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.

Friday, May 30, 2014

Treating anxiety can improve patients' sleep

Since survivors need as much sleep as possible this should be a priority. Our anxiety is caused by our doctors not giving us an objective diagnosis or any protocols that will get us to 100% recovery. Solve those damn problems and survivors will have much less anxiety and sleep better. I don't care how difficult this is. Step up to the damn plate and do your job.
http://www.clinicaladvisor.com/treating-anxiety-can-improve-patients-sleep/article/348974/?
Anxiety plays a part in many illnesses, and the effects of anxiety follow patients through their daily lives. More than 16 million people deal with some type of anxiety disorder, including social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, panic disorder and post-traumatic stress disorder.
Being a sleep specialist, I see anxiety most when it involves a patient's sleep, but anxiety doesn't stop after patients wake up in the morning. Anxiety has a huge impact on everyday life.
Patients with anxiety report being unable to complete tasks. They often drink or use drugs, feel isolated and stop participating in life. Emotionally, patients with anxiety can be nervous and fearful. Physically, they often experience palpitations, difficulty breathing, dizziness, sweating, restlessness and an inability to concentrate.
My patients with insomnia often have difficulty turning off their thoughts at bedtime, unable to stop worrying. These patients experience sleep panic attacks, and patients with PTSD often talk about their recurring nightmares.
Anywhere from 50% to 70% of patients with generalized anxiety disorder have difficulty sleeping. Because patients with anxiety often have disturbed sleep, they start having anxiety about their lack of sleep.
Polysomnograms of patients with anxiety show prolonged sleep onset, decreased sleep efficiency, and decreased deep (slow wave) sleep. Although patients do not usually complain of daytime sleepiness, they often complain of daytime fatigue.
Prescribing antidepressants and benzodiazepines is standard treatment. However, cognitive behavioral strategies are recommended to help patients manage their anxiety. Have the name of a trusted professional ready for recommending to patients diagnosed with anxiety.
Encourage patients to find pleasurable hobbies to engage in, participate in regular exercise, and focus on positive emotions. Meditation and yoga may also be helpful.
Treating sleep disorders in patients' with anxiety may help ease patients' worries. How do you treat your patients who have panic disorders? Are you doing anything differently?
Sharon M. O'Brien, MPAS, PA-C, is a practicing clinician with an interest is helping patients understand the importance of sleep hygiene and the impact of sleep on health.

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