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- Title
Deep Brain Stimulation at End of Life: Clinical and Ethical Considerations.
- Authors
Sankary, Lauren R.; Ford, Paul J.; Machado, Andre G.; Hoeksema, Laura J.; Samala, Renato V.; Harris, David J.
- Abstract
Deep brain stimulation (DBS) is an implanted neurological device effective in treating motor symptoms of Parkinson disease (PD), such as tremor, rigidity, and bradykinesia. More than 150,000 patients worldwide have been implanted with DBS devices. Questions arise at the end of life concerning how to provide best care for patients with DBS, including its continued benefit or potential complications, yet, no published articles provide guidance for hospice providers regarding the management of DBS devices in end-of-life care. With contributions from hospice physicians, a neurosurgeon, and ethicists, this article provides recommendations to address clinical and ethical challenges in optimizing DBS for patients with PD nearing the end of life.
- Subjects
PARKINSON'S disease treatment; MEDICAL ethics; TERMINAL care; DEEP brain stimulation
- Publication
Journal of Palliative Medicine, 2020, Vol 23, Issue 4, p582
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2019.0129