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The Application of Palliative Care Principles in Advanced Parkinson’s Disease

The Application of Palliative Care Principles in Advanced Parkinson’s Disease
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摘要 Palliative care has great potential to improve the quality of life of patients with advanced Parkinson’s disease. However, neurologists face multiple barriers in practically applying the concepts of palliative care including a deficit in education and limitations in time to coordinate this care. In this review, we discuss practical ways for neurologists to apply the principles of palliative care in several domains, including exercising symptom management, managing polypharmacy, managing advanced care planning, supporting patient and families in their psychosocial and spiritual needs, identifying caregiver burden, utilizing multidisciplinary care, and understanding the role of hospice referral. Palliative care has great potential to improve the quality of life of patients with advanced Parkinson’s disease. However, neurologists face multiple barriers in practically applying the concepts of palliative care including a deficit in education and limitations in time to coordinate this care. In this review, we discuss practical ways for neurologists to apply the principles of palliative care in several domains, including exercising symptom management, managing polypharmacy, managing advanced care planning, supporting patient and families in their psychosocial and spiritual needs, identifying caregiver burden, utilizing multidisciplinary care, and understanding the role of hospice referral.
作者 Sunjay Sethi Anna DePold Hohler Sunjay Sethi;Anna DePold Hohler(Department of Neurology, Boston University School of Medicine, Boston, MA, USA)
出处 《Advances in Parkinson's Disease》 2016年第4期73-86,共14页 帕金森(英文)
关键词 Parkinson’s Disease Palliative Medicine Neuro-Palliative Care Quality of Life Parkinson’s Disease Palliative Medicine Neuro-Palliative Care Quality of Life
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