{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:55:22Z","timestamp":1782456922273,"version":"3.54.5"},"reference-count":58,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Holist Nurs"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Stroke is a leading cause of mortality and serious long-term disability. Palliative care may enhance overall quality of life among older adults experiencing a stroke, but a limited understanding of these patients\u2019 holistic needs exists.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To conduct a scoping review of the literature exploring the palliative care needs of older adults with stroke, with the aim of tailoring holistic nursing interventions to improve quality of life.\n                    <jats:bold>Methods:<\/jats:bold>\n                    The review followed Arksey and O\u2019Malley's five-stage framework: formulating the review question; identifying relevant studies; screening and selecting studies; charting the data; and collating, summarizing, and reporting the results. Three online databases (PubMed, Embase, and CINAHL) were searched for studies published between 2014 and 2024 using key terms such as \u201cpalliative care needs,\u201d \u201colder adults,\u201d and \u201cstroke\u201d. Screening and selection were managed via Endnote and Covidence review management software, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.\n                    <jats:bold>Results:<\/jats:bold>\n                    Eighteen studies emphasize the need for holistic palliative care nursing in older adults with stroke. Five overarching themes emerged: physical functioning, psychosocial and emotional support, informed decision-making, symptom management, and comfort-based care.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Integrating holistic palliative care nursing into patient-centered stroke services is vital for improving the quality of life in older adults. Findings from this scoping review will inform future nursing research priorities, as well as clinical nursing initiatives, addressing the holistic palliative care needs of older adults experiencing stroke in collaboration with patients, families, and interdisciplinary healthcare professionals.\n                  <\/jats:p>","DOI":"10.1177\/08980101261431419","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:31:02Z","timestamp":1773927062000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Palliative Care Needs of Older Adults with Stroke: A Scoping Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7114-2354","authenticated-orcid":false,"given":"Ergie P.","family":"Inocian","sequence":"first","affiliation":[{"name":"Duquesne University"},{"name":"University of Pittsburgh"},{"name":"Medical University of Pittsburgh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace A.","family":"Milone","sequence":"additional","affiliation":[{"name":"Duquesne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Jiang","sequence":"additional","affiliation":[{"name":"Duquesne University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edsel","family":"Inocian","sequence":"additional","affiliation":[{"name":"Cebu Normal University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhea Faye D.","family":"Felicilda-Reynaldo","sequence":"additional","affiliation":[{"name":"Post University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"American Medical Association. (2020 April 8). Caring for patients at the end of life. Retrieved June 2 2025 from https:\/\/www.ama-assn.org\/about\/ethics\/caring-patients-end-life"},{"key":"e_1_3_3_3_1","author":"American Stroke Association (ASA)","year":"2024","unstructured":"American Stroke Association (ASA). (2024). Post-Stroke Rehabilitation. Retrieved June 2, 2025, from https:\/\/www.stroke.org\/en\/","journal-title":"Post-Stroke Rehabilitation"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdr015"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2013.12.011"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_8_1","unstructured":"Center for Disease Control (CDC). (2023). Stroke facts. Retrieved June 2 2024 from https:\/\/www.cdc.gov\/stroke\/facts.htm"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-019-1069-6"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.12.032"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930211016603"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000479"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002742"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.52547\/pcnm.10.2.26"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/17474930241308142"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0431"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-05730-4"},{"key":"e_1_3_3_18_1","first-page":"104990912513515","article-title":"Communication tools for end-of-life conversations in palliative nursing: A narrative review","author":"Giachello M.","year":"2025","unstructured":"Giachello M., Provasoli C., Cosmai S., Modena G. M., Cattani D., Dacomi A., Chiari C., Scollo S., Mancin S., Lopane D., Mazzoleni B. (2025). Communication tools for end-of-life conversations in palliative nursing: A narrative review. The American Journal of Hospice & Palliative Care, 10499091251351571. Advance online publication.https:\/\/doi.org\/10.1177\/10499091251351571","journal-title":"The American Journal of Hospice & Palliative Care"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00252-0"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001323"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2025.1619705"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2016.1196908"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2022-003531"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2013.11.012"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2051"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.011317"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170604"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2021.04.004"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mpmed.2019.10.010"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-69"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.106008"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.915472"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S388539"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909115610077"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-025-01816-0"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.64.09.832"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-019-00576-5"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0611-x"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-21-00483"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-015-1290-9"},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001412"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221074547"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.09.012"},{"key":"e_1_3_3_44_1","article-title":"Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: Population based matched cohort study","volume":"370","author":"Quinn K. L.","year":"2020","unstructured":"Quinn K. L., Stukel T., Stall N. M., Huang A., Isenberg S., Tanuseputro P., Goldman R., Cram P., Kavalieratos D., Detsky A. S., Bell C. M. (2020). Association between palliative care and healthcare outcomes among adults with terminal non-cancer illness: Population based matched cohort study. BMJ, 370, Article m2257. https:\/\/doi.org\/10.1136\/bmj.m2257","journal-title":"BMJ"},{"key":"e_1_3_3_45_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsoc.2023.1286208"},{"key":"e_1_3_3_46_1","doi-asserted-by":"publisher","DOI":"10.3389\/fstro.2023.1293942"},{"key":"e_1_3_3_47_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.683624"},{"issue":"1","key":"e_1_3_3_48_1","first-page":"18","article-title":"Factors associated with physical and psychosocial problems among Indian stroke survivors","volume":"25","author":"Sharma M.","year":"2019","unstructured":"Sharma M., Lal M., Singh T., Deepti S. S. (2019). Factors associated with physical and psychosocial problems among Indian stroke survivors. Indian Journal of Palliative Care, 25(1), 18\u201323. https:\/\/doi.org\/10.4103\/IJPC.IJPC_106_18","journal-title":"Indian Journal of Palliative Care"},{"key":"e_1_3_3_49_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.121.024327"},{"key":"e_1_3_3_50_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00164"},{"issue":"3","key":"e_1_3_3_51_1","article-title":"Palliative care for older adults hospitalized for stroke from the informal caregivers\u2019 perspectives: A qualitative study","volume":"38","author":"Su J. J.","year":"2023","unstructured":"Su J. J., Lin R. S. Y., Paguio J., Leung A. Y. M., Molassiotis A. (2023). Palliative care for older adults hospitalized for stroke from the informal caregivers\u2019 perspectives: A qualitative study. Journal of Cardiovascular Nursing, 38(3), E110\u2013E119. https:\/\/doi.org\/10.1097\/JCN.0000000000000923","journal-title":"Journal of Cardiovascular Nursing"},{"key":"e_1_3_3_52_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v13.i12.102326"},{"key":"e_1_3_3_53_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-053579"},{"key":"e_1_3_3_54_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-016-0283-5"},{"key":"e_1_3_3_55_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-016-0116-4"},{"key":"e_1_3_3_56_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_3_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/26323524251399231"},{"key":"e_1_3_3_58_1","unstructured":"World Health Organization. (2023). Policy brief on integrating rehabilitation into palliative care services. Retrieved June 2 2025 from https:\/\/www.who.int\/europe\/publications\/i\/item\/WHO-EURO-2023-5825-45590-68173"},{"key":"e_1_3_3_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70085"}],"container-title":["Journal of Holistic Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08980101261431419","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08980101261431419","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08980101261431419","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:38:12Z","timestamp":1777502292000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08980101261431419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,19]]},"references-count":58,"alternative-id":["10.1177\/08980101261431419"],"URL":"https:\/\/doi.org\/10.1177\/08980101261431419","relation":{},"ISSN":["0898-0101","1552-5724"],"issn-type":[{"value":"0898-0101","type":"print"},{"value":"1552-5724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,19]]},"article-number":"08980101261431419"}}