Abstract
Despite being a common condition with a high rate of mortality and morbidity, stroke is an underserved condition in the field of palliative care. Palliative care has a role in both the acute and chronic phases of stroke. The role for palliative care in the acute phase of stroke among patients who have suffered catastrophic neurological events frequently centers on discussing goals of care and managing end-of-life concerns and symptoms, such as decisions surrounding the use of mechanical ventilators and artificial nutrition and hydration, and the management of respiratory distress and oropharyngeal secretions. For survivors of stroke, palliative care can have an ongoing role in managing the multiple symptoms and quality-of-life concerns, such as pain, depression, constipation, and incontinence, which can persist for months or even years after the initial stroke event.
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