Many traumatic, infectious, vascular, and neoplastic neurological disorders carry poor prognoses
for complete neurological recovery. These disorders may result in chronic disability with multiple medical
and neurological complications. The common practice of consanguineous marriage in Saudi Arabia results
in a high prevalence of many inherited and genetic neurological and metabolic disorders. Many of these
children exhibit progressive deterioration in cognitive, language, and/or motor function. Because of the high
incidence of such disorders, many of which cannot be characterized, the necessity of facing parents with
discussions regarding prognosis is not uncommon.
Keywords: Communication, Giving, Bad, Neurological, News, DNR, Resusitation, Brain death,
Unresponsiveness, Vegetative, Ventillation.
