Deep Brain Stimulation at End of Life: Clinical and Ethical Considerations.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 31403368.
- Also identified by DOI 10.1089/jpm.2019.0129 and PMC identifier 7104899.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
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.
Medical subject headings
- Deep Brain Stimulation
- Parkinson Disease