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End-of-Life Care for Brain Tumor Patients

End-of-Life care for Brain Tumor PatientsManual for Health care Providers AUTHORS:Susan M. Chang, MDErin Dunbar, MDVirginia Dzul-Church, MDLaura Koehn, MDMargaretta S. Page, RN, MSNeuro-Oncology Gordon Murray Caregiver Program UNIVERSITY OF CALIFORNIA, SAN FRANCISCOCONTENTS: INTRODUCTION .. 1 Neuroanatomy .. 2 THE USE OF STEROIDS .. 3 Role of 3 Managing Steroids .. 4 Side 4 SYMPTOM MANAGEMENT .. 7 Drowsiness .. 10 Focal Neurological Symptoms .. 11 Cognitive, Behavioral, and Emotional Changes .. 16 Delirium .. 22 Dysphagia .. 25 SOCIAL ISSUES .. 27 Children in the Home .. 28 Caregiver 29 CONCLUSION .. 31 End-of-Life care for Brain Tumor PatientsManual for Health care Providers Introduction The goal of this manual is to provide an overview of what health professionals may expect, as well as offer guidance, in caring for someone with a progressive, life -threatening Brain Tumor , with a particular focus on end- of- life issues.

results in improved symptom control especially near the end of life. Furthermore, it improves the ability of the family to participate in symptom management and increases the likelihood that the patient can remain at home. End-of-Life Care for Brain Tumor Patients / Manual for Health Care Providers PAGE 5

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