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- Title
Îngrijirea paliativă a pacientului cu accident vascular cerebral.
- Authors
Pop, Rodica Sorina; Pop, Sorina Livia; Mărginean, Codruţa; Onaca, Emil; Puia, Aida; Revnic, Radu; Cojan, Bianca; Florea, Mira
- Abstract
Introduction: Vascular cerebral accident, stroke, is considered the main cause of disability in adults because more than 20% of patients hospitalized with this disease is sent home and needs nursing care and 30% remain disabled and needs palliative care. Material and method: The literature has been reviewed to identify the actions taken for controlling symptoms during the care process. Discussions, conclusions: The holistic evaluation of patients is pursued in the four areas: physical, psycho-emotional, social and spiritual. Palliative care should be centred on the patient care unit with his or her family, and the role of coordinator of this process is for the family doctor due to its proximity and accessibility. The management of physical symptoms involves control of post stroke central pain, painful hemiplegic shoulder syndrome, fatigue, comity, incontinence, obstructive sleep apnoea. Management of psychic symptoms involves controlling anxiety, depression, delirium and emotional instability. Attention is also paid to identify and treat social and spiritual needs.
- Publication
Paliatia: Journal of Palliative Care, 2018, Vol 11, Issue 4, p4
- ISSN
1844-7058
- Publication type
Article