Management of amyotrophic lateral sclerosis (ALS) by the family nurse practitioner: A timeline for anticipated referrals

被引：10

作者：

Davis, Melanie ^{[1
]}

Lou, Jau-Shin ^{[2
]}

机构：

[1] Pacific Lutheran Univ, Sch Nursing, Tacoma, WA USA

[2] Oregon Hlth & Sci Univ, Dept Neurol, ALS Ctr Oregon, Portland, OR 97201 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS | 2011年 / 23卷 / 09期

关键词：

Treatment; family practice; nurse practitioners; neuromuscular; neurology; collaboration; clinical practice guidelines; MOTOR-NEURON DISEASE; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; QUALITY STANDARDS SUBCOMMITTEE; NONINVASIVE VENTILATION; PRACTICE PARAMETER; PULMONARY-FUNCTION; AMERICAN ACADEMY; DIAGNOSIS; CARE; EXPRESSION;

D O I：

10.1111/j.1745-7599.2011.00628.x

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Purpose: This article reviews characteristics of amyotrophic lateral sclerosis (ALS) and appropriate timing of referrals by the nurse practitioner (NP). Data sources: Selected research and clinical articles. Conclusion: Management of patients with ALS by the NP requires anticipation of needed referrals based on symptom assessment and knowledge of the common timeline of ALS progression. Close collaboration with specialists such as neurologists, pulmonologists, and a palliative care team provides patients and families with much needed support and improves outcomes. Implications for practice: Anticipating and initiating appropriate and timely referrals for patients with ALS may improve quality of life for patients with this devastating condition.

引用

页码：464 / 472

页数：9

共 46 条

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