Neuropalliative Care in Movement Disorders

Neurologists can use the five-pillars framework (nonmotor symptoms, advance care planning, psychosocial and spiritual support, care partner support, and timely involvement of specialist palliative care) to systematically address common sources of suffering that are poorly recognized in traditional models of care. This framework can be integrated into previsit screening forms and note templates to improve the detection of palliative issues. As with other complex medical issues (eg, deep brain stimulation), there may be times when visits may need to focus on palliative topics or referrals made to other health care providers to ensure optimal outcomes.