title: [Palliative Care for Neurological Intractable Diseases and Home Medical Support].
abstract: Many medical doctors regard the end stage and palliative care of neurological intractable diseases as the point at which aggressive treatment should be interrupted and death is imminent. However, the definition of health by the World Health Organization as the physical, psychological, and social goal to achieve a fully favorable health condition should be revisited. In the real clinical setting, the health condition, as the ability to adapt and self-manage in the face of social, physical, and emotional challenges with the aim to overcome stress (resilience), is dynamic and involves a healthy condition and satisfaction with one's own living. The most important step in palliative therapy that is shared by neurologists is the maintenance of the health status with the help of multi-disciplinary team with the view to improving the quality of life.
authors.affiliation: Juntendo School of Medicine Department of Neurology.
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Yokoyama
authors.forename: Mieko
authors.initials: M
authors.lastname: Ogino
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Ishigaki
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Hattori
mesh_terms: D017028:Caregivers; D002493:Central Nervous System Diseases / Q000628:therapy*; D006699:Home Care Services; D006801:Humans; D010166:Palliative Care; D010348:Patient Care Team; D011788:Quality of Life; D012944:Social Support