{"title":"[Palliative Care for Persons with Amyotrophic Lateral Sclerosis].","authors":"Mieko Ogino","doi":"10.11477/mf.1416202764","DOIUrl":null,"url":null,"abstract":"<p><p>Palliative care in Japan is available mainly for patients with cancer, and palliative care specialists do not have sufficient experience with management of palliation in persons with amyotrophic lateral sclerosis (ALS). Treatment of ALS symptoms is an important component of palliative care, and it is important that neurologists and home care physicians familiarize themselves with palliative care for ALS in consultation with palliative care specialists. Notably, the use of opioids at the end of life differs from that of pain relief for cancer. Physicians should be mindful that opioids are not a perfect solution for palliative care of persons with ALS.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"76 11","pages":"1225-1232"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain and Nerve","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11477/mf.1416202764","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
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Abstract
Palliative care in Japan is available mainly for patients with cancer, and palliative care specialists do not have sufficient experience with management of palliation in persons with amyotrophic lateral sclerosis (ALS). Treatment of ALS symptoms is an important component of palliative care, and it is important that neurologists and home care physicians familiarize themselves with palliative care for ALS in consultation with palliative care specialists. Notably, the use of opioids at the end of life differs from that of pain relief for cancer. Physicians should be mindful that opioids are not a perfect solution for palliative care of persons with ALS.
日本的姑息治疗主要针对癌症患者，姑息治疗专家在肌萎缩侧索硬化症（ALS）患者的姑息治疗方面经验不足。ALS 症状的治疗是姑息治疗的重要组成部分，神经科医生和家庭护理医生必须与姑息治疗专家协商，熟悉 ALS 的姑息治疗。值得注意的是，生命末期阿片类药物的使用不同于癌症止痛。医生应注意，阿片类药物并不是 ALS 患者姑息治疗的完美解决方案。
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