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    Orzi Francesco

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    Antea Associazione
    Francesco Orzi's abstract discusses palliative care and evidence-based medicine in neurology. Neurological diseases differ from traditional palliative care diseases like cancer in that they often have a long, progressive course rather than a relentless progression. This makes prognostication more difficult in neurology. Many neurological diseases that clearly have palliative care needs, such as ALS and dementia, have received relatively little attention from palliative care. Providing palliative care for patients with severe dementia involves assisting with activities of daily living and managing discomfort, but this person-centered approach must be balanced with maintaining evidence-based clinical outcomes.

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    Orzi Francesco

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    Antea Associazione
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    Francesco Orzi's abstract discusses palliative care and evidence-based medicine in neurology. Neurological diseases differ from traditional palliative care diseases like cancer in that they often have a long, progressive course rather than a relentless progression. This makes prognostication more difficult in neurology. Many neurological diseases that clearly have palliative care needs, such as ALS and dementia, have received relatively little attention from palliative care. Providing palliative care for patients with severe dementia involves assisting with activities of daily living and managing discomfort, but this person-centered approach must be balanced with maintaining evidence-based clinical outcomes.

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    Francesco Orzi's abstract discusses palliative care and evidence-based medicine in neurology. Neurological diseases differ from traditional palliative care diseases like cancer in that they often have a long, progressive course rather than a relentless progression. This makes prognostication more difficult in neurology. Many neurological diseases that clearly have palliative care needs, such as ALS and dementia, have received relatively little attention from palliative care. Providing palliative care for patients with severe dementia involves assisting with activities of daily living and managing discomfort, but this person-centered approach must be balanced with maintaining evidence-based clinical outcomes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC or read online from Scribd
    Download as doc
    47 views1 page

    Orzi Francesco

    Uploaded by

    Antea Associazione
    Francesco Orzi's abstract discusses palliative care and evidence-based medicine in neurology. Neurological diseases differ from traditional palliative care diseases like cancer in that they often have a long, progressive course rather than a relentless progression. This makes prognostication more difficult in neurology. Many neurological diseases that clearly have palliative care needs, such as ALS and dementia, have received relatively little attention from palliative care. Providing palliative care for patients with severe dementia involves assisting with activities of daily living and managing discomfort, but this person-centered approach must be balanced with maintaining evidence-based clinical outcomes.

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    Attribution Non-Commercial (BY-NC)
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    Antea Worldwide Palliative Care Conference

    Rome, 12-14 November 2008

    ABSTRACT FORM

    Presenting author Palliative care and evidence based medicine in Neurology


    Francesco Orzi
    Authors (max 6, presenting author included): Francesco Orzi
    Email:
    [email protected]
    Palliative interventions in neurology are being covered by an emerging field,
    Phone which bridges neurology and palliative medicine into a new subspecialty.
    Neurologic diseases may differ from the traditional diseases cared for by
    palliative care physicians because of the often long progressive course, in
    Mobile phone contrast to the relentless progression seen in many cancers. Given these
    obstinate features, prognostication is much more difficult in neurology and
    prolonged periods of accumulating disability much more common. Many
    Please underline the most
    disease that clearly have palliative care needs, have been given relatively
    appropriate category for your little attention in the palliative care. These include muscular dystrophies,
    abstract Huntington disease, sequela of brain injury, and stroke, amyotrophic lateral
    sclerosis, cerebral neoplasms, HIV infection, and multiple sclerosis, and
    • Pain and other symptoms dementia. A person with dementia, for instance, challenges the neurologist
    • Palliative care for cancer patients with problems and needs traditionally not covered in academic trainings. The
    • Palliative care for non cancer care of people with severe dementia largely involves compensating for their
    patients
    diminishing ability to fulfill basic needs by providing assistance in areas such
    • Paediatric palliative care as activities of daily living, mobility, safety and function, toileting, mouth
    • Palliative care for the elderly
    care, and grooming. The prevention, management, or elimination of
    discomfort such as pain, constipation, skin deterioration, malnutrition,
    • The actors of palliative care
    physical exhaustion, and adverse drug reactions are also areas that are
    • Latest on drugs
    central to the provision of basic physical care. A person-oriented attitude,
    • Pain however, can come at the expense of a task oriented, objective and guided
    approach that is central to the evidence-based medicine.
    • Illness and suffering through
    Thus, while palliative approaches appropriately include phenomenological
    media
    perspectives, and stress the care for the person more than for the disease, a
    • Marginalisation and social stigma main question remains about how to measure and explore clinical outcomes
    at the end of life of neurological palliative care. Answering such a question would be functional
    • Palliative care advocacy projects to maintain both the benefit of a person-centered care and the quality of the
    • Prognosis and diagnosis
    scientific evidence.
    communication in
    different cultures
    • Communication between doctor-
    patient and patient-
    equipe
    • Religions and cultures versus
    suffering, death and
    bereavement
    • Public institution in the world:
    palliative care policies
    and law
    • Palliative care: from villages to metropolies

    • Space, light and gardens for the terminally ill patient


    • End-of-life ethics
    • Complementary therapies Session: Rehabilitation in palliative care
    • Education, training and research
    • Fund-raising and no-profit Chair of the session: Claudio Pellegrini
    • Bereavement support
    • Volunteering in palliative care
    • Rehabilitation in palliative care

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