Palliative Neurology

Since 1994 Ian Maddocks has lectured on Palliative Care at various times all over the world. He was awarded the inaugural Bethlehem Griffiths Medal for research in palliative and aged care in 1998.

Part I. Palliative Management: 1. Introduction to palliation; 2. Characteristics of palliation; 3. Nodal points in decision-making for neurological diseases; 4. Potential deficiencies in palliative management in neurology; 5. Common themes in palliation practice; Part II. 1. Fatigue: 2. Problems with muscles and movement; 3. Bulbar symptoms; 4. Respiratory symptoms; 5. Gastro-intestinal symptoms; 6. Urological symptoms; 7. Pain; 8. Cognitive, behavioural and psychological symptoms; 9. Miscellaneous symptoms; Part III. Major Neurological Conditions Requiring Palliation: 1. Cerebrovascular diseases and stroke; 2. Demyelinating diseases (MS); 3. Parkinson's disease and related disorders; 4. Dementia; 5. ALS (motor neurone disease); 6. Viral and prion infections - rabies, HIV, CJD; 7. Muscular dystrophies; 8. Neuropathy; 9. Huntington's disease; 10. Cerebral neoplasms; 11. Sequelae of traumatic brain injury and spinal injury; Part IV. Ethical Issues: 1. Consent and decision-making; 2. Advance directives; 3. Proxy decision-making; 4. Ethical issues in states of altered consciousness; 5. Terminal sedation; 6. Euthanasia; Part V. Appendices: 1. Practical aspects of home care; 2. The criteria for an effective palliation service; 3. Suggested further reading; 4. Medications referred to in the text.