Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Palliative care in amyotrophic lateral sclerosis.
Journal of Neurology
Publication types: Journal Article ; ReviewPublication Status: ppublish
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.
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
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