Outpatient management after severe stroke with dementia

• Main Author: Natalia Vyacheslavovna Pizova
• Format: Article
• Language: Russian
• Published: IMA-PRESS LLC 2013-12-01
• Series: Nevrologiâ, Nejropsihiatriâ, Psihosomatika
• Subjects: ischemic stroke; hemorrhagic stroke; cognitive impairments; dementia; outpatient management
• Online Access: https://nnp.ima-press.net/nnp/article/view/274

To render outpatient care to poststroke patients, particularly to those who have severe motor and/or speech disorders is an urgent problem in neurology. These patients have frequently cognitive and psychoemotional disorders that make rehabilitation much difficult. If there are no promises for functional restoration, these patients need care, prevention of restroke and complications associated with immobilization. Current methods for preventing restroke include modification of lifestyle, normalization of blood pressure, use of antithrombotic agents and statins (after prior ischemic stroke), treatment of cognitive and depressive disorders, pain syndromes, urination disorders, correct care, diet, passive and active exercises, positional treatment, and local domiciliary procedures. The use of up-to-date treatment options is now shown to substantially reduce the risk of restroke and to improve recovery of lost functions and quality of life in the patient.