Prolonged disorder of consciousness: giving a second opinion on the best interests of a person.

IF 2.4 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2024-11-09 DOI:10.1136/pn-2024-004273

Derick T Wade

引用次数: 0

Abstract

Patients with a prolonged disorder of consciousness have a neurological disorder. Few neurologists undertake assessment and management after the acute phase of the person's illness, even though some of their patients with progressive neurological disorders become persistently unconscious. Their clinical evaluation and deciding on their best interests require full use of a neurologist's expertise, which is intellectually, emotionally and clinically challenging. I will cover essential aspects of giving such an expert second opinion based on at least 200 cases where I have done so (and over 500 patients seen clinically).

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长时间意识障碍：就个人的最佳利益提出第二意见。

长期意识障碍的患者患有神经系统疾病。尽管有些渐进性神经紊乱患者会持续昏迷，但很少有神经科医生会在患者急性期过后对其进行评估和管理。对他们进行临床评估并决定他们的最佳利益需要充分运用神经科医生的专业知识，这在智力、情感和临床上都具有挑战性。我将根据自己至少 200 个病例（临床诊治 500 多名患者）的经验，介绍提供此类专家第二意见的基本要素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.