- Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi
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- Reasons for Neurology Consultation in Palliative Care Patients
Reasons for Neurology Consultation in Palliative Care Patients
Authors : Ümit Görgülü, Fatma Seda Bingöl, Hesna Bektaş, Kadriye Kahveci
Pages : 111-118
View : 29 | Download : 54
Publication Date : 2023-09-25
Article Type : Research
Abstract :Neurological diseases are the second most common group of diseases requiring palliative care (PC) after cancer, and neurological evaluations may be required frequently in PC patients. In this study, we aimed to investigate the reasons for neurology consultation of patients followed in a PC center (PCC). The medical records of patients assessmented with neurological consultation at our hospital PCC between 2020 and 2022 were retrospectively reviewed. Our study included 223 patients with a mean age of 78 (18-98) years; 54.3% were female, with a mean GCS score of 10 (4–14). At least one neurological diagnosis was present in 65.5% of the patients. The most common neurological diseases were dementia (30.9%), stroke (27.4%), Parkinson’s disease (12.6%) and epilepsy (10.8%). Reasons for neurological consultations included re-treatment planning related to neurological diseases (34.5%; most commonly for stroke 19.3%), swallowing assessment (29.1%), healthcare documentation needs (20.6%; medications, guardianship, bed, care, and disability) and seizures (5.4%). In conclusion, neurological diseases are frequently observed in PC patients, often necessitating neurological assessments for disease re-treatment planning, nutritional support, and care requirements during the care process.Keywords : Palyatif bakım, nörolojik değerlendirme, nörolojik hastalıklar, Nöroloji Konsültasyonu