Rehabilitation medicine in palliative care of chronic neurological conditions.
| Title: | Rehabilitation medicine in palliative care of chronic neurological conditions. |
|---|---|
| Authors: | Nair KPS; Neurology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK siva.nair@nhs.net.; Chandler B; Raigmore Hospital, NHS Highland, Inverness, Highland, UK.; Lee M; St Benedict's Hospice, Sunderland, UK.; Oliver D; Tizard Centre, University of Kent, Canterbury, Kent, UK.; Sansam K; Rehabilitation Medicine, Harrogate and District NHS Foundation Trust, Harrogate, North Yorkshire, UK.; King L; Rehabilitation Medicine, King's College Hospital NHS Foundation Trust, London, UK.; Paisley S; ScHARR, The University of Sheffield, Sheffield, UK.; Sutton A; ScHARR, The University of Sheffield, Sheffield, UK.; Cantrell A; ScHARR, The University of Sheffield, Sheffield, UK. |
| Source: | BMJ supportive & palliative care [BMJ Support Palliat Care] 2023 Jun; Vol. 13 (2), pp. 154-160. Date of Electronic Publication: 2020 Aug 24. |
| Publication Type: | Journal Article; Systematic Review |
| Language: | English |
| Journal Info: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101565123 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2045-4368 (Electronic) Linking ISSN: 2045435X NLM ISO Abbreviation: BMJ Support Palliat Care Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ Publishing Group |
| MeSH Terms: | Hospice and Palliative Care Nursing* ; Terminal Care*; Humans ; Chronic Disease ; Palliative Care |
| Abstract: | Background: People living with long-term neurological conditions (LTNC) often require palliative care. Rehabilitation medicine specialists often coordinate the long-term care of these patients.; Objective: The aim of the present review was to undertake systematic literature searches to identify the evidence on palliative care for people with LTNC to guide rehabilitation medicine specialists caring for these patients in the UK.; Methods: We searched for evidence for (1) discussion of end of life, (2) planning for end-of-life care, (3) brief specialist palliative care interventions, (4) support for family and carers, (5) training of rehabilitation medicine specialists in palliative care, and (6) commissioning of services. The databases searched were MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, NHS Economic Evaluation Database and Health Technology Assessment Database. Evidence was assimilated using a simplified version of the Grading of Recommendations Assessment, Development and Evaluation method.; Results: We identified 2961 records through database searching for neurological conditions and 1261 additional records through database searches for specific symptoms. We removed duplicate records and conference presentations. We screened 3234 titles and identified 330 potentially relevant abstracts. After reading the abstracts we selected 34 studies for inclusion in the evidence synthesis.; Conclusions: From the evidence reviewed we would like to recommend that we move forward by establishing a closer working relationship with specialists in palliative care and rehabilitation medicine and explore the implications for cross-specialty training.; (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Competing Interests: | Competing interests: None declared. |
| Contributed Indexing: | Keywords: chronic conditions; neurological conditions; rehabilitation; supportive care |
| Entry Date(s): | Date Created: 20200826 Date Completed: 20230522 Latest Revision: 20250522 |
| Update Code: | 20260130 |
| DOI: | 10.1136/bmjspcare-2020-002415 |
| PMID: | 32839208 |
| Database: | MEDLINE |
Journal Article; Systematic Review