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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Comprehensive Stroke Care and Outcomes: Time for a Paradigm Shift.

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Stroke care needs a paradigm shift to improve outcomes for millions of survivors. Enhancing postacute care, rehabilitation readiness, and secondary prevention is crucial for recovery and long-term health.

Keywords:
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Area of Science:

  • Neurology
  • Public Health
  • Healthcare Systems

Background:

  • Stroke affects over 80 million survivors globally, presenting significant costs and disability.
  • Despite advancements in acute stroke care, postacute care and follow-up remain underdeveloped.
  • The burden of stroke is increasing, highlighting critical gaps in the continuum of care.

Purpose of the Study:

  • To identify challenges and gaps in postacute stroke care and suboptimal outcomes.
  • To report patient and caregiver perspectives on current postacute stroke care and their needs.
  • To advocate for a paradigm shift in comprehensive stroke care and Comprehensive Stroke Center designation.

Main Methods:

  • Analysis of existing literature and healthcare system practices in stroke care.
  • Qualitative insights gathered from stroke survivors and caregivers regarding their experiences.
  • Development of recommendations for improving stroke care systems and patient outcomes.

Main Results:

  • Significant disparities exist between acute care advancements and postacute care provisions.
  • Stroke survivors and caregivers strongly desire improved follow-up services for recovery and secondary prevention.
  • Current Comprehensive Stroke Center designations do not adequately encompass rehabilitation readiness and long-term outcomes.

Conclusions:

  • A paradigm shift is necessary, redefining comprehensive stroke care to include robust postacute services.
  • Recommendations include establishing rehabilitation readiness criteria for Comprehensive Stroke Centers.
  • Expanding the Get With The Guidelines-Stroke program and launching public health campaigns are vital for secondary prevention and functional recovery.