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Related Concept Videos

Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

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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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Updated: Jan 16, 2026

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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End-of-Life Symptoms After Stroke: A Mixed Methods Study.

Anna-Christin Willert1, Meghan Romba2, Sumayyah M Khan2

  • 1Department of Neurology (A.C.W.), Charité Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Berlin, Germany.

Journal of Pain and Symptom Management
|October 1, 2025
PubMed
Summary
This summary is machine-generated.

End-of-life symptom documentation for stroke patients is limited, especially for those who are awake. More systematic assessment is needed to manage symptoms and improve care during the end-of-life process.

Keywords:
End-of-life symptomsstroke

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Area of Science:

  • Neurology
  • Palliative Care
  • Quality Improvement

Background:

  • Stroke causes significant mortality, with many deaths occurring post-withholding or withdrawing life-sustaining treatment (WLST).
  • Limited understanding exists regarding end-of-life experiences and symptoms for stroke patients, including those who are awake.

Purpose of the Study:

  • To characterize end-of-life symptoms in patients with stroke.
  • To understand the end-of-life experience of stroke patients and their families.

Main Methods:

  • Retrospective, single-center, mixed-methods quality improvement study.
  • Included 101 patients who died after WLST in 2022.
  • Analyzed clinician notes for patient wakefulness and documented symptoms.

Main Results:

  • Symptom documentation was infrequent, more common in awake patients (62%) than non-awake (36%).
  • Commonly documented symptoms included dyspnea, pain, and restlessness.
  • Social, spiritual, and emotional needs were rarely documented.

Conclusions:

  • End-of-life symptom assessment in stroke patients is inadequate.
  • Prospective, systematic symptom assessment is crucial for awake stroke patients.
  • Improved symptom management is needed for stroke patients at the end of life.