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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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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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Peripheral Artery Disease I: Introduction01:30

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
150

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Poststroke Pain.

Seoyon Yang1, Min Cheol Chang2

  • 1Department of Rehabilitation Medicine, Ewha Woman's University Seoul Hospital, Ewha Woman's University School of Medicine, Seoul, Korea.

Seminars in Neurology
|January 20, 2021
PubMed
Summary

Poststroke pain (PSP) is a common, underrecognized condition affecting stroke survivors. Understanding the specific mechanisms of PSP subtypes may lead to more effective, targeted treatments for improved recovery and quality of life.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Rehabilitation

Background:

  • Poststroke pain (PSP) is prevalent and significantly impacts stroke survivors' recovery and quality of life.
  • PSP is often underrecognized and associated with psychological distress.
  • Common PSP subtypes include central PSP, complex regional pain syndrome, shoulder pain, spasticity-related pain, and headache.

Purpose of the Study:

  • To review the current understanding of poststroke pain (PSP) and its various subtypes.
  • To explore the proposed pathophysiologies underlying different PSP subtypes.
  • To highlight the need for mechanism-based therapeutic strategies for PSP.

Main Methods:

  • Literature review of recent studies on poststroke pain.
  • Analysis of proposed pathophysiological mechanisms for PSP subtypes.
  • Synthesis of information on treatment challenges and future directions.

Main Results:

  • Poststroke pain encompasses diverse subtypes with incompletely understood mechanisms.
  • Emerging research suggests specific pathophysiological pathways for PSP subtypes.
  • Many PSP cases are resistant to conventional treatments, necessitating novel approaches.

Conclusions:

  • Understanding the specific pathophysiology of PSP subtypes is crucial for developing targeted therapies.
  • Prioritizing treatments based on underlying mechanisms holds promise for managing refractory PSP.
  • Further research into PSP mechanisms is essential for improving patient outcomes.