{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:45:59Z","timestamp":1787244359855,"version":"build-2736575974"},"reference-count":10,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,10,4]],"date-time":"2021-10-04T00:00:00Z","timestamp":1633305600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:p>Decline in executive functioning, before frank dementia occurs, has been reported in patients with a history of stroke and malignant brain tumors. This may also be true in patients with advanced Parkinson\u2019s disease (PD). In this paper, we summarize the limited research on the motor and cognitive predictors of mortality in advanced PD. We then provide 2 case vignettes of patients with end of life advanced PD who demonstrated a substantial decline in working memory and speech festination. We contrast these patients\u2019 neuropsychological features to a third patient with advanced PD who shows no signs of impending death. Monitoring neuropsychological signs of executive dysfunction, explaining the neuropsychological dysfunctions to the patient and spouse while recognizing the past and retained cognitive competencies of the person is an important component of end of life psychological care. In the context of this type of consultation, the patient may experience an opportunity to communicate their emotional concerns prior to death which further reduces the anxiety associated with death.<\/jats:p>","DOI":"10.1177\/10499091211049798","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T01:47:50Z","timestamp":1633398470000},"page":"962-965","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["End of Life Neuropsychological Impairments and Psychological Care of Persons With Advanced Parkinsonism"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8508-4404","authenticated-orcid":false,"given":"George P.","family":"Prigatano","sequence":"first","affiliation":[{"name":"Department of Clinical Neuropsychology, Barrow Neurological Institute, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Salins","sequence":"additional","affiliation":[{"name":"Department of Neurology, Barrow Neurological Institute, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,10,4]]},"reference":[{"key":"bibr1-10499091211049798","volume-title":"Clinical Neuropsychology and Cognitive Neurology of Parkinson\u2019s Disease and Other Movement Disorders","author":"Schmand B","year":"2015"},{"key":"bibr2-10499091211049798","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000716"},{"key":"bibr3-10499091211049798","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2013-305277"},{"key":"bibr4-10499091211049798","doi-asserted-by":"publisher","DOI":"10.1037\/pag0000236"},{"key":"bibr5-10499091211049798","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000006576"},{"key":"bibr6-10499091211049798","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-019-02055-3"},{"key":"bibr7-10499091211049798","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e3181d695d7"},{"issue":"6","key":"bibr8-10499091211049798","first-page":"808","volume":"14","author":"Johnson DR","year":"2012","journal-title":"Neurooncol"},{"key":"bibr9-10499091211049798","first-page":"199","volume-title":"Neuropsychological Assessment of Neuropsychiatric and Neuromedical Disorders","author":"McPherson SE","year":"2009","edition":"3"},{"key":"bibr10-10499091211049798","volume-title":"Clinical Neuropsychology and the Psychological Care of Persons with Brain Disorders","author":"Prigatano GP","year":"2020"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091211049798","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091211049798","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091211049798","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:30:02Z","timestamp":1777368602000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091211049798"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,4]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/10499091211049798"],"URL":"https:\/\/doi.org\/10.1177\/10499091211049798","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,4]]}}}