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Vegetative state is a pejorative term.

Calixto Machado1, Mario Estévez, Frederick R Carrick

  • 1Department of Clinical Neurophysiology, Institute of Neurology and Neurosurgery, Havana, Cuba. braind@infomed.sld.cu

Neurorehabilitation
|December 13, 2012
PubMed
Summary
This summary is machine-generated.

The term "persistent vegetative state" (PVS) is being replaced by "unresponsive wakefulness syndrome" (UWS) to avoid negative connotations. New terms like "minimally responsive wakefulness state" (MRWS) are also proposed for better patient communication.

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Area of Science:

  • Neuroscience
  • Neurology
  • Medical Terminology

Background:

  • Persistent vegetative state (PVS) describes a condition with preserved wakefulness but lost awareness.
  • Functional neuroimaging reveals consciousness in some PVS patients undetectable by bedside examination.
  • The Spanish term 'estado vegetativo' carries negative implications, suggesting a loss of humanity and hope.

Purpose of the Study:

  • To advocate for the adoption of the term unresponsive wakefulness syndrome (UWS) instead of PVS.
  • To propose alternative terms for minimally conscious state (MCS) such as minimally responsive wakefulness state (MRWS) or minimally aware wakefulness state (MAWS).
  • To emphasize the need for current, non-pejorative medical terminology to improve patient care and neurorehabilitation prospects.

Main Methods:

  • Review of existing literature on disorders of consciousness.
  • Analysis of the etymology and societal impact of the term 'vegetative state'.
  • Proposal of new terminology for disorders of consciousness.

Main Results:

  • The term 'vegetative state' is perceived negatively by patients' families, implying hopelessness.
  • The European Task Force on Disorders of Consciousness recommends 'unresponsive wakefulness syndrome' (UWS).
  • The proposed terms MRWS and MAWS aim to better reflect the state of patients with minimal consciousness.

Conclusions:

  • Adopting UWS and similar terms can mitigate the negative impact of current diagnoses.
  • Updated terminology can foster a more hopeful outlook for patients and families.
  • Refined medical terms are crucial for advancing neurorehabilitation and patient-centered care.