Negotiating goals of care is an example of patient-centered medical decision making, which differs significantly from the problem-oriented method practiced commonly in health care in the United States. A patient-centered…
Introduction: the Role of Communication in Palliative Care Palliative care is all about the relief of suffering; most tangibly, palliative care aims to relieve the symptoms associated with terminal illness….
Medical care depends on the traditional patient history and physical examination, an approach to patient assessment that has developed gradually over the course of the modern medical era. Variants that…
Chapter Overview Chapter Synopsis: Many types of chronic pain can be improved by electrical stimulation of nerve tissue: in the periphery, at the spinal cord, and even in motor cortex….
Chapter Overview Chapter Synopsis: Most applications of electrical stimulation for the treatment of intractable pain are delivered at the spinal cord or in the periphery, but deep brain stimulation (DBS)…
Chapter Overview Chapter Synopsis: Neurostimulation has made significant strides since Shealy first implanted a spinal cord stimulator in 1967. This chapter addresses some of these advances and others that may…
Chapter Overview Chapter Synopsis: Health care is expensive; and the up-front costs of electrical stimulation are significant, particularly when compared to more conventional treatments such as pharmacological interventions. Many insurance…
Chapter Overview Chapter Synopsis: Peripheral subcutaneous stimulation (PSS) provides a minimally invasive form of neurostimulation for intractable pain. This technique, also called peripheral nerve field stimulation , targets the small,…
Chapter Overview Chapter Synopsis: Occipital neurostimulation (ONS) provides a minimally invasive, reversible, and effective treatment for a number of intractable headache disorders. The technique is thought to work by inhibiting…
Chapter Overview Chapter Synopsis: Peripheral nerve stimulation (PNS) directly stimulates peripheral nerves for the treatment of various indications of neuropathic pain. Although the stimulating electrode is usually implanted directly in…
