- Accurate predication of outcome is difficult following acute stroke due to the uncertain trajectory of stroke illness.
- Families sometimes wish to be involved in end of life decisions but need to understand the difficulty of making accurate prognosis. Honest and early communication from the stroke team will help families at this difficult time.
- There are formal procedures to deal with issues such as Do not attempt CPR and advance care planning and the guidance should be followed carefully.
- Stroke presents specific challenges in dealing with symptom management in end of life care.
- Spiritual and religious preferences should be addressed.
- Many individuals may have made a decision around organ or tissue donation. These should be explored as part of advance care planning
You have reached the end of this patient scenario. What do you want to do next?
Page last reviewed: 30 Sep 2020
