title: [The seriously affected stroke patient who is not able to communicate - treatment to the best of one's knowledge and ethical principles].
abstract: Choosing the right therapy for a patient affected by a severe stroke that resulted in communicative inability is a real challenge for an interdisciplinary team. In the following case prognostic predictors will be investigated and ethical issues for a better decision making will be discussed.
authors.affiliation: Abteilung für Neurologie, Landesklinikum Horn, Spitalgasse 10, 3580, Horn, Niederösterreich, Österreich, e_wolf@hotmail.com.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Wolf
authors.forename: Heinz
authors.initials: H
authors.lastname: Lahrmann
mesh_terms: D000369:Aged, 80 and over; D001317:Austria; D003147:Communication Disorders / Q000523:psychology* / Q000628:therapy*; D003299:Cooperative Behavior; D004185:Disability Evaluation; D018450:Disease Progression; D017041:Ethics Committees / Q000941:ethics; D004992:Ethics, Medical; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000523:psychology / Q000628:therapy; D033183:Interdisciplinary Communication; D008297:Male; D010166:Palliative Care / Q000941:ethics* / Q000379:methods* / Q000523:psychology; D026684:Personal Autonomy; D011379:Prognosis; D011788:Quality of Life / Q000523:psychology; D012297:Right to Die / Q000941:ethics; D028761:Withholding Treatment / Q000941:ethics*
references.citation: Swiss Med Wkly. 2010 May 1;140(17-18):254-9
references.pmid: 20104376
references.citation: Neurology. 1999 Jul 13;53(1):126-31
references.pmid: 10408548
references.citation: Stroke. 1996 Feb;27(2):232-7
references.pmid: 8571415
references.citation: Can J Neurol Sci. 2009 Nov;36(6):731-4
references.pmid: 19960751
references.citation: Palliat Med. 2007 Jun;21(4):323-31
references.pmid: 17656409
references.citation: Presse Med. 2012 May;41(5):525-31
references.pmid: 22381811