Mr. R was a 55-year-old man diagnosed with ALS. Two years prior, he developed
weakness, twitching, and tingling sensation in his arms. He reported interval worsening in …

Constance Dahlin is a nurse practitioner, Palliative Care Service, Massachusetts General
Hospital, Boston, and is on the faculty of the Harvard Medical School Center for Palliative …

Dysphagia is defined as difficulty swallowing food or liquid. Swallowing impairments can
threaten the safety and efficiency with which oral alimentation is maintained. Chronic …

Background: Among patients seen by palliative care, dysphagia is prevalent and can lead to
disturbing symptoms and challenges in medical decisions for patients and families. Case …

Swallowing problems are reported to be a common finding in patients who receive palliative
care. In existing literature, the incidence of swallowing problems is mostly described in small …

Palliative care is an interdisciplinary medical specialty that focuses on preventing and
relieving suffering and on supporting the best possible quality of life for patients and their …

Speech-language pathologists (SLPs) that care for patients with dysphagia are uniquely
aware of the physiology of swallowing and how important eating is to patients and their …

As we approach the end of our lives, our bodies and organ systems begin to slow down. We
can think of this as the opposite of birth, when our systems are revving up. The transition of …

Brenda Arend: The main thing I'd want you to take away is the shift in focus from “rehab” to
“palliative” goals of care. It is there that we have the freedom to use what we know with our …

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