Deep Brain Stimulation at End of Life: Clinical and Ethical Considerations
| Autor: | Lauren R. Sankary, Andre G. Machado, Paul J. Ford, David Harris, Renato V. Samala, Laura Hoeksema |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Deep brain stimulation medicine.medical_treatment Deep Brain Stimulation education Motor symptoms 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation 030502 gerontology Tremor medicine Humans General Nursing Aged Terminal Care business.industry Case Discussions in Palliative Medicine Neurological device Parkinson Disease General Medicine nervous system diseases Death Anesthesiology and Pain Medicine surgical procedures operative nervous system 030220 oncology & carcinogenesis 0305 other medical science business Delivery of Health Care |
| Zdroj: | J Palliat Med |
| Popis: | Deep brain stimulation (DBS) is an implanted neurological device effective in treating motor symptoms of Parkinson disease (PD), such as tremor, rigidity, and bradykinesia. More than 150,000 patients worldwide have been implanted with DBS devices. Questions arise at the end of life concerning how to provide best care for patients with DBS, including its continued benefit or potential complications, yet, no published articles provide guidance for hospice providers regarding the management of DBS devices in end-of-life care. With contributions from hospice physicians, a neurosurgeon, and ethicists, this article provides recommendations to address clinical and ethical challenges in optimizing DBS for patients with PD nearing the end of life. |
| Databáze: | OpenAIRE |
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