Palliative care in neurology
Palliative care in neurology is an important area of medicine aimed at improving the quality of life of patients with progressive neurological diseases that are not amenable to treatment. Systemic support includes medical, psychological and social measures. Their goal is to alleviate suffering, control symptoms and ensure maximum comfort for the cancer patient at all stages of the disease.
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Forms of palliative care
The format of palliative care is selected individually, taking into account the patient’s condition, stage of the disease, family situation and personal preferences.
Treatment can take place in various formats, depending on the patient's condition, the severity of symptoms and social conditions.
List of main forms of assistance:
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Outpatient care
Involves regular visits to a neurologist or palliative care physician. Specialists prescribe and monitor the results of symptomatic therapy. Consultations with a psychologist, speech therapist, and nutritionist are also recommended.
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Inpatient treatment
Indicated in case of exacerbation of the condition or the need for round-the-clock observation. Within the framework of the inpatient department, it is possible to select effective pain relief, help with impaired swallowing and breathing functions, convulsive attacks. Nutrition, water balance, psychological and spiritual support are also monitored.
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Day hospital
The format is convenient for patients who need regular support, but do not need 24-hour medical supervision.
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Outreach palliative care services
Suitable for patients with mobility difficulties. Palliative care includes regular visits by a mobile team that monitors the patient's condition and performs necessary procedures (installation of a tube, tracheostomy care). Specialists also teach relatives how to care for an oncological patient.
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Hospice care
Necessary for patients in the terminal stage of the disease. The main focus is on comfort, pain relief and psychological support.
When is palliative care needed?
Symptoms and conditions requiring palliative care
Treatment is necessary if the following symptoms are present:
- Chronic or acute pain, especially of a neuropathic nature
- Progressive speech, swallowing and breathing disorders
- Persistent movement disorders (paralysis, tremors, convulsions)
- Cognitive impairment (dementia, delirium)
- Epileptic seizures that are poorly responsive to drug therapy
- Emotional and mental disorders (anxiety, depression, fear of death)
- Severe weakness, weight loss and exhaustion
These conditions often occur in the late stages of multiple sclerosis, Parkinson's disease, amyotrophic lateral sclerosis (ALS), dementia, strokes with severe consequences and other chronic neurological pathologies.
Neuromuscular diseases and palliative care
Special attention is given to patients with:
- Amyotrophic lateral sclerosis (ALS)
- Myopathy and myodystrophy
- Spinal muscular atrophy (SMA)
- Severe forms of polyneuropathy
The listed pathologies are characterized by progressive weakening of muscles, including respiratory muscles, and often lead to disability. Palliative care helps control respiratory disorders (using non-invasive ventilation), combat swallowing disorders, relieve pain, and support the patient's psycho-emotional state.
General information
Documents and steps for receiving palliative care
To start such treatment, it is necessary to act according to a certain algorithm and take care of collecting the required medical documents in advance. The main steps that the patient or his relatives must take are:
- Contacting the attending physician. The first step is a consultation with a specialist - a neurologist, therapist or palliative medicine doctor. The specialist assesses the patient's condition, the presence of indications for palliative care and gives a referral
- Collection of necessary documents. To arrange palliative care, you need a patient's passport, compulsory medical insurance or voluntary medical insurance policy, an extract from the medical record (indicating the diagnosis, stage of the disease, data on the therapy performed), examination results (MRI, CT, EEG, blood tests), a conclusion of the medical commission (if confirmation of an incurable condition is necessary)
- Primary consultation at the palliative care center. The patient must contact the multidisciplinary clinic "K+31". The medical center specialists conduct a re-evaluation of the patient's condition. Preferences for the form of care (home, outpatient, inpatient) are also discussed, and only then an individual support plan is drawn up
- Signing the necessary documents. To begin providing assistance, the patient's (or legal representative's) written consent for medical intervention and conditions of support is required
- Getting help in the right format. After agreeing on all the conditions and assigning the form of assistance (at home, in a day hospital or hospice), the patient receives support within the framework of the approved plan. If necessary, it is possible to adjust the treatment taking into account the change in condition or new wishes
In the clinic "K+31" palliative care is organized with maximum attention to the needs of the patient and his relatives. Patients can receive high-quality support on a paid basis, but without queues and with a full range of modern medical, psychological and social services. With us, patients can count on comfortable conditions of stay and round-the-clock monitoring. Professional mobile teams also work. The medical center "K+31" provides an individual approach to each patient, maintaining the main thing - dignity, care and professionalism at every stage.
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What is palliative care in neurology
This is a support system for people with severe and incurable diseases of the nervous system, with concomitant oncological pathologies. The main goal of palliative care is not to cure, but to alleviate suffering and maintain the patient's quality of life. This is especially important for diseases that impair movement, speech, memory, breathing, and are accompanied by pain, weakness, and emotional exhaustion.
Palliative care in neurology is based on an individual approach. Not only medical indicators are taken into account, but also the wishes, habits and lifestyle of the sick person. A team of specialists is involved in the work - neurologists, palliative doctors, psychologists, rehabilitation specialists, nurses. Support is provided not only to the patient, but also to his family. This is especially true for situations when care for a cancer patient is carried out at home or requires the participation of several people.