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.

Monday, August 20, 2012

Breaking bad news in stroke rehabilitation: a consultation with a community stroke team

A much better use of their time would have been spent working on research that provides better outcomes rather than creating the nocebo effect.
http://informahealthcare.com/doi/abs/10.3109/09638288.2012.703757
Purpose: Within stroke care clinicians are frequently required to break bad news to patients, however, formal training and guidance remains limited. This article provides a case example of a multidisciplinary stroke rehabilitation team consultation, and aims to contribute towards an evidence base and a model of training for breaking bad news (BBN) in stroke care. Method: The stroke rehabilitation team requested clinical psychology consultation to help with difficulties they were experiencing in BBN to patients. The consultation comprised an assessment of the request, development of a proposal, delivery of a workshop on BBN and an evaluation of consultation impact. A collaborative consultation model underpinned the work, which aimed to empower and facilitate the team to generate solutions by drawing upon their existing expertise. Results: The consultation was found to meet the team’s expectations and needs. Consultees reported increased confidence to communicate difficult messages to patients and rated the consultation highly. A follow-up review indicated the consultation had led to changes in practice. Conclusions: Communication skills are central to BBN effectively. Clinicians may be supported to recognize their existing skill set and increase confidence in their ability to break bad news through a process of collaborative team consultation.
Implications for Rehabilitation
  • Despite a lack of formal guidance stroke care clinicians are frequently required to break bad news to patients.
  • Clinicians may be supported to increase confidence in their skills to break bad news through a process of collaborative team consultation.
  • Developing an evidence base and training in breaking bad news should be considered a priority in stroke care.
So rather than coming up with good news, lets become better at delivering bad news. Complete failure.


Read More: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.703757
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1 comment:

  1. Elizabeth, John, Jack, and LukeAugust 21, 2012 at 2:40 AM

    Disgusting!! What are these idiots doing??? They don't know anything...so hey let's "get good" at destroying any hope survivors may hold. I think I came across a few of these "BBN experts".

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