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Chapter 16 - Prevention, diagnosis, and management of stroke and TIA in the elderly

from Section III - Care of the elderly by organ system

Published online by Cambridge University Press:  05 June 2016

By
Ana C. G. Felix
Edited by
Jan Busby-Whitehead ,
Christine Arenson ,
Samuel C. Durso ,
Daniel Swagerty ,
Laura Mosqueda ,
Maria Fiatarone Singh  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Samuel C. Durso
Affiliation:
The Johns Hopkins University School of Medicine
Daniel Swagerty
Affiliation:
University of Kansas
Laura Mosqueda
Affiliation:
University of Southern California
Maria Fiatarone Singh
Affiliation:
University of Sydney
William Reichel
Affiliation:
Georgetown University, Washington DC
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Summary

Stroke is the leading cause of physical and cognitive disability in the United States, with a larger burden in patients over 65. Prevention of stroke includes the understanding and identification of risk factors, symptoms, and mechanisms of stroke and TIA. Atrial fibrillation is a major contributor to stroke in the elderly. Anticoagulation can prevent stroke, but is associated with significant risks. Newer anticoagulants offer novel strategies for prevention. Antiplatelet, antihypertensive, and lipid-lowering drugs are all used for stroke prevention and risk factor modification. Following stroke, recovery can be enhanced by addressing complications such as gastrointestinal complications, venous thromboembolism, fever, depression, and urinary incontinence. Addressing the challenges associated with caregiving of the older patient with stroke, and end-of- life care and decision making, are important considerations in stroke management.
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 233 - 244
Publisher: Cambridge University Press
Print publication year: 2016

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