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.

Saturday, November 1, 2014

Self-management: challenges for allied healthcare professionals in stroke rehabilitation – a focus group study

Survivors self-managing their own rehab can't be any worse than the  current 10% full recovery that professionals get.
http://informahealthcare.com/doi/abs/10.3109/09638288.2014.976717
, , , and
1Department of Occupational Therapy, and
2Research Group Neurorehabilitation, HAN University of Applied Sciences,
Nijmegen
, The Netherlands,
3Scientific Institute for Quality of Health Care, and
4Department of Rehabilitation, Radboud University Medical Center,
Nijmegen
, The Netherlands
Address for correspondence:
Ton Satink
, Department Occupational Therapy, HAN University of Applied Sciences,
PO Box 6960, 6503 GL Nijmegen
, The Netherlands. Tel: +31 24 3531150. E-mail:

Abstract

Purpose: Self-management has become an important concept in stroke rehabilitation. This study explored allied healthcare professionals' (AHPs) perceptions and beliefs regarding the self-management of stroke survivors and their knowledge and skills regarding stroke self-management interventions. Method: Four focus group interviews were conducted with 27 professionals. Verbal questions and mind mapping were used to collect data. A constant comparative framework was used for analysis. Results: The AHPs discussed different levels of post-stroke self-management, depending on factors such as pre-stroke skills, recovery-phases post-stroke and cognitive abilities of the stroke patients. They hesitated about stroke clients' capacities to self-manage. AHPs questioned whether their own attitudes and skills were really supportive for stroke clients' self-management and criticised stroke services as being too medically oriented. They recommended that self-management programmes should focus both on clients and caregivers and be delivered at peoples' homes. Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes.Implications for Rehabilitation
  • Post-stroke self-management is a learning process with different levels dependent on pre-stroke lifestyle and self-management skills, the post-stroke phase of recovery, the cognitive abilities of stroke survivors and the support of caregivers (co-management).
  • Persons with cognitive impairments are not persons who cannot learn to self-manage; rather, they need more specific self-management support.
  • Case studies describing the abilities of stroke survivors, who are successful in self-management post-stroke, can help to develop “ability oriented” stroke-illness scripts.
  • Addressing “ability oriented” stroke-illness scripts in bachelor and post-graduate education will enhance positive professional beliefs concerning the self-management post-stroke, and will help professionals in coaching in stroke survivors' goal setting in self-management programmes.
  • Professionals' account suggests that stroke self-management programmes should also be delivered post-discharge at stroke survivors' own homes.



Read More: http://informahealthcare.com/doi/abs/10.3109/09638288.2014.976717

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