[Changes in therapy aims and palliative treatment for severe stroke]. / Therapiezieländerung und Palliativmedizin beim schweren Schlaganfall.
Nervenarzt
; 79(4): 437-43, 2008 Apr.
Article
in De
| MEDLINE
| ID: mdl-18299813
ABSTRACT
Recent years have seen considerable advances in acute stroke treatment. Patients who survive the acute phase following major stroke often retain severe limitations of motor, cognitive, and communicative functions. In such patients whose death is imminent, curative therapies should be avoided. Instead, the goal of any therapy should shift to palliative treatment and concentrate on reducing causes of suffering. Palliative methodologies and concepts are already well established in neurology, e.g. for amytrophic lateral sclerosis. Particularly those stroke patients who remain stable for a long period with massive neurological deficits require interdisciplinary palliative care that goes beyond mere reduction of symptoms and seeks a response to possible complications and the question of maintaining life-preserving measures. Not only medical indications but also the expressed or presumed will of the patient must be included in such considerations. This article describes and elucidates basic questions of palliative medicine and symptomatic palliative treatment concepts for stroke patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palliative Care
/
Stroke
Type of study:
Diagnostic_studies
Aspects:
Ethics
Limits:
Humans
/
Male
/
Middle aged
Language:
De
Journal:
Nervenarzt
Year:
2008
Document type:
Article