作者: Tobias Walbert , Kristen Chasteen
DOI: 10.1007/978-3-319-12048-5_11
关键词: Intensive care medicine 、 Advance care planning 、 End-of-life care 、 Disease 、 Quality of life (healthcare) 、 Glioma 、 Depression (differential diagnoses) 、 Palliative care 、 Anxiety 、 Medicine
摘要: The diagnosis of a brain tumor is life-changing event for patients and families. High-grade gliomas are incurable long-term survival remains limited. While low-grade glioma have better outcomes, their quality life often affected by variety symptoms as well. Helping improve at all stages illness an important goal the interdisciplinary care team. There evidence from advanced lung cancer that early involvement palliative team can patient’s life, symptom burden, even similar approach benefits Patients with high-grade suffer significant burden. We discuss how validated global assessments symptom-specific screening tools useful to identify distressing symptoms. Seizures, fatigue, depression, anxiety some more common throughout disease course should be managed actively. also high burden end majority lose decision-making capacity. Advance planning conversations in essential elicit wishes effective communication surrogate decision makers during helps ensure those respected.