Deans' stroke musings: Study: More Care Needed for Stroke Survivors

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, January 20, 2015

Study: More Care Needed for Stroke Survivors

They completely came to the wrong conclusions. I don't think our stroke medical world has two functioning neurons they can rub together. Shit, this is so f*cking simple. You stop the neuronal cascade of death in the first week resulting in much less disability and these long term problems are mostly solved. Tell me exactly where the hell I am wrong. I'm quite stroke-addled and obviously am missing something very simple.
http://www.strokesmart.org/new?id=304

Long-term Care

Many stroke and heart attack survivors have trouble taking care of themselves in the decade after their medical emergency, the new study found. This includes needing help with dressing, bathing, grocery shopping, and handling their finances. These challenges get bigger each year and many survivors need long-term help with daily activities.
The study, led by the University of Michigan, also found that stroke survivors are at a higher risk of depression and memory loss. The findings recently were published in Circulation: Cardiovascular Quality and Outcomes.
Over 10 years, stroke survivors gained between 3.5 and 4.5 problems with performing daily tasks, the study found.

Stroke Rehabilitation Affects Long-term Outcomes

The findings shed light on the need for effective and consistent rehabilitation after a stroke or a heart attack and show that long-term care needs for survivors may be greater than experts thought. A recent study published in the Journal of Rehabilitation Medicine found that numerous factors affect the delivery of stroke rehabilitation, including an appropriate therapeutic environment, where patients aren’t bored and isolated, and a team approach to care.
The University of Michigan study included 370 stroke survivors and 391 heart attack survivors; researchers studied Medicare records from 1998 to 2010 and from a national survey of older Americans funded by the National Institute on Aging.

“Our findings suggest that heart attack and stroke survivors should be screened and monitored for functional disability long after discharge from the hospital because patients may need additional help with activities of daily living over the years after heart attack and stroke,” senior author Theodore Iwashyna, M.D., Ph.D. associate professor of internal medicine at the U-M Medical School and researcher in the Institute of Social Research and the VA Center for Clinical Management Research, said in a press release.

More Research Needed?

Researchers said their findings show that healthcare professionals need to understand why this is happening and look at, among other things, whether patients received incomplete rehabilitation while hospitalized.
In the United States in 2010, 6.8 million people survived strokes but that number is expected to increase by 25 percent over the next two decades. That’s because of advancements in treatment and an aging population. But as these numbers increase, the number of caregivers for older adults is expected to decrease dramatically in the same period of time.