So the recommendation for those difficult stroke cases is to immediately put them into palliative care. Aren't you glad your stroke medical 'professionals' are that lazy they don't believe in solving difficult cases? Hope schadenfreude bites them hard on the ass when they have strokes.
Here is the National Institutes of Health Stroke Scale so you can make sure your score stays below 20.
I consider the NIHSS subjective stroke scale as worthless and shouldn't be used for anything serious like this.
The latest here:
Improving Access to Specialist Palliative Care for Patients With Catastrophic Strokes Using Best Practice Advisory- a Feasibility Study
Abstract
Background and Purpose
The
American Heart Association and American Stroke Association (AHA/ASA)
strongly recommend specialty palliative care (PC) for all patients
hospitalized with life-threatening or life-altering strokes to provide
expert symptom management, improve communication, promote shared
decision-making and relieve suffering. We piloted an intervention to
remind physicians about high PC needs of their patients admitted with
catastrophic stroke.
Methods
We
worked with colleagues from medical informatics to create a “Best
Practice Advisory” (BPA) to recommend a goals-of-care conversation and
PC consultation for patients with a National Institutes of Health Stroke
Scale (NIHSS) score of 20 or more in our electronic medical record
(Epic). We evaluated the impact of this BPA, after implementation, on
the number and timing of PC consults and reviewed barriers to this
system change.
Results
The
BPA was operational in Jan 2019. Data analysis showed that it fired for
all patients with an entered NIHSS score of ≥20. Though a large portion
of the BPAs (more than 90%) were acknowledged without documented reason
(after selecting “do not order”), PC consultations per 100 patients
with triggered BPA increased from the first year of implementation (11.7
in 2019) to the next 2 years (20.7 in 2020, 15.6 in 2021). Also, the
providers learned to manage BPA alerts better resulting in more than 30%
reduction in the number of BPA alerts fired for each patient encounter
in 2020-2021 compared to 2019.
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