Deans' stroke musings: A comprehensive neurorehabilitation program should be an integral part of a comprehensive stroke center.

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.

Tuesday, December 9, 2014

A comprehensive neurorehabilitation program should be an integral part of a comprehensive stroke center.

These people obviously did not look closely enough at their data to see the appalling recovery percentages and see the cause and effect of why recovery is so bad. I'm assuming they wanted to show that multidisciplinary units work and they came up with the data that showed that. If their study showed only a 10% full recovery rate, that is a f*cking failure by any measurement. Send your doctor after the complete details of this.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J69778&phrase=no&rec=125831
NARIC Accession Number: J69778. What's this?
ISSN: 1664-2295.
Author(s): Bagherpour, Reza; Dykstra, Dennis; Barrett, A. M.; Luft, Andreas; Divani, Afshin A..
Project Number: H133G120203.
Publication Year: 2014.
Number of Pages: 15.
Abstract: Article examines the importance and benefits of integrating neurorehabilitation services in comprehensive stroke centers (CSCs). The authors contend that a coordinated multidisciplinary rehabilitation within stroke units has been one of the components credited for long-term reductions in death, dependency, and need for institutional care. Integrating neurorehabilitation services and initiating rehabilitation care pathways with acute, sub-acute, home, and chronic components offers a CSC the opportunity to significantly improve patient outcomes. The ideal way to integrate neurorehabilitation services in CSCs is to base recommendations on quality improvement studies that have demonstrated how to man-age referral protocols to optimize rehabilitation outcomes. Unfortunately, studies comparing rehabilitation outcomes with different rehabilitation care referral procedures are not yet available. CSCs are ideal settings for examining differences in outcome based on systems of care, and the authors urge stroke researchers to begin evaluating and comparing rehabilitation referral pathways. Health outcomes research in stroke needs to extend to studying rehabilitation interventions in order to evaluate optimal regimens for early intervention that are feasible in many settings, cost-effective, and well-accepted by patients and families. However, until evidence-based protocols for rehabilitation are available, true quality monitoring in the CSC setting needs to be based on the best-practice standards.
Descriptor Terms: HEALTH CARE, INTERDISCIPLINARY ACTIVITIES, REHABILITATION SERVICES, SERVICE INTEGRATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001043/.

Citation: Bagherpour, Reza, Dykstra, Dennis, Barrett, A. M., Luft, Andreas, Divani, Afshin A.. (2014). A comprehensive neurorehabilitation program should be an integral part of a comprehensive stroke center. Frontiers in Neurology, 5(57) Retrieved 12/9/2014, from REHABDATA database.