(Janie Airey/DigitalVision via Getty Images)
People with disabilities or dementia may not get timely or appropriate treatment when they have a stroke, according to a new report that says those conditions can make it challenging to assess the severity of new symptoms.
But treating a stroke quickly could help prevent additional disability and other health and financial impacts, an American Heart Association scientific statement finds. It was published Monday in the journal Stroke.
"The long-term consequences and costs of additional disabilities due to untreated stroke in people with preexisting neurological deficits are staggering," Dr. Mayank Goyal said in a news release. He is the statement's writing committee chair and clinical professor in the department of radiology and clinical neurosciences at the University of Calgary in Alberta, Canada.
Often, treatment of strokes caused by blood clots may be delayed or not given at all if pre-stroke dementia or disability symptoms cause doctors to mistakenly believe the stroke is more severe than it is and outside the window for optimal treatment.
But treatment still can be effective for this group even though there is some evidence they have a higher risk of death, the report said. It notes that clot-busting therapy and clot removal were as safe and effective in people with pre-existing disabilities or dementia as in those without. Treatment is considered critical for preventing further disability.
In the U.S., physical, cognitive and intellectual disabilities affect about 22% of the adult population. The statement offers advice for how people with these conditions and their families can develop plans for health emergencies, including strokes. This includes discussing quality of life concerns and care preferences before a stroke happens. If a stroke does occur, the committee suggests families discuss the risks and benefits of treatment with health providers to fully understand the spectrum of possible outcomes.
Biases such as ableism and therapeutic nihilism, which is the belief there is no hope for effective treatment, may play a role in delaying or failing to begin treatment in people with disabilities or dementia, the statement said. The writing group said greater awareness of these biases is needed and offers guidance on how to improve patient-centered care.
It also calls for greater inclusion of people with disabilities and dementia in stroke research.
"The people carrying the greatest burden of illness have been traditionally excluded from research," Goyal said. "Expansion of the dialogue and pro-active research on acute stroke therapies should include people with disability and dementia to optimize their potential to return to their pre-stroke daily living and to reduce the potential long-term care and financial burdens."
If you have questions or comments about this story, please email editor@heart.org.
Read more:
- Voices: Working-class men like Steve Wright don't go to the doctor and that's exactly the problem... - Yahoo News UK - February 16th, 2024 [February 16th, 2024]
- "Superman Defeats Nihilism": Grant Morrison Loved an Obscure Alan Moore Story So Much They Almost Remixed It - Screen Rant - February 16th, 2024 [February 16th, 2024]
- The rise of stay-at-home girlfriends - UnHerd - November 26th, 2023 [November 26th, 2023]
- 'Fargo' Recap, Season 5, Episode 2: Trials and Tribulations - Vulture - November 26th, 2023 [November 26th, 2023]
- What's the matter with Russia? - The Hub - November 26th, 2023 [November 26th, 2023]
- The Killer: The unintentional comedy of the year? - EL PAS USA - November 26th, 2023 [November 26th, 2023]
- Eli Roth's Thanksgiving Keeps A Disappointing 2023 Slasher Trend ... - Screen Rant - November 26th, 2023 [November 26th, 2023]
- Bobby McDonagh: The Rule of Law matters more than ever when ... - TheJournal.ie - November 26th, 2023 [November 26th, 2023]
- A 2023 gift guide: 10 ideas for the music lover in your life - 25 News KXXV and KRHD - November 26th, 2023 [November 26th, 2023]
- Ten Great Sci-fi TV Shows that Promote Reason and Individualism - The Objective Standard - November 26th, 2023 [November 26th, 2023]
- Jonathan Sacks: Are Science and Religion Enemies? - The Collector - November 26th, 2023 [November 26th, 2023]
- An open letter to all of my progressive friends - New York Daily News - November 26th, 2023 [November 26th, 2023]
- The Two Tragedies of November 22nd - The American Conservative - November 26th, 2023 [November 26th, 2023]
- Speculating on the ceasefire moment in Gaza - rabble.ca - November 26th, 2023 [November 26th, 2023]
- In Defense of Stigma - The Stream - November 26th, 2023 [November 26th, 2023]
- Pro-lockdown obsessives still long to be told what to do - Yahoo Eurosport UK - November 26th, 2023 [November 26th, 2023]
- 8 signs you're a mentally strong person (even if you don't think so) - Hack Spirit - November 26th, 2023 [November 26th, 2023]
- Trump Gets Fined in Court but Wins in the House - The New Yorker - October 29th, 2023 [October 29th, 2023]
- The challenges to democracy [letter] | Letters To The Editor ... - LNP | LancasterOnline - October 29th, 2023 [October 29th, 2023]
- Standing against the insidious spread of euthanasia | News, Sports ... - The Daily Times - October 29th, 2023 [October 29th, 2023]
- A large chunk of Republicans are quite set on voting for the face ... - Daily Kos - October 29th, 2023 [October 29th, 2023]
- Israel's civic strength in response to the Hamas attacks should stiffen ... - The Hub - October 29th, 2023 [October 29th, 2023]
- No Time to Go Wobbly on Russia - Center for European Policy Analysis - October 29th, 2023 [October 29th, 2023]
- Blinken to Security Council: Where's the revulsion over Hamas attacks - The Times of Israel - October 29th, 2023 [October 29th, 2023]
- Opinion | In Israel and Gaza, Searching for Humanity - The New York Times - October 29th, 2023 [October 29th, 2023]
- Donald Trump to testify in NY AG Case - Daily Kos - October 29th, 2023 [October 29th, 2023]
- Thom Nickels: Demonic nihilism? It's not just on the streets. - Broad + Liberty - August 18th, 2023 [August 18th, 2023]
- Reflections on the Revolution in America | Pavlos Leonidas ... - First Things - August 18th, 2023 [August 18th, 2023]
- Why It's Always Raining In The Movie Se7en: David Fincher's ... - Screen Rant - August 18th, 2023 [August 18th, 2023]
- Poetic Time In The Age Of Acceleration - Noema Magazine - August 18th, 2023 [August 18th, 2023]
- Review: Zilched releases her best work yet in 'Earthly Delights' - WDET - August 18th, 2023 [August 18th, 2023]
- Phoebe Bridgers thinks we confuse sadness with intelligence: Listen ... - Audacy - August 18th, 2023 [August 18th, 2023]
- Called to be a man in Christ, not a Nietzschean superman - Catholic World Report - August 18th, 2023 [August 18th, 2023]
- Why The Last Voyage of the Demeter Sank at the Box Office - MovieWeb - August 18th, 2023 [August 18th, 2023]
- Forget GTA 6 and Red Dead Redemption, I want Manhunt 3 - PCGamesN - August 18th, 2023 [August 18th, 2023]
- Gabriel Krauze: raw writing from the streets of London - RNZ - August 18th, 2023 [August 18th, 2023]
- The Ideal Man According to 7 Different Philosophers - Art of Manliness - August 18th, 2023 [August 18th, 2023]
- Review: In How to Blow Up a Pipeline, nihilism is optimism - Detroit Metro Times - April 29th, 2023 [April 29th, 2023]
- Beaten To Death Review: Disturbing Australian Horror Lives Up To Its Title [Panic Fest 2023] - Dread Central - April 29th, 2023 [April 29th, 2023]
- David Brooks: Joe Biden and the 'battle for the soul of America' l - Baltimore Sun - April 29th, 2023 [April 29th, 2023]
- Ram Jams: Fall Out Boy, New Album and Era - Fordham Observer - April 29th, 2023 [April 29th, 2023]
- Tucker Carlson Is the Emblem of GOP Cynicism - The Atlantic - April 29th, 2023 [April 29th, 2023]
- One Night in Washington, D.C., With George Santos - The Intercept - April 29th, 2023 [April 29th, 2023]
- Reddit study finds interesting facts about typical Blue Jays fans - Jays Journal - April 29th, 2023 [April 29th, 2023]
- Yale Professor Breaks Down Years of Violent Conflict Between ... - The Greyhound - April 29th, 2023 [April 29th, 2023]
- Nietzsche, Friedrich | Internet Encyclopedia of Philosophy - January 6th, 2023 [January 6th, 2023]
- 30 Religious Terms You Should Know - Daily Writing Tips - January 6th, 2023 [January 6th, 2023]
- The Difference Between Existentialism, Nihilism, and Absurdism - January 6th, 2023 [January 6th, 2023]
- Philosophical skepticism - Wikipedia - January 4th, 2023 [January 4th, 2023]
- Simon Critchley - Wikipedia - January 4th, 2023 [January 4th, 2023]
- 'World is Crumbling. An Email Doesn't Matter': 2022 Was the Year of Nihilism. How Do We Move On? - News18 - December 23rd, 2022 [December 23rd, 2022]
- Moscow accuses West of legal nihilism RT Russia & Former Soviet Union - December 12th, 2022 [December 12th, 2022]
- Wordsworths Challenge to Darwinian Nihilism | Evolution News - December 12th, 2022 [December 12th, 2022]
- I Fear My Pain Interests You by Stephanie LaCava review numb nihilism ... - November 19th, 2022 [November 19th, 2022]
- Editorial: In the Face of Climate Nihilism, What Can One Do to Not Lose All Hope? | Opinions - The Link - October 8th, 2022 [October 8th, 2022]
- Cardinal Mller Reasserts the Dangers of Nihilism The European Conservative - The European Conservative - October 8th, 2022 [October 8th, 2022]
- The Midnight Club Is a Teen Horror Show Thats Actually Scary: TV Review - Yahoo Entertainment - October 8th, 2022 [October 8th, 2022]
- Hiltzik: GOP cruelty counts on the humanity of others - Los Angeles Times - October 8th, 2022 [October 8th, 2022]
- Screen Grabs: A revisionist Western that still shines bright - 48 hills - 48 Hills - October 8th, 2022 [October 8th, 2022]
- Russian Roulette: How Ukraine Can Win the Game (Part 1) - Kyiv Post - October 8th, 2022 [October 8th, 2022]
- What 20 Years of Putin's Own Words Tell Us About Russia's Subversion of International Law - JURIST - October 8th, 2022 [October 8th, 2022]
- 'Triangle of Sadness' Review: Hazardous Levels of Smug - Vulture - October 8th, 2022 [October 8th, 2022]
- In China, Only the Party Tells History - Foreign Policy - September 29th, 2022 [September 29th, 2022]
- The Infinite Nihilistic Jest of Brian Ennals and Infinity Knives - Yahoo Entertainment - September 29th, 2022 [September 29th, 2022]
- No Laughing Matter: Bodies Bodies Bodies Is Too Cynical to Be Much Fun - Erie Reader - September 29th, 2022 [September 29th, 2022]
- Oliver Jeffers Gets Perspective With Meanwhile Back on Earth - TIME - September 29th, 2022 [September 29th, 2022]
- Talkin' About My Generation: How Boomers Became Deaf, Dumb, and Blind To The Inspiration and Innovation of Rock and Roll - MetalTalk - September 29th, 2022 [September 29th, 2022]
- 'Cult of the Lamb' and the bleating heart of nihilism - Catholic News Service - September 22nd, 2022 [September 22nd, 2022]
- The Infinite Nihilistic Jest of Brian Ennals and Infinity Knives - Spin - September 22nd, 2022 [September 22nd, 2022]
- This cosmic horror game will force you to trust characters to survive - Polygon - September 22nd, 2022 [September 22nd, 2022]
- Belief in God can help us find a purpose in life that we are currently lacking - David J Nixon - The Scotsman - September 22nd, 2022 [September 22nd, 2022]
- "Date Night" by White Lung - Northern Transmissions - September 22nd, 2022 [September 22nd, 2022]
- Lyrically Speaking: What is Bob Dylans All Along the Watchtower actually about? - Far Out Magazine - September 22nd, 2022 [September 22nd, 2022]
- Pinocchio (2022): Disney wished on another wrong star - Campus Times - September 22nd, 2022 [September 22nd, 2022]
- The Complicated Legacy Of 'Rick And Morty' - The Federalist - September 22nd, 2022 [September 22nd, 2022]
- "Soul and Things" - Baltimore Beat - September 22nd, 2022 [September 22nd, 2022]
- Ukraine Holds the Future: The War Between Democracy and Nihilism - Foreign Affairs Magazine - September 11th, 2022 [September 11th, 2022]
- Hedgerow Theatre Company Dives Into The Darkness With Martin McDonagh's THE PILLOWMAN, October 5-31 - Broadway World - September 11th, 2022 [September 11th, 2022]
- The skate punk brats of the '90s are back to ruin our lives again - Cult MTL - September 11th, 2022 [September 11th, 2022]
- Kurt Russell's Best Movie Was A Critical And Box Office Disaster - Giant Freakin Robot - September 11th, 2022 [September 11th, 2022]