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Overview: cerebrovascular accident and the hospitalized elderly--a multidimensional clinical problem
The American Journal of Psychiatry
|February 1, 1983
Summary
Cerebrovascular accidents (stroke) in the elderly trigger profound fears and financial worries. Tailored therapies are crucial for older adults, their families, and healthcare teams managing complex recovery needs.
Area of Science:
- Geriatric Medicine
- Neurology
- Public Health
Background:
- Cerebrovascular accidents (stroke) present unique challenges for elderly individuals.
- Stroke onset exacerbates existing fears related to loss of control, mortality, and functional decline.
- Common concerns include recurrence, cognitive/emotional disruption, prolonged treatment, and financial strain.
Purpose of the Study:
- To highlight the multifaceted concerns associated with cerebrovascular accidents in the elderly population.
- To emphasize the need for individualized and comprehensive therapeutic approaches.
Main Methods:
- Qualitative analysis of patient and family concerns.
- Review of existing literature on geriatric stroke care.
- Synthesis of clinical observations regarding elderly stroke patients.
Main Results:
- Elderly stroke patients experience heightened anxiety regarding death, disability, and cognitive impairment.
- Financial burdens from extended treatment and loss of independence are significant.
- Depression, delirium, and reduced motivation complicate recovery.
Conclusions:
- Therapeutic strategies for elderly stroke patients must be eclectic and personalized.
- Addressing psychological, financial, and functional needs is paramount for successful rehabilitation.
- Integrated care involving the patient, family, and a multidisciplinary health team is essential.