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Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
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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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 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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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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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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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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Palliative care after stroke: A review.

Eileen Cowey1, Markus Schichtel2, Joshua D Cheyne3

  • 1Nursing & Health Care School, University of Glasgow, Glasgow, UK.

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Summary
This summary is machine-generated.

Palliative care is crucial for stroke patients. Research since 2015 highlights needs and organization, but lacks intervention evidence and data from low-income countries, necessitating further study.

Keywords:
Strokeend-of-lifepalliative careshared decision makingstroke unit

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Area of Science:

  • Neurology
  • Public Health
  • Palliative Medicine

Background:

  • Palliative care is a vital component of stroke unit care.
  • The American Stroke Association released a policy statement on palliative care and stroke in 2016.
  • Literature on palliative care and stroke has expanded significantly since 2015.

Purpose of the Study:

  • To conduct a narrative review of research on palliative care and stroke published since 2015.

Main Methods:

  • Narrative review of published literature.
  • Categorization of research into scope of needs, organization of care, and shared decision-making.

Main Results:

  • Literature primarily focused on the scope of palliative care needs, organization, and shared decision-making.
  • Limited evidence exists for interventions addressing specific palliative symptoms or improving shared decision-making.
  • Racial disparities in palliative care access post-stroke and a lack of research from low- and middle-income countries were identified.

Conclusions:

  • Further research is recommended, particularly in low- and middle-income countries.
  • Investigating the reasons behind racial disparities in palliative care access is crucial.
  • Randomized trials are needed to evaluate interventions for specific palliative needs and enhance shared decision-making.