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Palliative care in ALS clinics : a survey of neals consortium membership
Article
INTRODUCTION: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative condition managed with a multidisciplinary approach. Palliative care is important for this approach but there is a lack of recommendations for the role and involvement of palliative medicine specialists in multidisciplinary ALS care.
METHODS: This questionnaire-based survey assessed the state of palliative care in selective sites which are a part of North East Amyotrophic lateral sclerosis (NEALS) consortium.
RESULTS: 27% of the sites included palliative care specialists as a part of their ALS clinics and they were introduced to the patients and family by ALS specialists (75.94%) usually at an advanced stage of ALS.
DISCUSSION: Our study when compared with other study results having a similar aim showed that there is a variability in the practice of palliative care specialists in ALS clinics. Having evidence-based guidelines will help in the management of ALS patients more effectively.
http://dx.doi.org/10.1002/mus.27203
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