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Chapter 24 - Palliative Care

Published online by Cambridge University Press:  26 May 2025

By
Stefan Lorenzl ,
Martin Groß  and
Eelco F. M. Wijdicks
Edited by
Martin Groß ,
Eelco F. M. Wijdicks ,
Maxwell S. Damian  and
Oliver Summ
Martin Groß
Affiliation:
MEDIAN Clinic Bad Tennstedt
Eelco F. M. Wijdicks
Affiliation:
Mayo Clinic
Maxwell S. Damian
Affiliation:
Basildon University Hospitals
Oliver Summ
Affiliation:
Evangelisches Krankenhaus Oldenburg
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Summary

This chapter discusses the role of palliative care in the management of respiratory problems in neurological disease. To realize the right to live and to enjoy equal participation for neurological patients with respiratory symptoms may be complex and require extensive human, technical and financial resources, and, especially in low- and mid-income countries these resources may not be present. National and cultural differences in the role of palliative care are discussed, furthermore specific problems of palliative care in respiratory therapy such as correct indications, informed consent issues, therapy restriction physician-assisted suicide and euthanasia, in care settings such as critical care. The authors suggest a pathway to decision-making and introduce treatment strategies with a focus on respiratory symptoms.

Keywords

palliative carerespiratory carehuman rightsresourcesregional differencesinformed consenttherapy restriction

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Chapter
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Clinical Neurorespiratory Medicine , pp. 307 - 322
Publisher: Cambridge University Press
Print publication year: 2025

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