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.

Wednesday, October 3, 2012

Many Stroke Patients Treated for Depression Without Diagnosis

But is that a bad thing? See 1. here,    for the positive effects of antidepressants in helping stroke recovery. They may inadvertantly be helping recovery and depression without knowing about it.
Seems to be the common theme in stroke rehab, we don't know if this helps but try it anyway. Evidence based therapy could be helpful but then we may not get any therapy at all since there is not a defined way to bring back dead brain functions. Oh joy to the insurance companies, No EBM, no therapy, more profits. We're screwed. Be careful what you wish for.

http://psychcentral.com/news/2012/10/02/many-stroke-patients-treated-for-depression-without-diagnosis/45426.html
According to new Canadian research, many stroke patients are being prescribed antidepressants without a proper diagnosis, suggesting that some patients are being over-treated while others are getting overlooked.
“A lot of people are being treated for depression, but we don’t know if they’re the right ones,” said lead researcher Katherine Salter of Parkwood Hospital in London, Ontario.
“This study found that 40 percent of stroke patients were treated for depression, but most were not screened or diagnosed. Who are we treating?”
Depression is the most common mental health condition after a stroke, affecting more than a one-fourth of all stroke patients. Depression may get in the way of a patient’s ability to participate in post-stroke therapy and is linked to slower rehabilitation and a longer stay in the hospital.
For the study, researchers looked at the medical charts of 294 patients discharged from five in-patient rehabilitation programs over a six-month period. Only three of 294 patients given an antidepressant were formally screened, assessed and diagnosed with depression first.
The findings also showed that 40 percent of all patients, whether or not they were screened or assessed for depression, received treatment for it.
Furthermore, 100 percent of patients who had already been taking an antidepressant when they entered in-patient rehabilitation still received one at the time of their discharge, mostly without being reassessed.
“No matter what the best practice recommendations say, if you’re on an antidepressant when you show up, you will not likely be screened or assessed, but you will be given more drugs,” said Salter.
A lack of formal screening and assessment for depression means that stroke patients without a history of depression or other mental illness could be overlooked for treatment.
According to the findings, patients with a history of mental illness and those with severe impairments from their stroke are more likely to be given antidepressants.
“Depression is a serious problem for people with stroke. We need to make sure that everyone who needs treatment for depression is receiving the right help,” said neurologist Dr. Michael Hill, Co-Chair of the Canadian Stroke Congress.
According to Salter, a lack of access to mental health care professionals, as well as “some inertia” by clinicians reluctant to change their methodology, may be the reason that patients are not being screened properly.
“We need to be able to include psychological resources as part of our health care team. These professionals should be a central, integrated part of recovery,” said Salter.
Ian Joiner, the director of stroke for the Heart and Stroke Foundation said, “Screening for depression after all strokes could result in more positive outcomes for patients and their families.  With screening, those who would benefit from specialized medication, counseling and referral to other health professionals won’t be missed.”
The study was presented on October 1 at the Canadian Stroke Congress.

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