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Palliative Care in the Neurosurgical Patient 

Palliative Care in the Neurosurgical Patient
Chapter:
Palliative Care in the Neurosurgical Patient
Author(s):

Michael Liquori

, Kathleen Mechler

, John Liantonio

, and Adam Pennarola

DOI:
10.1093/med/9780190913779.003.0014
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date: 04 April 2020

Palliative care is specialized medical care for people living with serious illness. It focuses on improving quality of life of the patient. Many neurosurgical patients have a life-altering, serious illness and benefit from palliative care expertise. This chapter describes key roles for palliative care, including understanding the difference between palliative care and hospice care and when and how to identify appropriate patients for palliative care referral. A framework for the effective communication of difficult information is discussed. An approach to symptom management for both pain and nonpain symptoms, like nausea, constipation, and delirium, is provided. Finally, identification of patients appropriate for hospice referral is reviewed.

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