Neurology® Podcast December 2025 Recall: Topics on Neuropalliative Care
Dec 1, 2025
In this insightful discussion, Janis Miyasaki, a neurology division director and palliative care advocate, shares her journey and the importance of patient-centered approaches in integrating palliative care into neurology. Miranda Wan, a stroke fellow, reveals barriers neurologists face in conversations about palliative care, emphasizing cultural and training deficiencies. Carolyn Reynolds, a palliative care physician, examines the motivations of ALS patients considering medical aid in dying, highlighting emotional suffering and the critical role of caregivers. This dialogue sparks vital reflections on compassionate end-of-life care.
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Refer Early And Reassure Continued Care
- Carolyn urged neurologists to refer ALS patients to palliative care early and to reassure continued clinical engagement.
- She noted many patients fear neurologists will disengage if MAID is discussed, so reassure ongoing care.
Ask Open Questions To Uncover Suffering
- Carolyn recommended open-ended questions like “What do you hope for?” and “What are you worried about?” to surface hidden suffering.
- She emphasized exploring emotional, spiritual, and anticipatory concerns beyond physical symptoms.
Having A Prescription Can Be Therapeutic
- Reynolds found many patients obtain MAID prescriptions for reassurance but do not use them immediately or at all.
- The availability of MAID can itself relieve anxiety about future decline.