Stroke and Coma

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Stroke and Coma Palliative care for a stroke or coma can be Eligibility for hospice care provided at any point, from diagnosis to the A patient who has had a stroke or is in a coma may be end of life. eligible for hospice care if: • A coma or vegetative state lasts more than three days Palliative care provides: • Severely sluggish with muscle twitching beyond three days • Relief from common physical symptoms of a stroke, such as numbness, fatigue, headaches and vertigo • Unable to swallow which prevents nourishment, and a patient is not a candidate for artificial nutrition/hydration • Emotional and spiritual support for patients and families coping with a stroke or coma diagnosis and treatment • Comatose and experiencing three of the following on the third day of coma: • Resources for caregivers who may be overwhelmed by the extra responsibilities placed upon them ° Abnormal brain stem response ° Inability to speak ° No response to pain ° Elevated level of serum creatinine ° Aged older than 70 CareBridge Primary and Palliative Care & Hospice of Southwest Ohio Hospice of Southwest Ohio partners with CareBridge Primary and Palliative Care of Cincinnati to provide palliative and hospice care support from a multidisciplinary team of healthcare professionals. Both CareBridge and HSWO work in conjunction with primary care physicians and referring specialists to help relieve the pain and suffering associated with a stroke or coma. Our services are available in Clermont, Butler, Warren and Hamilton counties in Cincinnati, Ohio. You can make a palliative care referral 24 hours a day, seven days a week by faxing 513.528.8151 or a hospice care referral 24/7 by calling 513.770.0820. 513.770.0820 | hswo.org | 7625 Camargo Road | Cincinnati, Ohio 45243 Primary and Palliative Care.

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Forensic Medicine
YEREVAN STATE MEDICAL UNIVERSITY AFTER M. HERATSI DEPARTMENT OF Sh. Vardanyan K. Avagyan S. Hakobyan FORENSIC MEDICINE Handout for foreign students YEREVAN 2007 This handbook is adopted by the Methodical Council of Foreign Students of the University DEATH AND ITS CAUSES Thanatology deals with death in all its aspects. Death is of two types: (1) somatic, systemic or clinical, and (2) molecular or cellular. Somatic Death: It is the complete and irreversible stoppage of the circulation, respiration and brain functions, but there is no legal definition of death. THE MOMENT OF DEATH: Historically (medically and legally), the concept of death was that of "heart and respiration death", i.e. stoppage of spontaneous heart and breathing functions. Heart-lung bypass machines, mechanical respirators, and other devices, however have changed this medically in favor of a new concept "brain death", that is, irreversible loss of Cerebral function. Brain death is of three types: (1) Cortical or cerebral death with an intact brain stem. This produces a vegetative state in which respiration continues, but there is total loss of power of perception by the senses. This state of deep coma can be produced by cerebral hypoxia, toxic conditions or widespread brain injury. (2) Brain stem death, where the cerebrum may be intact, though cut off functionally by the stem lesion. The loss of the vital centers that control respiration, and of the ascending reticular activating system that sustains consciousness, cause the victim to be irreversibly comatose and incapable of spontaneous breathing. This can be produced by raised intracranial pressure, cerebral oedema, intracranial haemorrhage, etc.(3) Whole brain death (combination of 1 and 2).
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Coma Stimulation: Suggested Activities
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