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Stroke in the Older Person
9780198747499
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Description
Stroke is a condition that predominantly affects older people, often leading to death, disability and dependency as well as occupancy of hospital and nursing-home beds. Older stroke patients are similar in many ways to their younger counterparts, but at the same time exhibit several key differences. Their outcome and care are complicated by delayed diagnosis, polypharmacy, difficult rehabilitation, ageism, false assumptions of poor outcome, multiple co-morbidity, social issuesincluding implications for independent living, ethical dilemmas, and many others. The proportion of older people is increasing every day and with it the burden of disease and disability. The implications this has for health services are immense, especially for long-term conditions. Despite this thereis limited literature available to clinicians on stroke with a particular focus on this age group. Traversing the whole stroke pathway, Stroke in the Older Person brings together key discussions on every aspect of the disease as it affects the older person, including its general aspects and those very specific to the older populations. All chapters are written by highly experienced clinicians that offer up-to-date evidence-based information as well as practical tips to promote excellent, empathetic care to older patients.Over 30 chapters, this resource addresses the epidemiology, aetio-pathogenesis, clinical presentation, diagnostic work-up (including imaging), primary and secondary prevention, and rehabilitation of older people. There is a special focus on intracerebral haemorrhage, carotid re-vascularisation, transient ischaemic attack, cognitive impairment, research, ethical and moral dilemmas including DNAR, advanced directives and end-of-life care.
Product Details
88456
9780198747499
9780198747499
Data sheet
- Publication date
- 2020
- Issue number
- 1
- Cover
- hard cover
- Pages count
- 512
- Dimensions (mm)
- 171 x 246
- Weight (g)
- 1184
- What does it mean to have a stroke?; Epidemiology and aetiopathogenesis; Presentation of stroke in the older person; Transient Ischaemic Attack (TIA) in the older person; Stroke mimics: Transient focal neurological events; Diagnostic investigations for stroke in older people: A practical approach; A practical approach to neuroimaging in stroke; Atrial fibrillation and stroke in the older person; Early management of acute ischaemic stroke; Intracerebral haemorrhage in older people; Cerebral small vessel disease: Potential interventions for prevention and treatment; Nutrition, feeding and dysphagia in the older patient with stroke; Communication disorders post-stroke; Early and late complications of stroke; Occupational therapy in older people with stroke; Physiotherapy of the older stroke patient; Ethical and moral dilemmas including Do Not Attempt Resuscitation orders, advanced care planning, and end of life care; Assessing capacity and decision making; Urinary incontinence after stroke; Fatigue and the older stroke patient; Visual disorders in stroke; Discharge from hospital and early supported discharge; Secondary prevention and revascularisation in the older person; Hypertension in older people; Post-stroke cognitive impairment; Psychological and emotional issues after stroke; Stroke care in the community and long-term care facilities; Readmission to hospital after stroke; Research trials in the older stroke patient; End of life care in stroke;
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