness5. Terminal sedation6. EuthanasiaPart V. Appendices: 1. Practical aspects of home care2. The criteria for an effective palliation service3. Suggested further reading4. Medications referred to in the text