Palliative Neurology

Ian Maddocks, Bruce Brew, Heather Waddy, Ian Williams (Autoren)

Buch | Softcover

276 Seiten

2005
Cambridge University Press (Verlag)
978-0-521-67249-8 (ISBN)

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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.

Palliative care affirms the value of holistic support for persons facing death from advanced disease. Increasingly the approach of palliative care is seen as relevant not only to terminal cancer (its initial concern) but also to many other incurable conditions. To date, the major emphasis of specialist neurology has been on diagnosis, and the continuing long term management of the many major diseases has received far less attention. This handbook aims to provide succinct and practical advice on the management of major neurological disorders in both their supportive and terminal phases, recognizing that these conditions are increasing in prevalence in virtually every society as the proportion of elderly persons grows. It demonstrates how the discomforts encountered in dementia, stroke, Parkinson's disease, ALS, Huntington's disease, muscular dystrophies and multiple sclerosis can benefit from the same comprehensive approach to palliation as has evolved in specialist care for cancer.

Since 1994 Ian Maddocks has lectured on Palliative Care at various times all over the world. He was awarded the inaugural Bethlehem Griffiths Medal for research in palliative and aged care in 1998.

Part I. Palliative Management: 1. Introduction to palliation; 2. Characteristics of palliation; 3. Nodal points in decision-making for neurological diseases; 4. Potential deficiencies in palliative management in neurology; 5. Common themes in palliation practice; Part II. 1. Fatigue: 2. Problems with muscles and movement; 3. Bulbar symptoms; 4. Respiratory symptoms; 5. Gastro-intestinal symptoms; 6. Urological symptoms; 7. Pain; 8. Cognitive, behavioural and psychological symptoms; 9. Miscellaneous symptoms; Part III. Major Neurological Conditions Requiring Palliation: 1. Cerebrovascular diseases and stroke; 2. Demyelinating diseases (MS); 3. Parkinson's disease and related disorders; 4. Dementia; 5. ALS (motor neurone disease); 6. Viral and prion infections - rabies, HIV, CJD; 7. Muscular dystrophies; 8. Neuropathy; 9. Huntington's disease; 10. Cerebral neoplasms; 11. Sequelae of traumatic brain injury and spinal injury; Part IV. Ethical Issues: 1. Consent and decision-making; 2. Advance directives; 3. Proxy decision-making; 4. Ethical issues in states of altered consciousness; 5. Terminal sedation; 6. Euthanasia; Part V. Appendices: 1. Practical aspects of home care; 2. The criteria for an effective palliation service; 3. Suggested further reading; 4. Medications referred to in the text.

Erscheint lt. Verlag	17.11.2005
Verlagsort	Cambridge
Sprache	englisch
Maße	153 x 227 mm
Gewicht	472 g
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Neurologie
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Palliativmedizin
ISBN-10	0-521-67249-X / 052167249X
ISBN-13	978-0-521-67249-8 / 9780521672498
Zustand	Neuware