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Therapy: Palliative

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Total 267 results found since Jan 2013.

Comfort care beneficial for hospitalized stroke patients, yet disparities in use persist
(American Heart Association) A new study finds comfort care, including palliative care and hospice care, can improve quality of life in hospitalized stroke patients.Although comfort care for stroke patients is increasingly being used, disparities in use persist that may be related to gender, race, income and other factors.
Source: EurekAlert! - Medicine and Health - April 7, 2021 Category: International Medicine & Public Health Source Type: news

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

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

Palliative care needs of Jordanian women ’s experience of living with stroke: a descriptive phenomenological study
Stroke is a prevalent neurological disease that can have a profound impact on women ’s physical, psychosocial, and spiritual well-being. In many cases, women living with stroke may have marginalized palliative ...
Source: BMC Palliative Care - July 28, 2023 Category: Palliative Care Authors: Marwa Nayef Alhalabi, Inaam Abdulla Khalaf, Ruqayya Sayed Zeilani, Hala Ahmad Bawadi, Ahmad S. Musa and Abdulqadir J. Nashwan Tags: Research Source Type: research

Utilization Of In-Hospital Palliative Care For Ischemic Stroke Deaths In United States (S45.005)
Conclusions:In-hospital palliative care is associated with more conservative resource utilization. Significant patient and hospital related differences exists in palliative care utilization for AIS deaths in United States. A growing concern over high cost associated with end of life care in United States is expected to affect the trend of offering and adopting in-hospital palliative services impacting health care finances and quality of care measures.Disclosure: Dr. Shreyansh has nothing to disclose. Dr. Moradiya has nothing to disclose. Dr. Murthy has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Shreyansh, S., Moradiya, Y., Murthy, S. Tags: Cerebrovascular Disease and Interventional Neurology: Rehabilitation, Recovery, and Complications Source Type: research

In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Intensive treatment of hypertension to a SBP
Commentary on: Williamson JD, Supiano MA, Applegate WB, et al.. Intensive vs standard blood pressure control and cardiovascular disease outcomes in adults aged ≥75 years. A randomized clinical trial. JAMA 2016;315:2673–82 . Context There is uncertainty regarding optimal blood pressure (BP) targets in treating hypertension. Most recent guidelines have recommended a systolic target of <140 mm Hg. The Systolic Blood Pressure Intervention Trial (SPRINT) compared cardiovascular (CV) outcomes in non-diabetic hypertensive patients randomised to standard (systolic blood pressure (SBP) <140 mm&nbs...
Source: Evidence-Based Medicine - January 23, 2017 Category: Internal Medicine Authors: Weber, M. A. Tags: Palliative care, Clinical trials (epidemiology), Epidemiologic studies, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Renal medicine, Ethics Therapeutics/Prevention Source Type: research

Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association.
lity of Care and Outcomes Research; and Mission: Lifeline Abstract Cardiogenic shock is a high-acuity, potentially complex, and hemodynamically diverse state of end-organ hypoperfusion that is frequently associated with multisystem organ failure. Despite improving survival in recent years, patient morbidity and mortality remain high, and there are few evidence-based therapeutic interventions known to clearly improve patient outcomes. This scientific statement on cardiogenic shock summarizes the epidemiology, pathophysiology, causes, and outcomes of cardiogenic shock; reviews contemporary best medical, surgical, me...
Source: Circulation - September 18, 2017 Category: Cardiology Authors: van Diepen S, Katz JN, Albert NM, Henry TD, Jacobs AK, Kapur NK, Kilic A, Menon V, Ohman EM, Sweitzer NK, Thiele H, Washam JB, Cohen MG, American Heart Association Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Qu Tags: Circulation Source Type: research

Advance directives, proxy opinions, and treatment restrictions in patients with severe stroke
Patients with severe stroke often do not have the capacity to participate in discussions on treatment restrictions because of a reduced level of consciousness, aphasia, or another cognitive disorder. We assess...
Source: BMC Palliative Care - November 14, 2017 Category: Palliative Care Authors: Floor A. S. de Kort, Marjolein Geurts, Paul L. M. de Kort, Julia H. van Tuijl, Ghislaine J. M. W. van Thiel, L. Jaap Kappelle and H. Bart van der Worp Tags: Research article Source Type: research

Provide stroke patients with palliative care support minus the label
(Canadian Medical Association Journal) When caring for stroke patients, health care providers should focus on the social and emotional issues facing patients, rather than only physical rehabilitation, according to a new study published in CMAJ (Canadian Medical Association Journal).
Source: EurekAlert! - Medicine and Health - March 5, 2018 Category: International Medicine & Public Health Source Type: news

Establishing Goals of Care for Patients with Stroke and Feeding Problems: An Interdisciplinary Trigger-Based Continuous Quality Improvement Project
Few patients with dysphagia due to stroke receive early palliative care to align treatment goals with their values, as called for by practice guidelines, particularly before enteral access procedures for artificial nutrition.
Source: Journal of Pain and Symptom Management - June 25, 2018 Category: Palliative Care Authors: Franchesca Hwang, Christine Boardingham, Susanne Walther, Molly Jacob, Andrea Hidalgo, Chirag D. Gandhi, Anne C. Mosenthal, Sangeeta Lamba, Ana Berlin Source Type: research

Standardizing Communications Improves Use of Palliative Care in Patients With Stroke
Patients who have sustained a severe stroke have immediate palliative care needs, and poor communication is a gap in quality that increases length of stay (LOS) and costs, which decreases efficient resource utilization. To standardize communication between families and treatment teams in the intensive care unit (ICU) and demonstrate improvement in LOS and costs, a communication bundle was prospectively implemented in 22 patients and compared against a retrospective control arm of 22 patients. The intervention group demonstrated significant improvement in median ICU and hospital LOS and ICU costs.
Source: The Journal for Nurse Practitioners - February 5, 2019 Category: Nursing Authors: Randi R. Toumbs, T.C. Cossey, Tracey L. Taylor, HuiMahn A. Choi Tags: Brief Report Source Type: research

Palliative Care Crucial After Severe Stroke, But Many Patients Miss Out
Title: Palliative Care Crucial After Severe Stroke, But Many Patients Miss OutCategory: Health NewsCreated: 3/16/2022 12:00:00 AMLast Editorial Review: 3/16/2022 12:00:00 AM
Source: MedicineNet Heart General - March 16, 2022 Category: Cardiology Source Type: news

Collaborative Integration of Palliative Care in Critically Ill Stroke Patients in the Neurocritical Care Unit: A Single Center Pilot Study
Patients admitted to the Neurocritical Care Unit (NCCU) with moderate-to-severe acute strokes, along with their surrogate decision makers, have the potential for unrecognized or unmet emotional and psychological needs. Our primary objective was to determine if early integration of palliative care consultations within this cohort was feasible and would impact understanding, decision-making and emotional support to patients and their surrogate decision makers. Our secondary objective was to evaluate the long-term impact of early palliative care assessment on the development of post-traumatic stress disorder (PTSD).
Source: Journal of Stroke and Cerebrovascular Diseases - June 3, 2022 Category: Neurology Authors: Hera A. Kamdar, Sachi Gianchandani, Tamara Strohm, Kuldeep Yadav, Claudia Z. Chou, LuAnn Reed, Kavitha Norton, Archana Hinduja Source Type: research