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Updated: Aug 30, 2025
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Systemic and Local Drug Delivery for Treating Diseases of the Central Nervous System in Rodent Models
Published on: August 16, 2010
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Delivery models of neuropalliative care
Adam J Margolius1, Renato V Samala2
1Palliative Care Program, Center for Neurological Restoration, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States.
Handbook of Clinical Neurology
|September 2, 2022
Summary
Palliative care has evolved to manage serious illness distress across the entire trajectory. Various models exist for delivering palliative care to patients with neurologic illness, adaptable to individual needs.
Area of Science:
- Neurology
- Palliative Care Medicine
- Healthcare Delivery Models
Background:
- Palliative care originated in end-of-life care but now addresses serious illness across its trajectory.
- It has expanded to diverse settings and delivery methods.
- Patients with neurologic conditions require specialized palliative care approaches.
Purpose of the Study:
- To discuss various models for delivering palliative care to patients with neurologic illness.
- To differentiate primary and specialist palliative care.
- To explore different care settings and delivery modes.
Main Methods:
- Distinguishing primary versus specialist palliative care.
- Examining inpatient models (consultation services, dedicated units).
- Reviewing outpatient models (disease-specific clinics, telemedicine, home-based care).
- Detailing hospice care and transition criteria.
Main Results:
- Multiple palliative care models are available for neurologic illness.
- Models include inpatient, outpatient, home-based, and telemedicine services.
- Hospice care is a key component for end-of-life support.
Conclusions:
- No single palliative care model is universally best for neurologic illness.
- Models should be tailored to patient/caregiver needs, resources, and illness stage.
- Complementary models offer flexibility in care delivery.
Keywords:
Embedded outpatient palliative careHome-based palliative careHospiceInpatient consultation serviceInpatient palliative care unitPrimary palliative careSpecialist palliative careTelemedicineMore Related Videos
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