Annals of Indian Academy of Neurology
: 2016  |  Volume : 19  |  Issue : 5  |  Page : 40--44

Palliative care and the Indian neurologist

Roop Gursahani 
 Department of Neurology, PD Hinduja Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Roop Gursahani
PD Hinduja Hospital, Swatantrya Veer Savarkar Marg, Mahim, Mumbai - 400 016, Maharashtra

End-of-life care is an integral part of neurology practice, and neuropalliative medicine is an emerging neurology subspeciality. This begins with serious illness communication as a protocol-based process that depends on an evaluation of patient autonomy and accurate prognostication. Communication needs vary between chronic, life-limiting neurologic illnesses and acute brain injury. In an ideal situation, the patient's wishes are spelled out in advance care plans and living wills, and surrogates have only limited choices for implementation. Palliative care prepares for decline and death as an expected outcome and focuses on improving the quality of life for both the patients and their caregivers. In the Intensive Care Unit, this may require clarity on withholding and withdrawal of treatment. In all locations of care, the emphasis is on symptom control. Neurologists are the quintessential physicians, and our “dharma” is best served by empathetically bringing our technical knowledge and communication skills into easing this final transition for our patients and their families to the best of our ability.

How to cite this article:
Gursahani R. Palliative care and the Indian neurologist.Ann Indian Acad Neurol 2016;19:40-44

How to cite this URL:
Gursahani R. Palliative care and the Indian neurologist. Ann Indian Acad Neurol [serial online] 2016 [cited 2022 Jun 27 ];19:40-44
Available from:;year=2016;volume=19;issue=5;spage=40;epage=44;aulast=Gursahani;type=0