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Palliative Care for Neurological Intractable Diseases and Home Medical Support Kazumasa Yokoyama 1 , Mieko Ogino 2 , Yasunori Ishigaki 3 , Nobutaka Hattori 1 1Juntendo School of Medicine Department of Neurology 2Research and Development Center for New Medical Frontiers, Kitasato University School of Medicine 3Coral Clinic Keyword: 神経難病 , 筋萎縮性側索硬化症 , 終末期緩和ケア , 在宅医療 , 健康観 , neurological intractable diseases , amyotrophic lateral sclerosis , palliative care , multi-disciplinary team , SPIKES pp.1015-1024
Published Date 2015/8/1
DOI https://doi.org/10.11477/mf.1416200248
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Abstract

Many medical doctors regard the end stage and palliative care of neurological intractable diseases as the point at which aggressive treatment should be interrupted and death is imminent. However, the definition of health by the World Health Organization as the physical, psychological, and social goal to achieve a fully favorable health condition should be revisited. In the real clinical setting, the health condition, as the ability to adapt and self-manage in the face of social, physical, and emotional challenges with the aim to overcome stress (resilience), is dynamic and involves a healthy condition and satisfaction with one's own living. The most important step in palliative therapy that is shared by neurologists is the maintenance of the health status with the help of multi-disciplinary team with the view to improving the quality of life.


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電子版ISSN 1344-8129 印刷版ISSN 1881-6096 医学書院

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