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End-of-Life Symptoms in Adult Patients With Stroke in the Last Two Years of Life: An Integrative Review
CONCLUSIONS: There is a need for better assessment and management of EOL symptoms in patients with stroke. Established palliative and EOL care guidelines need to be incorporated into clinical practice to ensure access to high-quality care.PMID:37615127 | DOI:10.1177/10499091231197657
Source: The American Journal of Hospice and Palliative Care - August 24, 2023 Category: Palliative Care Authors: Hanna Ramsburg Helene J Moriarty Meredith MacKenzie Greenle Source Type: research

A Prospective Intervention to Increase Goals of Care Conversations with Hospitalized Patients Suffering Severe Stroke (Sci204)
1. Through analyzing the process and results of an intervention to increase documented goals-of-care conversations, participants will self-report the ability to apply lessons learned to their clinical practice.2. Participants will self-report the ability to define goals-of-care conversation domains and the ability to demonstrate and integrate these domains within clinical practice.
Source: Journal of Pain and Symptom Management - April 14, 2023 Category: Palliative Care Authors: Amber R. Comer, Shilpee Sinha, Laura Tormoehlen, Lyle Fettig, Stephanie L. Bartlett, Lynn E. D'Cruz, Veronica R. Kassab, Xochitl G. Rivera-Cordova, Leigh Anderson, Lindsay Schroeder, James Slaven, Alexia Torke Source Type: research

Mobility Goals of Care Conversations with Hospitalized Patients Suffering Severe Stroke (Sci239)
1. Using the WHO Functional classification, attendants will understand a mobility goals-of-care conversation, its prevalence, associated predictors, interventions, and outcomes.2. The attendant will be able to note similarities and differences between the large stroke population and the propensity-matched groups.
Source: Journal of Pain and Symptom Management - April 14, 2023 Category: Palliative Care Authors: Stephanie L. Bartlett, Kristine Miller, James Slaven, Veronica R. Kassab, Aubrey Odgers, Xochitl G. Rivera-Cordova, Amber R. Comer Source Type: research

PC-FACS January 2023
Testing TMS Intervention for Acute Stroke
Source: Journal of Pain and Symptom Management - January 10, 2023 Category: Palliative Care Tags: PCF Source Type: research

Sometimes a Difficult Decision to Swallow: Ethical Dilemmas When Patients with Dysphagia who Lack Capacity Want to Eat
Mr. J is an 82-year-old retired farmer with a preexisting diagnosis of moderate vascular dementia who recently suffered a stroke resulting in a new diagnosis of dysphagia and a loss of complex decision-making capacity. He is admitted to a hospital rehabilitation unit for a course of speech, physical and occupational therapy. His wife, Mrs. J, is his surrogate and has made clear that the couple's shared goals of care are for him to regain as much function as possible so he can return to his own home.
Source: Journal of Pain and Symptom Management - October 19, 2022 Category: Palliative Care Authors: Meaghann S. Weaver, Cynthia M.A. Geppert Tags: Ethical Issues in Palliative Care Source Type: research

Documented Goals of Care Conversations with Hospitalized Patients After Severe Stroke (GP715)
1. Understand the prevalence, frequency, timing, and content of a goals-of-care conversation2. Learn best practices in goals-of-care conversation documentation
Source: Journal of Pain and Symptom Management - May 17, 2022 Category: Palliative Care Authors: Amber Comer, Claire Creutzfeldt, Lynn D'Cruz, Stephanie Bartlett, Robert Holloway, Alexia Torke, Laura Petras, Linda Williams Source Type: research

Retrospective Analysis of CHA2DS2-VASc and HAS-BLED Scores for Hospitalized Palliative Care Patients with Atrial Fibrillation (S516)
1. Determine the risks and benefits of oral anticoagulation for patients with atrial fibrillation (AF) and serious or advanced illness2. Evaluate the risk categories for stroke and bleed risk in terms of prescribing practices for oral anticoagulation for patients with AF and serious or advanced illness
Source: Journal of Pain and Symptom Management - April 12, 2022 Category: Palliative Care Authors: Abby Stevens, PharmD, Kathryn Walker, PharmD CPE, Kristin Watson, PharmD BCCP, Mary Lynn McPherson, PharmD MA MDE BCPS Source Type: research

Documented Goals of Care Conversations with Hospitalized Patients After Severe Stroke (S513)
1. Understand the prevalence, frequency, timing, and content of a goals-of-care conversation (GOCC)2. Learn best practices in GOCC documentation
Source: Journal of Pain and Symptom Management - April 12, 2022 Category: Palliative Care Authors: Amber Comer, Claire Creutzfeldt, Robert Holloway, Stephanie Bartlett, James Slaven, Linda Williams, Alexia Torke Source Type: research

Palliative and End-of-Life Care After Severe Stroke
This study sought to determine the prevalence, predictors, and outcomes associated with PCC for patients hospitalized with severe ischemic stroke.
Source: Journal of Pain and Symptom Management - January 4, 2022 Category: Palliative Care Authors: Amber R. Comer, Linda S. Williams, Stephanie Bartlett, Lynn D'Cruz, Katlyn Endris, McKenzie Marchand, Isabel Zepeda, Sumeet Toor, Carly Waite, Areeba Jawed, Robert Holloway, Claire J. Creutzfeldt, James E. Slaven, Alexia M. Torke Tags: Original Article Source Type: research

Improving Access to Specialist Palliative Care for Patients with Catastrophic Strokes: A Quality Improvement Project to Trigger Inpatient Palliative Care Consultations (QI730)
The American Stroke Association strongly recommends palliative care for patients hospitalized with catastrophic strokes to improve shared decision-making and relieve suffering. An automatic trigger to consider a consult for these patients may improve access to palliative care. The National Institutes of Health Stroke Scale (NIHSS) is a good predictor of short- and long-term outcomes and high scores (>= 20) are associated with poorer prognosis.
Source: Journal of Pain and Symptom Management - February 23, 2021 Category: Palliative Care Authors: Vandana Nagpal, Marcey Osgood, Jennifer Reidy Source Type: research

Electro-acupuncture for post-stroke spasticity: results of a pilot pragmatic randomized controlled trial
People with spasticity which occurred between 30 days and one year after stroke onset with a baseline Modified Ashworth Scale (MAS) ≥ 1.
Source: Journal of Pain and Symptom Management - August 4, 2020 Category: Palliative Care Authors: Yiyi Cai, Claire Shuiqing Zhang, Anthony Lin Zhang, Cliff Da Costa, Charlie Changli Xue, Zehuai Wen Tags: Original Article Source Type: research

Electroacupuncture for Poststroke Spasticity: Results of a Pilot Pragmatic Randomized Controlled Trial
People with spasticity that occurred between 30  days and one year after stroke onset with a baseline Modified Ashworth Scale (MAS) ≥1.
Source: Journal of Pain and Symptom Management - August 4, 2020 Category: Palliative Care Authors: Yiyi Cai, Claire Shuiqing Zhang, Anthony Lin Zhang, Cliff Da Costa, Charlie Changli Xue, Zehuai Wen Tags: Original Article Source Type: research

Outpatient Cardiac Palliative Care Reduces Healthcare Utilization (RP524)
The American Heart Association and American Stroke Association have put forth policy statements recommending early and continuous access to palliative care for patients with advanced heart disease. Early integration of palliative care has been proven to improve the quality of life of patients with advanced heart failure. Other studies have suggested that palliative care in general has cost savings to hospital systems.
Source: Journal of Pain and Symptom Management - June 20, 2020 Category: Palliative Care Authors: Todd Barrett Source Type: research

Appraisal of Health States Worse than Death in Patients with Acute Stroke (S714)
Goals of care discussions are frequently indicated after acute stroke. Many of these conversations happen without direct patient participation secondary to aphasia or encephalopathy.
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Elyse Everett, William Everett, Matthew Brier, Patrick White Source Type: research

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