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Total 267 results found since Jan 2013.

A qualitative study on palliative needs of stroke patients in an Indian tertiary care setting - Doctors & #39; perspective
Conclusions: From the interviews of the clinicians, we can conclude that care of a stroke patient is more than medical management and rehabilitation, as several other aspects of the patient's life are affected by the condition. The quality of life aspect has to be looked upon as an area that requires active intervention in a setting of stroke. Physical disabilities were viewed as the most significant factor in reducing the quality of life. Spiritual needs have a low priority in comparison to other physical needs. Due to high patient load and time constraints, many of the needs are unaddressed. Two important area...
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Jacob Lloyd Ashna Maria Pinto Shoba Nair Subhash Tarey Source Type: research

Triage in Stroke Units: Physicians Perceptions and Ethical Issues (P02.008)
CONCLUSIONS: Despite a vocation to take care of all patients, triage practices are pointed out during stroke unit admission. They depend on the role of each physician in the acute stroke management. They are the integration of a distributive justice theory, of contextual data, but also of subjective clinician evaluation. The triage decisions are ineluctable because of the scarcity of resource but are complex and difficult to take for clinicians, because they face to the "rule of rescue". These medical choices involve also the values of the society.Disclosure: Dr. Yger has nothing to disclose. Dr. Crozier has nothing to dis...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Yger, M., Crozier, S., Dubourdieu, S., Vivien, B., Dolveck, F., Samson, Y. Tags: P02 Ethics, Pain, and Palliative Care Source Type: research

Provision of palliative and end-of-life care in stroke units: A qualitative study.
Conclusions:The findings provide encouraging evidence that palliative and end-of-life care have been adopted as key components of specialist stroke care in UK stroke units. However, many patients stand to benefit from earlier identification of palliative care need and a consideration of quality-of-life approaches during active care. Encouraging collaboration and partnership when working with specialist palliative care services would optimise palliative care service delivery and may provide patients and their families with greater opportunities for documenting and achieving preferences for care and achieving a better qualit...
Source: Palliative Medicine - April 11, 2013 Category: Palliative Care Authors: Gardiner C, Harrison M, Ryan T, Jones A Tags: Palliat Med Source Type: research

Hemorrhagic Transformation and Stroke Recurrence in Children with Cardiac Disease Receiving Antithrombotic Therapy for Secondary Stroke Prevention
CONCLUSIONS: In spite of the 24% hemorrhagic transformation rate, antithrombotic therapy has a positive risk-balance in certain cardioembolic stroke subgroups, particularly in those with single-ventricle physiology, when accounting for stroke volume.PMID:34152075 | DOI:10.1111/jth.15428
Source: Thrombosis and Haemostasis - June 21, 2021 Category: Hematology Authors: Elizabeth Pulcine Mike Seed Leonardo R Brand ão Mahmoud Slim Sunitha Palasamudram Manohar Shroff Mahendranath Moharir Gabrielle deVeber Nomazulu Dlamini Source Type: research

Validation of the Longer-term Unmet Needs after Stroke (LUNS) monitoring tool: a multicentre study.
Conclusions:The Longer-term Unmet Needs after Stroke tool is acceptable, reliable, can be self-completed, and used to identify longer-term unmet needs after stroke. PMID: 23787941 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 20, 2013 Category: Rehabilitation Authors: LoTS care LUNS study team Tags: Clin Rehabil Source Type: research

Can we Improve on Neuro-prognostication for Patients with Severe Ischemic Stroke? (P6.272)
Conclusions:The outcomes of patients presenting with severe ischemic stroke (NIHSS 16–20, 21+) is poor overall; although there were significant differences in early mortality, these are no longer significant at 90 days. A good recovery was predicted by early rapid improvement in NIHSS. More data is needed to improve neuro-prognostication to inform patients and families on expected outcomes and when to incorporate palliative care.Disclosure: Dr. Bu has nothing to disclose. Dr. Beilman has nothing to disclose. Dr. Sila has received personal compensation for activities with Axio Research, Hoffman La Roche, Medtronic, Ja...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bu, J., Beilman, C., Sila, C. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Racial Differences in Palliative Care Use After Stroke in Majority-White, Minority-Serving, and Racially Integrated U.S. Hospitals
Conclusions: The odds of receiving palliative care for both white and minority stroke patients is lower in minority compared with white hospitals, suggesting system-level factors as a major contributor to explain race disparities in palliative care use after stroke.
Source: Critical Care Medicine - November 18, 2017 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Exogenous Neural Stem Cells Transplantation as a Potential Therapy for Photothrombotic Ischemia Stroke in Kunming Mice Model
In this study, we explore the transplantation of exogenous neural stem cells (NSCs) as the potential therapy for the photothrombotic ischemia stroke in a Kunming mice model. After stroke, mice receiving NSC transplantation demonstrated a better recovery of brain function during the neurobehavioral tests. Histology analysis of the brain samples from NSC transplanted mice demonstrated a reduction of brain damage caused by stroke. Moreover, immunofluorescence assay for biomarkers in brain sections confirmed that transplanted NSCs indeed differentiated to neurons and astrocytes, consistent with the improved brain function afte...
Source: Molecular Neurobiology - January 28, 2016 Category: Neurology Source Type: research

Early Palliative Care Consultation Decreases Length of Stay in Severe Stroke Patients (P1.211)
Conclusions:Early PCC in severe stroke patients decreased hospital LOS by 3 days. This may be due to prompt clarification of goals of care and hastened discharge to hospice. Advanced age, poor pre-stroke functional status, and severe post-stroke deficits and disability warrant early PCC. In addition to decreasing LOS, further study is needed to determine whether early PCC also limits futile tests, procedures, and iatrogenic complications. Ultimately, timely identification of PCC candidates may produce higher satisfaction and decreased hospital costs.Disclosure: Dr. Schloss has nothing to disclose. Dr. Tversky has nothing t...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Schloss, E. R., Tversky, S., Katz, J. M., Wright, P. Tags: Pain and Palliative Care Source Type: research

Involvement of Specialist Palliative Care in a Stroke Unit in Austria —Challenges for Families and Stroke Teams
Conclusions: Family members benefit from understandable and consistent information, emotional support, and a professional team identifying their needs. Stroke unit professionals need skills as well as knowledge and strategies in order to make decisions and provide treatment at the end-of-life, when there may be ethical or legal issues. Close cooperation with specialist palliative care services supports both treatment teams and families with communication and decision-making for patients with severe ischemic stroke.
Source: Frontiers in Neurology - September 22, 2021 Category: Neurology Source Type: research

The study protocol of: 'initiating end of life care in stroke: clinical decision-making around prognosis'
This study aims to investigate clinicians' use of different types of evidence in decisions to initiate end of life care within trajectories typical of the acute stroke population. Methods: This two-phase, mixed methods study comprises investigation of dying trajectories in acute stroke (Phase 1), and the use of clinical scenarios to investigate clinical decision-making in the initiation of palliative care (Phase 2). It will be conducted in four acute stroke services in North Wales and North West England. Patient and public involvement is integral to this research, with service users involved at each stage.DiscussionThis st...
Source: BMC Palliative Care - December 5, 2014 Category: Palliative Care Authors: Christopher BurtonSheila PayneMary TurnerTracey BucknallJo MalonePippa TyrrellMaria HorneLupetu NtambweSarah TysonHelen MitchellSion WilliamsSalah Elghenzai Source Type: research

The study protocol of: `Initiating end of life care in stroke: clinical decision-making around prognosis¿
This study aims to investigate clinicians’ use of different types of evidence in decisions to initiate end of life care within trajectories typical of the acute stroke population.Methods/designThis two-phase, mixed methods study comprises investigation of dying trajectories in acute stroke (Phase 1), and the use of clinical scenarios to investigate clinical decision-making in the initiation of palliative care (Phase 2). It will be conducted in four acute stroke services in North Wales and North West England. Patient and public involvement is integral to this research, with service users involved at each stage.DiscussionT...
Source: BMC Palliative Care - December 5, 2014 Category: Palliative Care Authors: Christopher BurtonSheila PayneMary TurnerTracey BucknallJo Rycroft-MalonePippa TyrrellMaria HorneLupetu NtambweSarah TysonHelen MitchellSion WilliamsSalah Elghenzai 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

Reflection on Stroke Deaths and end ‐of‐life stroke care
ConclusionIn this cohort, palliative care referral and EOLCP were commenced in less than 50% of patients, highlighting significant variations in clinical care. These data support the need to promote awareness of ACP, particularly in patients with prior stroke or significant co‐morbidities. This may help reduce potentially futile invasive investigations and treatment.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Syed Zujajuddin Quadri, Thang Huynh, Cecilia Cappelen ‐Smith, Nirupama Wijesuriya, Abul Mamun, Roy Beran, Alan Mcdougall, Dennis Cordato Tags: Original Article Source Type: research