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American Journal of Hospice and Palliative Medicine®
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Expanding the role of hospice care in amyotrophic lateral sclerosis

Gregory T. Carter, MD

Rehabilitation Services, Providence HealthCare System, Southwest Washington; Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington

Lisa M. Bednar-Butler, MN, RN, C

Providence SoundHome Care and Hospice, Olympia, Washington

R. Ted Abresch, MS

Department of Physical Medicine and Rehabilitation, University of California, Davis

Viviane O. Ugalde, MD

Department of Physical Medicine and Rehabilitation, University of California, Davis

Amyotrophic lateral sclerosis (ALS) is a rapidly progressive, ultimately fatal, motor neuron disease that poses a myriad of clinical and end-of-life problems. The needs of advanced ALS patients are well suited to the interdisciplinary, multi-modality setting of hospice, where comprehensive palliative strategies may ease suffering and allow the patient to die with dignity in the home. Unfortunately, hospice services are far underutilized in this setting. There is a great need to increase awareness of both patients and clinicians regarding the effectiveness of hospice in the care of advanced ALS patients.

American Journal of Hospice and Palliative Medicine®, Vol. 16, No. 6, 707-710 (1999)
DOI: 10.1177/104990919901600607
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