Deans' stroke musings: Knowledge and Opinion on Stroke Rehabilitation and Outcome among Stroke Patients in Bayelsa State, Nigeria

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, August 6, 2011

Knowledge and Opinion on Stroke Rehabilitation and Outcome among Stroke Patients in Bayelsa State, Nigeria

Tidbits come from unlikely places, this one tells me that 15 million people suffer a stroke each year. with a 30% fatality rate that still leaves 10.5 million needing hyperacute care. When is someone in charge going to realize that tPA is a dead end and more effective therapies are needed. I have posted about at least 25 possibilities that need phase II and III trials.
http://www.medwelljournals.com/fulltext/?doi=ijtmed.2011.90.96

The incidence of stroke is increasing worldwide; 15 million new cases are reported yearly (Lloyd-Jones et al., 2009). Stroke contributes greatly to patients mortality and also responsible for many cases of disabilities in the world. Early rehabilitation in the care of a person with stroke results in better recovery.

Despite the knowledge that acute interventions such as tissue plasminogen activator have not had large impact on stroke related disability (Pilkington, 1999). Records still show that patients’ treatment was by both physical medicine and rehabilitation (Forster et al., 1999). Rehabilitation thus represents a key step in the management of stroke patients (ASA, 2009). Often in stroke rehabilitation, the nurse works with the therapist about patients’ treatment with a view of helping patients to apply what they learn to daily ward activities (Clarke et al., 1999). Results of the 2005 Washington Behavioral Risk Factor Surveillance Survey (BRFSS) estimate shows that without rehabilitation service, one may expect 21% of men and 23% of women to die within 1 year of their stroke and in 6 months post stroke, approximately 50% of survivors experiences paralysis, 30% cannot walk unassisted, 26% cannot complete activities of daily living on their own, 19% cannot speak without defects and 35% have depressive symptoms. About 40% of stroke patients are left with moderate functional impairments and 15-30% with severe disability. Subsequently, the demand for stroke rehabilitation services continues to increase (House et al., 1989) and as such there is a growing need to optimize both the effectiveness and efficiency of these limited resources.