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Total 16 results found since Jan 2013.

The COAST stroke advance directive: A novel approach to preserving patient autonomy
This article discusses some of the challenges of preserving patient autonomy in patients presenting with acute stroke and the advent of a stroke advance directive (Coordinating Options for Acute Stroke Therapy [COAST]) aimed to overcome these obstacles.
Source: Neurology Clinical Practice - December 10, 2018 Category: Neurology Authors: McGehrin, K., Spokoyny, I., Meyer, B. C., Agrawal, K. Tags: All Cerebrovascular disease/Stroke, All Ethics in Neurology/Legal issues, Palliative care Commentary Source Type: research

Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association.
n Advocacy Coordinating Committee Abstract The mission of the American Heart Association/American Stroke Association includes increasing access to high-quality, evidence-based care that improves patient outcomes such as health-related quality of life and is consistent with the patients' values, preferences, and goals. Awareness of and access to palliative care interventions align with the American Heart Association/American Stroke Association mission. The purposes of this policy statement are to provide background on the importance of palliative care as it pertains to patients with advanced cardiovascular disease ...
Source: Circulation - August 7, 2016 Category: Cardiology Authors: Braun LT, Grady KL, Kutner JS, Adler E, Berlinger N, Boss R, Butler J, Enguidanos S, Friebert S, Gardner TJ, Higgins P, Holloway R, Konig M, Meier D, Morrissey MB, Quest TE, Wiegand DL, Coombs-Lee B, Fitchett G, Gupta C, Roach WH, American Heart Associati Tags: Circulation Source Type: research

The key challenges of discussing end-of-life stroke care with patients and families: a mixed-methods electronic survey of hospital and community healthcare professionals.
CONCLUSION: Key topics of unmet need for education in end-of-life care in stroke have been identified and these have influenced the content of an open access, web-based educational resource. PMID: 30191909 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - September 8, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Needs for nurses to provide spiritual care and their associated influencing factors among elderly inpatients with stroke in China: A cross-sectional quantitative study
Palliat Support Care. 2022 Apr 26:1-10. doi: 10.1017/S1478951522000426. Online ahead of print.ABSTRACTOBJECTIVES: To investigate the spiritual care needs and associated influencing factors among elderly inpatients with stroke, and to examine the correlations among spiritual care needs, spiritual well-being, self-perceived burden, self-transcendence, and social support.METHODS: A cross-sectional quantitative design was implemented, and the STROBE Checklist was used as the foundation of the study. A convenience sample of 458 elderly inpatients with stroke was selected from three hospitals in China. The sociodemographic chara...
Source: Palliative and Supportive Care - April 26, 2022 Category: Palliative Care Authors: Zhangyi Wang Haomei Zhao Yue Zhu Siai Zhang Luwei Xiao Haiqin Bao Zhao Wang Yue Wang Xuechun Li Yajun Zhang Xiaoli Pang Source Type: research

Taking Neurology to the Underserved - A Pilot Initiative in an Urban Homebound Program (P6.007)
CONCLUSIONS: Our pilot program highlights types of chronic neurologic illnesses afflicting the homebound population, treatment interventions utilized, and clinical challenges encountered. By considering the real-world intersection of disease and living environment, trainees gained perspective on the debilitating impact of neurological illness on homebound patients. This pilot program reveals the need and feasibility of neurological home based care as an important clinical, educational, and palliative paradigm.Disclosure: Dr. Ramdhani has nothing to disclose. Dr. Fabian has received personal compensation for activities with...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ramdhani, R., Fabian, M., Wajnberg, A., DeCherrie, L., Krieger, S. Tags: General Neurology V Source Type: research

Cells to Society: Year of the Nurse / Global Impact
This study establishes baseline sociodemographic and clinical characteristics of hospitalized patients in Nepal who were experiencing heart failure.     Read more   Maternal Health ...
Source: Johns Hopkins University and Health Systems Archive - February 6, 2020 Category: Nursing Source Type: news

Age and Life-Sustaining Treatment Preferences in Parkinson Disease
Conclusions Advancing age in PD may correlate with paradoxically more aggressive goals as it relates to life-sustaining treatment preferences including cardiopulmonary resuscitation. This may reflect a response to heightened concern among older adults with PD about the potential for compromised autonomy in the setting of aging.
Source: Neurology Clinical Practice - June 7, 2021 Category: Neurology Authors: Jackowiak, E., Szpara, A., Kotagal, V. Tags: Parkinson's disease/Parkinsonism, Palliative care Research Source Type: research

157 E-Books New to JEFFLINE
Scott Library added these 157 e-books to the growing collection in May and June: Accurate Results in the Clinical Laboratory Adult Emergency Medicine Adult-Gerontology and Family Nurse Practitioner Certification Examination (4th ed.) Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses (2nd ed.) Advancing Your Career: Concepts of Professional Nursing (5th ed.) Arrhythmia Essentials Atlas of Advanced Operative Surgery Atlas of Clinical Neurology (3rd ed.) Atlas of Hematopathology: Morphology, Immunophenotype, Cytogenetics, and Molecular Approaches Atlas of Human Infectious Diseases Atlas of No...
Source: What's New on JEFFLINE - June 25, 2013 Category: Databases & Libraries Authors: Gary Kaplan Tags: All News Clinicians Researchers Students Teaching Faculty Source Type: news

If you could propose one idea to help improve health care delivery in the United States, what would it be?
Thumbnail: Tags: conversationsphrma conversationslarry hausnermyrl weinbergchris hansennancy brownContributors: 11621161115911631173Contributions: Read Larry Hausner's bio Despite the rapid development of innovative technologies in the health care field, we have yet to discover a panacea that will easily transform our health care system into one that provides high-quality and cost-effective care.  What we have discovered and come to agree on over the last decade is that our sick care system must be reconfigured to a health care system that emphasizes wellness and prevention.  For that reason, I offer ...
Source: PHRMA - June 24, 2013 Category: Pharmaceuticals Authors: rlowe Source Type: news

Pathways to palliative care for patients with chronic kidney disease
ConclusionHealthcare professionals' beliefs, values and knowledge of palliative care influence their end‐of‐life care decisions. The influence of patient, family and clinicians involves negotiation and equivocation. Health professionals support the early discussion of end‐of‐life care in CKD at predialysis education to enable clearer decision making.
Source: Journal of Renal Care - January 18, 2014 Category: Urology & Nephrology Authors: Rosalind Bull, Loren Youl, Iain K. Robertson, Rose Mace, Sarah Challenor, Robert G. Fassett Tags: Original Research Source Type: research

Long-term aspirin use and neovascular age-related macular degeneration: association or causation?
Commentary on: Liew G, Mitchell P, Wong TY, et al.. The association of aspirin use with age-related macular degeneration. JAMA Intern Med 2013;173:258–64. Context Aspirin is used by many for temporary pain relief, rheumatological conditions and where indicated, cardioprotection. However, recent findings from observational studies have raised the possibility that regular aspirin use may also increase the risk of some forms of age-related macular degeneration (AMD). Methods Liew and colleagues examined the relationship between long-term, low-dose aspirin use and risk of AMD in an Australian population-based cohort of 2...
Source: Evidence-Based Medicine - January 22, 2014 Category: Internal Medicine Authors: Christen, W. G. Tags: EBM Aetiology, Smoking and tobacco, Epidemiologic studies, Immunology (including allergy), Drugs: cardiovascular system, Pain (neurology), Stroke, Hypertension, Ophthalmology, Pain (palliative care), Pain (anaesthesia), Diabetes, Health education, Smoking Source Type: research

Emerging Subspecialties in Neurology: Palliative care
As we work to find cures for so many devastating neurologic injuries and diseases, our patients suffer tremendously on a daily basis. Individuals with conditions including stroke, multiple sclerosis, Parkinson disease (PD), muscular dystrophies, amyotrophic lateral sclerosis (ALS), and nervous system malignancies share a host of physical, emotional, and existential symptoms that can be difficult to treat. In addition, patients and their families face the realities of loss of function, loss of ability to communicate, and lifespans limited by the neurologic diagnosis or complications related to it (e.g., dysphagia, immobilit...
Source: Neurology - February 17, 2014 Category: Neurology Authors: Dallara, A., Tolchin, D. W. Tags: All Clinical Neurology, All Education, Palliative care RESIDENT AND FELLOW SECTION Source Type: research

A Day in the Life of an Acute Care SLP
Editor’s Note: This is an excerpt from a guest blog post that originally appeared on Tactus Therapy. In the post, speech-language pathologist Brenda Arend shares highlights of a typical day working in acute care at Providence St. Peter Hospital in Olympia, Washington. 8:30 a.m.: Assigning patients The first part of my day is spent opening up patient charts in our EPIC electronic medical record and assigning three SLPs to see patients in our 380-bed hospital. Two or three SLPs cover a caseload that ranges from 15 to 30 patients, although recently we see as many as 42. In addition, we also provide outpatient video fluo...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - June 9, 2016 Category: Speech Therapy Authors: Brenda Arend Tags: Speech-Language Pathology acute care Aphasia Cognitive Rehabilitation Dysphagia Health Care Swallowing Disorders Source Type: blogs

Cells to Society: "Gold Standard" Chicago Parent Program / Research News
This study was conducted to enhance the rate of advance care planning conversations and documentation by improving knowledge, attitudes, and skills of caregivers.      Read more   Violence and Trauma ...
Source: Johns Hopkins University and Health Systems Archive - October 18, 2019 Category: Nursing Source Type: news