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澳大利亚神经姑息治疗视角下的亨廷顿病:病例报告。

An Australian Neuro-Palliative perspective on Huntington's disease: a case report.

机构信息

Calvary Health Care Bethlehem, Melbourne, Australia.

出版信息

BMC Palliat Care. 2021 Apr 1;20(1):53. doi: 10.1186/s12904-021-00744-z.

DOI:10.1186/s12904-021-00744-z
PMID:33794853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8017854/
Abstract

BACKGROUND

Huntington's Disease (HD) is an incurable, progressive neuro-degenerative disease. For patients with HD access to palliative care services is limited, with dedicated Neuro-Palliative Care Services rare in Australia. We discuss the experiences of and benefits to a patient with late-stage HD admitted to our Neuro-Palliative Care service.

CASE PRESENTATION

We present the case of a patient with a 16-year history of HD from time of initial genetic testing to admission to our Neuro-Palliative Care service with late-stage disease.

CONCLUSIONS

Given the prolonged, fluctuating and heterogenous HD trajectory, measures need to be implemented to improve earlier access to multi-specialty integrative palliative care services. Given the good outcomes of our case, we strongly advocate for the role of specialised Neuro-Palliative Care services to bridge the gap between clinical need and accessibility.

摘要

背景

亨廷顿病(HD)是一种无法治愈的进行性神经退行性疾病。对于 HD 患者来说,获得姑息治疗服务的机会有限,在澳大利亚,专门的神经姑息治疗服务也很少。我们讨论了一位晚期 HD 患者入住我们的神经姑息治疗服务的经历和获益。

病例介绍

我们介绍了一位患者的病例,该患者从最初的基因检测到晚期疾病入院到我们的神经姑息治疗服务,已有 16 年的 HD 病史。

结论

鉴于 HD 病程漫长、波动且异质,需要采取措施改善多专业综合姑息治疗服务的早期获得。鉴于我们病例的良好结果,我们强烈主张专门的神经姑息治疗服务的作用,以弥合临床需求和可及性之间的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/942c/8017854/29c31a24f5cd/12904_2021_744_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/942c/8017854/29c31a24f5cd/12904_2021_744_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/942c/8017854/29c31a24f5cd/12904_2021_744_Fig1_HTML.jpg

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本文引用的文献

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Survival, Mortality, Causes and Places of Death in a European Huntington's Disease Prospective Cohort.欧洲亨廷顿舞蹈病前瞻性队列研究中的生存、死亡率、死亡原因及死亡地点
Mov Disord Clin Pract. 2017 May 26;4(5):737-742. doi: 10.1002/mdc3.12502. eCollection 2017 Sep-Oct.
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A new measure for end of life planning, preparation, and preferences in Huntington disease: HDQLIFE end of life planning.亨廷顿病生命终末期计划、准备和偏好的新评估方法:HDQLIFE 生命终末期计划。
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Protocol for a national prevalence study of advance care planning documentation and self-reported uptake in Australia.
澳大利亚国家预先护理计划文件和自我报告采用率的流行情况研究方案。
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Factors Associated With End-of-Life Planning in Huntington Disease.亨廷顿舞蹈症临终关怀规划的相关因素
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Palliative Care in Huntington Disease: Personal Reflections and a Review of the Literature.亨廷顿舞蹈病的姑息治疗:个人反思与文献综述
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BMC Palliat Care. 2016 May 10;15:46. doi: 10.1186/s12904-016-0119-2.
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Rhetoric and reality - matching palliative care services to meet the needs of patients of all ages, with any diagnosis.言辞与现实——匹配姑息治疗服务以满足所有年龄段、任何诊断患者的需求。
Palliat Med. 2016 Jan;30(1):3-5. doi: 10.1177/0269216315619129.
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