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Total 267 results found since Jan 2013.

Palliative Care and Stroke: An Integrative Review of the Literature
Stroke survivors often experience life-altering functional and cognitive changes and burdensome symptoms. Palliative care could provide additional support to improve outcomes of stroke patients and their families. The purpose of this review was to describe how palliative care is conceptualized and implemented within stroke care. An integrative review of the literature published between 1990 and 2016 using the terms “palliative care,” “stroke,” or “acute stroke” was conducted. Of the 363 articles identified, 44 were screened, 21 met inclusion criteria, and 2 additional articles were identified through reference...
Source: Journal of Hospice and Palliative Nursing - July 4, 2018 Category: Nursing Tags: Feature Articles Source Type: research

Factors associated with physical and psychosocial problems among Indian stroke survivors
Conclusions: Sociodemographic variables of stroke patients can predict their physical and psychosocial problems, which can help the health-care professionals optimize rehabilitation strategies. There is an urgent need of expert rehabilitative and palliative services in India.
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Mohit Sharma Mohan Lal Tejbir Singh Shyam Sundar Deepti Source Type: research

IJERPH, Vol. 19, Pages 9204: A 6-Month Home-Based Functional Electrical Stimulation Program for Foot Drop in a Post-Stroke Patient: Considerations on a Time Course Analysis of Walking Performance
Moens Davy Laroche Marjorie Salga François Genêt Jean-Christophe Daviet Anaick Perrochon Maxence Compagnat Philippe Rigoard Foot drop is a common disability in post-stroke patients and represents a challenge for the clinician. To date, ankle foot orthosis (AFO) combined with conventional rehabilitation is the gold standard of rehabilitation management. AFO has a palliative mechanical action without actively restoring the associated neural function. Functional electrical stimulation (FES), consisting of stimulation of the peroneal nerve pathway, represents an alternative approach. By providing an FES dev...
Source: International Journal of Environmental Research and Public Health - July 27, 2022 Category: Environmental Health Authors: Romain David Maxime Billot Etienne Ojardias Bernard Parratte Manuel Roulaud Amine Ounajim Fr édéric Louis Hachemi Meklat Philippe Foucault Christophe Lombard Anne Jossart Laura Mainini Martin Lavalli ère Lisa Goudman Maarten Moens Davy Laroche Marjorie Tags: Case Report Source Type: research

Failures to discuss and document preferences: Preventable medical errors in stroke care
In many cases, patients with early mortality after ischemic stroke die following family and medical team decisions to limit life-sustaining treatment, rather than dying despite maximal intensive care.1 Such decisions can involve a complex balancing of patient values: consider, for instance, how 2 different patients might evaluate the prospect of (1) a high likelihood of survival but with a poor projected neurologic prognosis, as compared to (2) a low likelihood of survival but with a favorable projected neurologic prognosis.2,3 Because decisions to extend or limit life-sustaining therapy after ischemic stroke can be highly...
Source: Neurology - May 29, 2016 Category: Neurology Authors: Xian, Y., Chiong, W. Tags: Outcome research, Quality of life, Infarction, Palliative care EDITORIALS Source Type: research

The emerging partnership between palliative care and stroke
Stroke care displays 2 truisms. First, a severe stroke is a common event often close to one's death. It unleashes a series of intense conversations among clinicians, patients, and families, rife with uncertainty, about health states with varying degrees of acceptability and what makes life worth living.1 Second, enormous variations in clinical practice remain prevalent, including end-of-life care practices. This end-of-life practice variation has been called a hidden curriculum, providing medical students with insights into how the location of their residency training helps shape the type of physicians they will become.2 I...
Source: Neurology Clinical Practice - June 12, 2017 Category: Neurology Authors: Holloway, R. G., Bernat, J. L. Tags: Editorial Source Type: research

Palliative Care and Stroke: An Integrative Review of the Literature (S740)
Stroke survivors and their family members face unique needs related to life-altering functional and cognitive changes and burdensome symptoms, which negatively impact quality of life (QOL). Guidelines recommend that primary palliative care (PC) be offered to all stroke patients; however, gaps exist in understanding how PC is perceived and implemented within stroke.
Source: Journal of Pain and Symptom Management - February 1, 2018 Category: Palliative Care Authors: Kristen Overbaugh, Stephanie Molidor, Carole White, Deborah James 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

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

Development and usability testing of Understanding Stroke, a tailored life-sustaining treatment decision support tool for stroke surrogate decision makers
We describe the development process and key features for the Understanding Stroke web-ba...
Source: BMC Palliative Care - July 20, 2020 Category: Palliative Care Authors: Emily P. Chen, Cynthia Arslanian-Engoren, William Newhouse, Diane Egleston, Savina Sahgal, Aneesha Yande, Angela Fagerlin and Darin B. Zahuranec Tags: Research article Source Type: research

Patient suitability for free water protocols in acute stroke and general medicine: a qualitative study of clinician perceptions
CONCLUSIONS & IMPLICATIONS: Despite the benefits of FWPs in other settings, in acute stroke and general medicine, clinicians erred on the side of safety and, in most cases, would not implement an FWP. Future clinical research is needed to systematically design high-quality and feasible clinical trials to determine the benefits and safety of FWPs for patients with dysphagia in these settings. This would lay the foundations for guidelines to support the complex clinical decision-making regarding patient suitability for FWPs.WHAT THIS PAPER ADDS: What is already known on the subject FWPs are an alternate management strategy f...
Source: International Journal of Language and Communication Disorders - March 23, 2022 Category: Speech-Language Pathology Authors: Joanne Murray Shannon Maloney Kaitlyn Underdown Sebastian Doeltgen Source Type: research

AHA/ASA Guideline on Palliative Care in Stroke AHA/ASA Guideline on Palliative Care in Stroke
The 'first of its kind' statement emphasizes the importance of a well-coordinated medical team to personalize care, optimize quality of life, and minimize suffering for patients with a major stroke. Medscape Medical News
Source: Medscape Neurology and Neurosurgery Headlines - March 28, 2014 Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news

End-of-life decisions in acute stroke patients: an observational cohort study
Crucial issues of modern stroke care include best practice end-of-life-decision (EOLD)-making procedures and the provision of high-quality palliative care for dying stroke patients.
Source: BMC Palliative Care - April 5, 2016 Category: Palliative Care Authors: Angelika Alonso, Anne D. Ebert, Dorothee Dörr, Dieter Buchheidt, Michael G. Hennerici and Kristina Szabo Source Type: research

Aggressiveness of care following intracerebral hemorrhage in women and men
Conclusions: After ICH, women do not receive less aggressive care than men after controlling for the substantial comorbidity differences. Future studies on sex bias should include the presence of comorbidities, prestroke disability, and other factors that may influence management.
Source: Neurology - July 24, 2017 Category: Neurology Authors: Guha, R., Boehme, A., Demel, S. L., Li, J. J., Cai, X., James, M. L., Koch, S., Langefeld, C. D., Moomaw, C. J., Osborne, J., Sekar, P., Sheth, K. N., Woodrich, E., Worrall, B. B., Woo, D., Chaturvedi, S. Tags: All Cerebrovascular disease/Stroke, Intracerebral hemorrhage ARTICLE Source Type: research