– Many people who suffer from a stroke receive treatment, physical therapy, and occupational therapy, and will eventually recover to some degree. Unfortunately, some patients will not recover, depending on the severity of the stroke. Some will eventually pass away after suffering from a stroke. Patients must tolerate years of partial or complete paralysis and dependence on caregivers for their tasks of daily living, such as bathing, dressing, eating, etc. At the end-stage of their illness, many choose to have hospice care after understanding there is no longer hope for a cure.
-Having a history of high blood pressure is never a good thing. It can lead to a lot of complications, including a stroke, because it damages the nerves in your brain and weakens the blood vessels.
– Strokes can affect your eyesight as well. It can cause double vision, blurred vision, and even a notable loss of vision in one eye.
– You’ve probably heard that numbness or weakness in the face, an arm, or a leg on either side of your body is a common sign of an upcoming stroke.
– A study conducted by the School of Public Health at the University of Michigan (U.S.) showed that vertigo and dizziness are one of the most frequent factors among patients who had a stroke.
– Strong headaches and migraines never appear out of thin air. In case of a stroke, it happens simply because the blood flow to the brain is either blocked or cut off due to an interruption in the bloodstream.
– A ruptured blood vessel in the brain can easily cause a stiff neck or shoulder pain. To find out whether it’s actually “stroke bad” or not, try to touch your chest with your chin.
– Risk factors that can get you in trouble include alcohol and drug abuse, obesity, an unhealthy diet (high in fats, sugar, and carbohydrates), depression, anxiety, and a sedentary lifestyle. All these things trigger certain processes in your body that can result in a stroke.
– If it happens and there’s no one around to help you, call 911 or your local emergency number. Do NOT try to drive yourself to the hospital. As you’re waiting for an ambulance, don’t eat or drink anything. This will give your system more work to process at a time when it is already overburdened.
When Do I Know When a Patient is Ready for Hospice Care After he/she Has Had a Stroke?
The patient has both 1 and 2:
1. Poor functional status with Palliative Performance Scale of 40% or less (unable to care for self) AND 2. Poor nutritional status with inability to maintain sufficient fluid and calorie intake with either:
>10% weight loss over the previous six (6) months>7.5% weight loss over the previous three (3) monthsSerum albumin <2.5 gm=”” dl=”” –2=”” 5–=””>Current history of pulmonary aspiration without effective response to speech language pathology interventions to improve dysphagia and decrease aspiration events
Supporting evidence for hospice eligibility:
Coma (any etiology) with three (3) of the following on the third (3rd) day of coma:Abnormal brain stem responseAbsent verbal responsesAbsent withdrawal response to painSerum creatinine > 1.5 gm/dl
In the absence of one or more of these findings, rapid decline or co-morbidities may also support eligibility for hospice care.