Palliative care

Nine per cent of acute stroke patients die in hospital during acute care, and approximately 20% die as a result of the stroke in the first 30 days.

Practical end-of-life issues, such as the use of a medical power of attorney and advance care directives, should be discussed. Organ donation may be sensitively raised if appropriate. Issues of bereavement may become part of the responsibility of the stroke team.

For current research and evidence-based recommendations see our Clinical Guidelines.