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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Related Experiment Video

Updated: Aug 15, 2025

Author Spotlight: Insights into Remotely Supervised Neuromodulation Procedure for Phantom Limb Pain
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Community-based neuropalliative care.

Caroline E Olvera1, Melissa E Levin2, Jori E Fleisher3

  • 1Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, United States; Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL, United States.

Handbook of Clinical Neurology
|January 4, 2023
PubMed
Summary
This summary is machine-generated.

Community-based palliative care, delivered outside hospitals, shows promise in reducing end-of-life healthcare costs for neurological conditions. Further research is needed to optimize these models for patients and caregivers.

Keywords:
Brain tumorsCommunityDementiaHome visitsMotor neuron diseaseMultiple sclerosisNeurodegenerativeNursing homesPalliative careParkinson's disease

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Area of Science:

  • Neurology
  • Palliative Care
  • Health Services Research

Background:

  • Community-based palliative care (CBPC) reduces hospitalizations and costs in end-of-life care.
  • Neuropalliative care models show similar cost-saving potential but vary by condition and location.
  • Existing research often focuses on home or nursing home settings for neurological diseases.

Approach:

  • Review of studies on community-based palliative care for neurological conditions.
  • Analysis of home-based and nursing home models for dementia, Parkinson's, MS, brain tumors, and motor neuron disease.
  • Examination of existing data on patient and caregiver quality-of-life outcomes.

Key Points:

  • CBPC for neurological diseases can decrease hospital costs and admissions.
  • Evidence for patient and caregiver quality-of-life benefits is emerging but limited.
  • Significant variability exists across different neurological conditions and geographic regions.

Conclusions:

  • Community-based neuropalliative care models show potential for cost-effectiveness and scalability.
  • Further research should focus on optimizing comprehensive care delivery and adapting models to specific patient needs.
  • Investigating patient and caregiver outcomes is crucial for developing effective neuropalliative care strategies.