Stroke in the Older Person

Stroke is a condition that predominantly affects older people, often leading to death, disability and dependency as well as occupancy of hospital and nursing-home beds. Older stroke patients are similar in many ways to their younger counterparts, but at the same time exhibit several key differences. Their outcome and care are complicated by delayed diagnosis, polypharmacy, difficult rehabilitation, ageism, false assumptions of poor outcome, multiple co-morbidity, social issues including implications for independent living, ethical dilemmas, and many others. The proportion of older people is increasing every day and with it the burden of disease and disability. The implications this has for health services are immense, especially for long-term conditions. Despite this there is limited literature available to clinicians on stroke with a particular focus on this age group. Traversing the whole stroke pathway, Stroke in the Older Person brings together key discussions on every aspect of the disease as it affects the older person, including its general aspects and those very specific to the older populations. All chapters are written by highly experienced clinicians that offer up-to-date evidence-based information as well as practical tips to promote excellent, empathetic care to older patients. Over 30 chapters, this resource addresses the epidemiology, aetio-pathogenesis, clinical presentation, diagnostic work-up (including imaging), primary and secondary prevention, and rehabilitation of older people. There is a special focus on intracerebral haemorrhage, carotid re-vascularisation, transient ischaemic attack, cognitive impairment, research, ethical and moral dilemmas including DNAR, advanced directives and end-of-life care.

Sommario

• 1: Ossie Newell: What does it mean to have a stroke?


• 2: Timothy J. England: Epidemiology and aetiopathogenesis


• 3: Jagdish Sharma: Presentation of stroke in the older person


• 4: Marissa Hagan and Ashit K. Shetty: Transient Ischaemic Attack (TIA) in the older person


• 5: Christopher D. Stephen and Louis R. Caplan: Stroke mimics: Transient focal neurological events


• 6: Senthil Raghunathan: Diagnostic investigations for stroke in older people: A practical approach


• 7: Amy C. Gerrish, Dorothee P. Auer, and Amlyn Evans: A practical approach to neuroimaging in stroke


• 8: David Mangion: Atrial fibrillation and stroke in the older person


• 9: Paul Guyler: Early management of acute ischaemic stroke


• 10: Zhe Kang Law and Nikola Sprigg: Intracerebral haemorrhage in older people


• 11: Gordon Blair, Jason P. Appleton, Joanna M. Wardlaw, and Philip M. Bath: Cerebral small vessel disease: Potential interventions for prevention and treatment


• 12: Jessica Beavan and Lisa Everton: Nutrition, feeding and dysphagia in the older patient with stroke


• 13: Dee Webster and Sally Knapp: Communication disorders post-stroke


• 14: Ganesh Subramanian: Early and late complications of stroke


• 15: Rowena Padamsey and Avril Drummond: Occupational therapy in older people with stroke


• 16: Dawn Hicklin and Clair Finnemore: Physiotherapy of the older stroke patient


• 17: Rowan H. Harwood: Ethical and moral dilemmas including Do Not Attempt Resuscitation orders, advanced care planning, and end of life care


• 18: Thomas McGowan and Adrian Blundell: Assessing capacity and decision making


• 19: Amy Hillarious and Sunil K. Munshi: Urinary incontinence after stroke


• 20: Ian I. Kneebone and Daniel Kam Yin Chan: Fatigue and the older stroke patient


• 21: Deborah Plunkett and Sushma Dhar-Munshi: Visual disorders in stroke


• 22: Catherine Gaynor: Discharge from hospital and early supported discharge


• 23: Jatinder S. Minhas, Amit K. Mistri, and Thompson G. Robinson: Secondary prevention and revascularisation in the older person


• 24: Wayne Sunman: Hypertension in older people


• 25: Sandeep Ankolekar and Michela Simoni: Post-stroke cognitive impairment


• 26: Reg C. Morris: Psychological and emotional issues after stroke


• 27: Adam L. Gordon and Phillipa A. Logan: Stroke care in the community and long-term care facilities


• 28: Mohana Maddula and Sunil K. Munshi: Readmission to hospital after stroke


• 29: Kailash Krishnan and Nikola Sprigg: Research trials in the older stroke patient


• 30: Declan O Kane: End of life care in stroke

Info autore

Dr Sunil Munshi is a Consultant Physician and Geriatrician in the Department of Stroke and Medicine at Nottingham University Hospital at Nottingham University School of Medicine. He was awarded "Best Clinical Teacher of Nottingham University Hospitals" and his education programme in stroke was nominated for the BMJ Education Award in 2017. His research interests include stroke, geriatric medicine, cerebrovascular circulation, stroke thrombolysis, and cerebrovascular disease He was presented the Health Innovation and Education Cluster award for Stroke Teaching.

Professor Rowan Harwood is a Consultant Physician and Geriatrician, and Professor of Palliative Medicine at Nottingham University Hospital NHS Trust. His research interests include delirium, dementia, continence, rehabilitation, clinical ethics, and end of life care. For a decade, Professor Harwood worked as a stroke physician. He has co-authored 4 books on stroke and dementia care and authored and co-authored 100 academic papers. In 2019, Professor Harwood was appointed editor-in-chief of Age and Ageing.

Riassunto

Mostly affecting older people, stroke can lead to death, disability, and dependency. Stroke in the Older Person brings together key discussions on every aspect of stroke as it affects the older person. Written by experienced clinicians, it offers evidence-based information and practical tips to promote excellent care for older patients.

Dettagli sul prodotto

• Autori: Sunil K. (Consultant Physician Munshi
• Con la collaborazione di: Rowan Harwood (Editore), Harwood Rowan (Editore), Sunil K. Munshi (Editore)
• Editore: Oxford University Press
• Lingue: Inglese
• Formato: Copertina rigida
• Pubblicazione: 16.01.2020
• EAN: 9780198747499
• ISBN: 978-0-19-874749-9
• Pagine: 512
• Categorie: Scienze naturali, medicina, informatica, tecnica > Medicina > Branche non cliniche; MEDICAL / Neurology, MEDICAL / Geriatrics, Neurology & clinical neurophysiology, Neurology and clinical neurophysiology