ALS can be considered as a terminal disease if the patient is expected to develop a fatal outcome within a period of 6 months. During the initial stages of ALS, the lesion tends to be localized, but this would not help to determine the duration for which the patient would survive. During the end-stages of the disease the muscle denervation becomes extensive and spreads to various parts of the body. One of the important factors in determining the outcome and also the terminal nature of the disease is that the disease progresses at different rates in different patients. Therefore, it is very important for the physician to actually determine the rate of progression of the disease in a particular patient. The ability to breathe and swallow would help establish the outcome during the end-stages of the disease. If the ability to breathe and swallow is retained, there are better chances that the patient would survive for longer periods.
Being informed that your medical condition is terminal can be a very intense experience. Grief counseling is highly recommended both for the patient and his or her family. A terminal illness gives everyone involved a period of time to come to terms with death, which can be very valuable. Terminal patients need the support and love of their friends and family members-giving comfort for the dying is one of the most important compassionate acts that anyone can perform.
A terminal illness is an infection or disease that is considered ultimately fatal or incurable. Usually a patient is considered to have a terminal illness if he or she seems likely to die despite diagnosis and treatment, although it is possible for people with a terminal illness to live for years before succumbing to the medical condition. Patients with a terminal illness are often placed in palliative care, which provides pain relief and other measures designed to make the end stages of terminal illness as comfortable as possible. Palliative care