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.

Thursday, December 18, 2014

The impact of a toolkit on use of standardised measurement tools in stroke rehabilitation

Ask your doctor what the hell is in such a toolkit and why aren't they using one?
What is the WSO doing to promote this?
http://cre.sagepub.com/content/early/2014/12/10/0269215514562590.abstract
  1. SF Tyson1
  2. L Burton1,2
  3. A McGovern2
  1. 1Stroke Research Centre, School of Nursing, Midwifery & Social Work, University of Manchester UK
  2. 2Greater Manchester Strategic Clinical Network, UK
  1. Sarah F Tyson, Stroke Research Centre, School of Nursing, Midwifery & Social Work, Jean McFarlane Building, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. Email: Sarah.Tyson@manchester.ac.uk

Abstract

Objective: To evaluate the impact of a toolkit of psychometrically robust measurement tools, the Greater Manchester Assessment for Stroke Rehabilitation (G-MASTER) toolkit, on the use of measurement tools during stroke rehabilitation
Design: Mixed methods cohort design using non-participant observation of multi-disciplinary team meetings and semi-structured interviews with members of the team over three months before and three months after implementation of the assessment toolkit. Development and implementation of the toolkit are also described.
Setting: Ten in-patient stroke services in a large UK city.
Subjects: Members of the participating multi-disciplinary stroke teams.
Results: Before implementation standardised measures were seldom used in team meetings. After implementation, use of all measurement tools significantly increased (36% to 81% of occasions, P<0.000). Staff were generally positive about the toolkit and felt it enabled more accurate problem identification, effective progress monitoring, timely decision-making, communication and promoted inter-team relationships.
Conclusions: A toolkit of standardised measurement tools can be feasibly and acceptably implemented into stroke rehabilitation. It increases the use of measurement tools by the multi-disciplinary team and improves the processes and quality of care.
(Notice that nothing is said about improving RESULTS)
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1 comment:

  1. Rebecca DuttonDecember 18, 2014 at 9:50 AM

    Therapists can't treat what they don't see. The big question for me is how sensitive these tests are. Being able to observe small changes give clients encouragement and tells therapists if they need to change what they are doing.

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