Martin R. Turner - Böcker

There are around 5000 patients in the UK living with Motor Neuron Disease (amyotrophic lateral sclerosis), and many others shouldering the burden of their care. This fatal neurodegenerative disease leads to progressive muscle weakness and wasting, and there is currently no effective treatment. Managing these patients from their initial presentation, through confirmation of diagnosis and throughout their disease journey is challenging for all healthcare professionals. It requires a multi-disciplinary approach involving neurologists, general practitioners, palliative care physicians, specialist nurses, physiotherapists, occupational therapists and speech and language therapists. Each member of the team has different priorities to effectively manage the myriad of symptoms and other practical difficulties, both emotional and financial, that the MND patient may experience. This book is a comprehensive guide to the complexities of care for the patient with Motor Neurone Disease, written by experienced members of a large care centre. It has been specifically written and designed to provide comprehensive, easily accessible advice for all healthcare professionals involved in the care of patients with this challenging condition, including diagnostic, prognostic, physical, emotional, and practical challenges. The entire care pathway from presentation to diagnosis to symptom management and end of life issues is addressed in detail, but in a highly structured, easily accessible format, that allows the reader to find practical answers rapidly. This book is an invaluable resource for neurologists (including those in training), neurology wards and specialist nurses, physiotherapists, occupational therapists, speech and language therapists, respiratory and gastroenterology departments providing NIV or PEG support, palliative care teams and all healthcare professionals with an interest in MND patients.

Current understanding of neurological disease has been evolving over the past 150 years. With the increasing and earlier sub-specialization of neurology trainees, and their variable exposure to higher academic study, there is little opportunity to put this development into a historical context as a whole. Understanding the 'evidence-base', or appreciating the lack of it in some cases, is an important part of training but this is rarely presented in a palatable, entertaining form. Part of the Landmark Papers in series, this book brings together the ten most important papers for each sub-speciality within neurology, covering the full range of major neurological conditions. Papers have been selected by leading international experts, who not only summarize what each paper showed, but place them into a wider context that makes a coherent story of how their sub-speciality has developed.