Palliative care in amyotrophic lateral sclerosis.

Details

Serval ID
serval:BIB_A4E9C6C7EFAD
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Palliative care in amyotrophic lateral sclerosis.
Journal
Journal of Neurology
Author(s)
Borasio G.D., Voltz R.
ISSN
0340-5354 (Print)
ISSN-L
0340-5354
Publication state
Published
Issued date
1997
Volume
244
Number
Suppl. 4
Pages
S11-S17
Language
english
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Abstract
The poor prognosis of amyotrophic lateral sclerosis (ALS) makes palliative care a challenge for the neurologist. Most disabilities associated with progressive disease can be ameliorated by symptomatic treatment. Prognosis and treatment options should be openly discussed with the patient and his/her relatives. Nutritional deficiency due to pronounced dysphagia can be efficiently relieved by a percutaneous enterogastrostomy. Respiratory insufficiency can be treated by non-invasive ventilation at home, provided the familial environment is supportive. Adequate assistance and palliative treatment in the terminal phase is of paramount importance.
Keywords
Advance Directives, Amyotrophic Lateral Sclerosis/complications, Amyotrophic Lateral Sclerosis/psychology, Anxiety/prevention & control, Coma/etiology, Deglutition Disorders/therapy, Dysarthria/rehabilitation, Dysarthria/therapy, Dyspnea/etiology, Dyspnea/therapy, Gastrostomy/psychology, Humans, Hypercapnia/etiology, Nutrition Disorders/prevention & control, Palliative Care, Physician-Patient Relations, Respiratory Therapy, Societies, Terminal Care, Truth Disclosure
Pubmed
Web of science
Create date
14/01/2014 10:45
Last modification date
20/08/2019 15:10
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