This is actually fairly easy to explain;
1. There is no damage diagnosis given
2. With no diagnosis there can be no standard recovery protocol given.
3. The stupidity of 'All strokes are different, all stroke recoveries are different' is still believed in.
4. This results in no stroke protocols being published.
5. This all leads to no assurances that you will get any recovery from the stroke.
Send them back to find out why stroke patients don't recover and then you can discuss communication issues.
Still have their head in the sand.
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001473
Abstract
Background
Patients
with chronic disease may experience complicated management plans
requiring significant personal investment. This has been termed
‘treatment burden’ and has been associated with unfavourable outcomes.
The aim of this systematic review is to examine the qualitative
literature on treatment burden in stroke from the patient perspective.
Methods and Findings
The
search strategy centred on: stroke, treatment burden, patient
experience, and qualitative methods. We searched: Scopus, CINAHL,
Embase, Medline, and PsycINFO. We tracked references, footnotes, and
citations. Restrictions included: English language, date of publication
January 2000 until February 2013. Two reviewers independently carried
out the following: paper screening, data extraction, and data analysis.
Data were analysed using framework synthesis, as informed by
Normalization Process Theory. Sixty-nine papers were included. Treatment
burden includes: (1) making sense of stroke management and planning
care, (2) interacting with others, (3) enacting management strategies,
and (4) reflecting on management. Health care is fragmented, with poor
communication between patient and health care providers. Patients report
inadequate information provision. Inpatient care is unsatisfactory,
with a perceived lack of empathy from professionals and a shortage of
stimulating activities on the ward. Discharge services are poorly
coordinated, and accessing health and social care in the community is
difficult. The study has potential limitations because it was restricted
to studies published in English only and data from low-income countries
were scarce.
Conclusions
Stroke
management is extremely demanding for patients, and treatment burden is
influenced by micro and macro organisation of health services.
Knowledge deficits mean patients are ill equipped to organise their care
and develop coping strategies, making adherence less likely. There is a
need to transform the approach to care provision so that services are
configured to prioritise patient needs rather than those of health care
systems.
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