When to initiate palliative care in neurology

Handb Clin Neurol. 2022;190:105-125. doi: 10.1016/B978-0-323-85029-2.00011-7.ABSTRACTLife-limiting and life-threatening neurologic conditions often progress slowly. Patients live with a substantial symptom burden over a long period of time, and there is often a high degree of functional and cognitive impairment. Because of this, the most appropriate time to initiate neuropalliative care is often difficult to identify. Further challenges to the incorporation of neuropalliative care include communication barriers, such as profound dysarthria or language impairments, and loss of cognitive function and decision-making capacity that prevent shared decision making and threaten patient autonomy. As a result, earlier initiation of at least some components of…
Origen: When to initiate palliative care in neurology – PubMed