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, January 1, 2014

Standardization of Interdisciplinary Clinical Practice and Assessment in Stroke Rehabilitation

Holy shit. You mean we've been complete guinea pigs since forever? Why are our doctors and therapists even asking us to pay them? They are still in  by guess and by golly mode.
http://www.omicsonline.org/standardization-of-interdisciplinary-clinical-practice-and-assessment-in-2329-9096.1000166.pdf
Your medical team can read the complete 7 pages.


Carolyn L Kinney, Megan C Eikenberry, Stephen F Noll, James Tompkins and Joseph Verheijde*

Department of Physical Medicine and Rehabilitation, Mayo Clinic, 13400 E Shea Boulevard, Scottsdale, AZ, 85259, USA

*Corresponding author:

Joseph Verheijde, Department of Physical Medicine and
Rehabilitation, Mayo Clinic, 13400 E Shea Boulevard, Scottsdale, AZ, 85259, USA


Abstract

Medical practice has increasingly focused on providing evidence-based interventions. We describe a process to
standardize the interdisciplinary assessment of patients presenting for rehabilitation after stroke in a single academic
medical center. Multiple assessment tools and outcome measures were reviewed for validity, specificity for stroke
population, ease of administration, and utility in research. Interdisciplinary participation in the review process facilitated
compliance with new documentation requirements. Measurements were incorporated into the electronic medical
record from which an interdisciplinary database was developed for research applications. Clinically, the electronic
medical record documentation is accessible to all healthcare providers in our medical system. Objective data from the
use of quantifiable outcome measures facilitates clinical decision-making, more appropriate goal setting, and provides
opportunities to optimize the value of the care delivered. It creates opportunities for best practices in the rehabilitation
of patients with stroke and contributes to the provision of cost-effective patient care. Quantifiable measures also result
in improved patient and caregiver understanding of patient impairment and progress, and as we observed, increased
patient motivation in therapies. From a research perspective, having an interdisciplinary database in place enhances
opportunities for future collaborative and integrated clinical studies. We posit that broad implementation of the care
strategy outlined, and the database resulting from it, will also facilitate multicenter clinical research opportunities which
will ultimately benefit patients with stroke.
 

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