The total care of a patient with an incurable brain tumor is a complex task
. It is best performed by a team of specialized care providers including ne
urologists, neuro-oncologists, neurosurgeons, radiation oncologists, nurses
, neuropsychologists, social workers, and physical and occupational therapi
sts, Hospice providers, and spiritual counselors provide particular skilled
services and comfort to patients nearing the end of life. The role and pro
minence of each team member evolves during the course of the illness as the
disease progresses and the symptoms and needs of the patient change. Famil
y members often provide the bulk of the direct care, and themselves require
support, education, and counseling. While we currently lack curative thera
pies for most patients with malignant brain tumors, careful attention to sy
mptom diagnosis and management can greatly enhance the quality of life of a
patient with a brain tumor throughout the course of the illness and at the
end of life.