Promoting excellence in end-of-life care in ALS.

Details

Serval ID
serval:BIB_805990993764
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
Promoting excellence in end-of-life care in ALS.
Journal
Amyotrophic Lateral Sclerosis and Other Motor Neuron Disorders
Author(s)
Mitsumoto H., Bromberg M., Johnston W., Tandan R., Byock I., Lyon M., Miller R.G., Appel S.H., Benditt J., Bernat J.L., Borasio G.D., Carver A.C., Clawson L., Del Bene M.L., Kasarskis E.J., LeGrand S.B., Mandler R., McCarthy J., Munsat T., Newman D., Sufit R.L., Versenyi A.
ISSN
1466-0822 (Print)
ISSN-L
1466-0822
Publication state
Published
Issued date
2005
Volume
6
Number
3
Pages
145-154
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't ; ReviewPublication Status: ppublish
Abstract
The type and quality of end-of-life care varies greatly in ALS; the time to initiate end-of-life care is not defined, and decision making is hampered by logistical and financial barriers. There has been no systematic review of these issues in ALS. The goals of this initiative are to: 1) improve end-of-life care for patients with ALS and families based on what limited evidence is available; 2) increase awareness, interest, and debate on the end-of-life care in ALS; and 3) identify areas needed for new prospective clinical research. The ALS Peer Workgroup reviewed the literature and 1) identified the current state of knowledge, 2) analysed the gaps in care, and 3) provided recommendations for standard of care and future research. It was shown that areas of investigation are needed on the incorporation of an interdisciplinary approach to care in ALS that includes: psychosocial evaluation and spiritual care; the use of validated instruments to assess patient and caregiver quality of life; and the establishment of proactive caregiver programs. Several public policy changes that will improve coverage for medical care, hospice, and caregiver costs are also reviewed. More clinical evidence is needed on how to provide optimal end-of-life care specifically in ALS.
Keywords
Advance Care Planning, Amyotrophic Lateral Sclerosis/psychology, Attitude to Death, Health Services Research, Humans, Quality of Health Care, Quality of Life, Spirituality, Terminal Care/psychology
Pubmed
Web of science
Create date
14/01/2014 9:06
Last modification date
20/08/2019 14:40
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