Autor: |
Ramanathan U; Department of Medicine and University of Toronto, Toronto, Ontario, Canada.; Department of Neurology, University of Toronto, Toronto, Ontario, Canada., Besbris JM; Department of Internal Medicine and Cedars-Sinai Medical Center, Los Angeles, California, USA.; Department of Neurology, Cedars-Sinai Medical Center, Los Angeles, California, USA., Kramer NM; Department of Neurology and Rush University Medical Center, Chicago, Illinois, USA.; Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA., Yu AW; Division of Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center, New York, New York, USA., Solomon AJ; Department of Neurological Sciences, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA., Jones CA; Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA., Mehta AK; Department of Internal Medicine and Johns Hopkins School of Medicine, Baltimore, Maryland, USA.; Department of Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. |
Abstrakt: |
Multiple sclerosis (MS) is a chronic, immune-mediated, neurodegenerative condition of the central nervous system, with distinct challenges due to its heterogeneous presentation, prognostic uncertainty, and variable clinical course of neurological and non-neurological symptoms and disability. Although there have been significant advances in management of MS, many patients experience disability progression. Despite MS being a frequent cause of neurological disability, particularly in young persons, involvement of palliative care physicians in the care of patients with MS has been limited. This article provides ten tips for palliative clinicians for caring for patients with MS and their care partners. |