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, November 5, 2014

For stroke patients, hospital bed position is a delicate balancing act

Well, what is your doctors stroke protocol on this? Has it changed from this earlier research? Does your doctor even know about any of this? It is only 3 years old.

Optical Bedside Monitoring of Cerebral Blood Flow in Acute Ischemic Stroke Patients During Head-of-Bed Manipulation April, 2014

HOBOE (Head-of-Bed Optimization of Elevation) Study: association of higher angle with reduced cerebral blood flow velocity in acute ischemic stroke May, 2012

The influence of positioning upon cerebral oxygenation after acute stroke: a pilot study Nov, 2011

The latest here:

For stroke patients, hospital bed position is a delicate balancing act

Bed position is an example of how attention to detail improves outcomes
MAYWOOD, Ill. (Oct. 30, 2014) – During the first 24 hours after a stroke, attention to detail - such as hospital bed positioning - is critical to patient outcomes.
Most strokes are caused by blood clots that block blood flow to the brain. Sitting upright can harm the patient because it decreases blood flow and oxygen to the brain just when the brain needs more blood.
Thus it’s reasonable to keep patients lying flat or as nearly flat as possible, according to a report in the journal MedLink Neurology by Loyola University Medical Center neurologist Murray Flaster, MD, PhD, and colleagues.
But strokes also can increase intracranial pressure (brain swelling) that can damage the brain. Sitting upright helps improve blood drainage and reduces intracranial pressure, but at a cost of reduced blood flow to the brain.
“There are few data to guide decision making in this difficult situation,” Flaster and his colleagues write.
Further complicating stroke care, some patients have orthopnea (difficulty breathing while lying flat). In such patients, the head of the bed should be kept at the lowest elevation the patient can tolerate.
Finally, frequent changes in body position, regardless of head position, may help patients tolerate lying flat, while also minimizing the risk of bed sores, the Loyola neurologists write.
Bed position is among the complex issues that Flaster and his colleagues address in their article, which summarizes the latest research on caring for ischemic stroke patients. (Most strokes are ischemic, meaning they are caused by blood clots.)
“The period immediately following an acute ischemic stroke is a time of significant risk,” the Loyola neurologists write. “Meticulous attention to the care of the stroke patient during this time can prevent further neurologic injury and minimize common complications, optimizing the chance of functional recovery."

 

 

 

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