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The experience of uncertainty for patients, families and healthcare providers in post-stroke palliative and end-of-life care: a qualitative meta-synthesis
Conclusionsto mitigate the degree of uncertainty post-stroke, HCPs should be present, provide clear direct communication and incorporate the value-based goals of care within their medical treatment plan. These findings suggest that future research is needed to focus on how PC approaches can be integrated into stroke care programmes.
Source: Age and Ageing - November 18, 2020 Category: Geriatrics Source Type: research

The lived experience of patients suffering from stroke and their perception of palliative care needs: a literature review
This study aims to review the lived experience of patients suffering from stroke and describe their perception of palliative care needs. A literature review search was conducted. Web of Sciences, SAGE, CINAHL, PubMed and Jordanian Database for Nursing Research databases were used to search the literature. The findings of 37 articles were address palliative care approaches for patients with stroke, lived experiences of patients suffering from stroke and the experience, barriers and facilitators related to health-care service for stroke survivors. This review indicated the importance of recognizing palliative care n...
Source: Working with Older People - December 16, 2021 Category: Geriatrics Authors: Marwa Halabi Inaam Khalaf Salam Bani Hani Source Type: research

Survival, Functional Status, and Eating Ability After Percutaneous Endoscopic Gastrostomy Tube Placement for Acute Stroke
ConclusionIn this community‐based sample, individuals who had had a stroke and a PEG tube placed had high mortality, and survivors were unlikely to be functional or mobile or to recover eating ability after hospitalization. A palliative care discussion including goals of care should occur before PEG tube placement is considered.
Source: Journal of the American Geriatrics Society - April 27, 2017 Category: Geriatrics Authors: Karl Meisel, Robert M. Arnold, Irena Stijacic Cenzer, John Boscardin, Alexander K. Smith Tags: Brief Report Source Type: research

Acute stroke treatment in old age.
Abstract In patients over 80 years old, 4 of the 5 evidence-based acute treatments of ischemic stroke, i.e. stroke unit treatment, antiplatelet therapy, intravenous thrombolysis (IVT) and mechanical thrombectomy (MT) are effective but with a higher morbidity than in younger patients. The indications for the more invasive forms of treatment, such as IVT and MT are given in principle but have to be oriented to the individual patient comorbidities. In the case of failure of these procedures a consistent therapeutic target change to palliative measures is appropriate. Decompressive craniotomy in space-occupying media...
Source: Zeitschrift fur Gerontologie und Geriatrie - November 28, 2019 Category: Geriatrics Authors: Erbguth F Tags: Z Gerontol Geriatr Source Type: research

Aspiration Pneumonia in the Geriatric Population
Abstract Aspiration pneumonia is a common infection in older adults and has a high mortality rate. Oropharyngeal dysphagia is the major mechanism leading to aspiration pneumonia in the older adult. Many conditions that are prevalent in the older adult population such as stroke, parkinsonism, dementia, and institutionalization have an increased incidence of oropharyngeal dysphagia. Aspiration pneumonia is a bacterial pulmonary infection which is dependent upon the amount of bacterial inoculum, the virulence of the organism, and the host immune system. It is treated with antibiotic therapy that is similar to therapi...
Source: Current Geriatrics Reports - March 31, 2015 Category: Geriatrics Source Type: research

Prevalence of Chronic Cancer and No-Cancer Pain in Elderly Hospitalized Patients: Elements for the Early Assessment of Palliative Care Needs
Conclusion Pain is a critical underestimated problem in elderly patients. A timely systematic evaluation of the pain would call attention to palliative care needs and reduce the negative effects of uncontrolled pain on the quality of life.
Source: International Journal of Gerontology - February 9, 2018 Category: Geriatrics Source Type: research

54 Acute Blood Pressure Lowering in Spontaneous Acute Intra-cerebral Haemorrhage: A Re-audit in a Tertiary Referral Stroke Centre
ConclusionAn introduction of a BP protocol for patients with an acute sICH did not improve performance on achieving rapid SBP-lowering to target levels of<150mmHg. Strategies to improve awareness of this protocol are required to improve adherence and its successful implementation.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research