Decision-Making for Gastrostomy and Ventilatory Support for People with Motor Neurone Disease: Variations across Uk Hospices

2011 ◽  
Vol 27 (3) ◽  
pp. 198-201 ◽  
Author(s):  
David Oliver ◽  
Colin Campbell ◽  
Nigel Sykes ◽  
Carole Tallon ◽  
Annette Edwards
2013 ◽  
Vol 4 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Theocharis Stavroulakis ◽  
Wendy O Baird ◽  
Susan K Baxter ◽  
Theresa Walsh ◽  
Pamela J Shaw ◽  
...  

1993 ◽  
Vol 7 (4_suppl) ◽  
pp. 41-47 ◽  
Author(s):  
Amanda Scott ◽  
Anita Heughan

Dysphagia is a common and distressing problem in motor neurone disease. This paper examines some of the strategies available for managing patients with dysphagia, and illustrates these with four contrasting case histories. The factors which influence the decision making process in patients with dysphagia are also discussed.


2015 ◽  
Vol 29 (7) ◽  
pp. 667-668 ◽  
Author(s):  
Suresh Kumar Chhetri ◽  
Belinda Fay Bradley ◽  
Pauline Callagher ◽  
Robert Addison-Jones ◽  
Wendy Bennett ◽  
...  

2019 ◽  
Vol 19 (6) ◽  
pp. 467-475 ◽  
Author(s):  
Martin R Turner ◽  
Christina Faull ◽  
Christopher J McDermott ◽  
Annabel H Nickol ◽  
Jonathan Palmer ◽  
...  

Tracheostomy-associated ventilation for the respiratory insufficiency caused by amyotrophic lateral sclerosis (motor neurone disease (MND)) is a complex issue with practical, ethical and economic dimensions. This article considers the current prevalence of tracheostomy in MND, the evidence for its benefit both for survival and quality of life, and the practicalities of its implementation. The decision to request invasive ventilatory support is among the most challenging for those living with MND. Neurologists should be prepared to discuss this option openly and objectively: we suggest a framework for discussion, including withdrawal of therapy.


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