Night-time confusion in an elderly woman post-stroke.
M C Christien van der LindenIdo R van den WijngaardShanna van der LindenNaomi van der LindenPublished in: BMJ case reports (2020)
For patients with acute ischaemic stroke, faster recanalisation improves the chances of a disability-free life and a quick discharge from the hospital. Hospital discharge, certainly after suffering a major life-changing event such as a stroke, is a complex and vulnerable phase in the patient's journey. Elderly are particularly vulnerable to the stressors caused by hospitalisation. Recently hospitalised patients are not only recovering from their acute illness; they also experience a period of generalised risk for a range of adverse events. At the same time, elderly generally prefer living in their own homes and should be discharged from the hospital and return home as quickly as possible. Both premature and delayed discharge are potential threats to patient well-being. We present a 90-year-old patient who underwent successful thrombectomy but suffered from night-time confusion at the hospital and discuss the transition process from hospital to home.
Keyphrases
- healthcare
- case report
- acute care
- middle aged
- adverse drug
- end stage renal disease
- community dwelling
- newly diagnosed
- ejection fraction
- multiple sclerosis
- chronic kidney disease
- liver failure
- atrial fibrillation
- depressive symptoms
- sleep quality
- physical activity
- blood brain barrier
- drug induced
- human health
- respiratory failure
- brain injury
- extracorporeal membrane oxygenation