Palliative Care in Movement Disorders: an Evolving Field

Curr Neurol Neurosci Rep. 2021 Jan 28;21(3):5. doi: 10.1007/s11910-021-01091-5.

Abstract

Purpose of review: This review summarizes the current state of evidence for palliative care (PC) in movement disorders, describes the application of PC to clinical practice, and suggests future research directions.

Recent findings: PC needs are common in persons living with movement disorders and their families from the time of diagnosis through end-of-life and contribute to quality of life. Early advance care planning is preferred by patients, impacts outcomes and is promoted by PC frameworks. Systematic assessment of non-motor symptoms, psychosocial needs and spiritual/existential distress may address gaps in current models of care. Several complementary and emerging models of PC may be utilized to meet the needs of this population. A PC approach may identify and improve important patient and caregiver-centered outcomes. As a relatively new application of PC, there is a need for research to adapt, develop and implement approaches to meet the unique needs of this population.

Keywords: Advance care planning (MeSH ID: D032722); End of life care (MeSH ID: D013727); Movement disorders (MeSH ID: D009069); Palliative care (MeSH ID: D010166); Quality of life (MeSH ID: D011788).

Publication types

  • Review

MeSH terms

  • Caregivers
  • Humans
  • Movement Disorders* / therapy
  • Palliative Care*
  • Quality of Life