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Top Ten Tips Palliative Care Clinicians Should Know About Caring for People with Leptomeningeal Disease
Alice Hawkins1, Mariana Khawand-Azoulai2, Rachel Tanenbaum3
1Palliative Care, University of California, Los Angeles, California, USA.
Abstract:
Leptomeningeal disease (LMD), spread of cancer to the lining of the brain and its protective coverings, is a feared complication of many different types of cancer. LMD negatively affects prognosis across tumor types. Palliative care (PC) clinicians caring for patients with advanced cancer may be faced with discussing limited prognosis, assisting with symptom management, and helping with medical decision making for patients with LMD. An understanding of pathophysiology, symptomatology, prognosis, and treatment options is essential in providing optimal care. This article, written by clinicians who work across the cancer spectrum, uses an accessible "ten tips" format to help increase PC providers' confidence and competence around caring for people with LMD.
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