What are the components of effective stroke unit care?

Has your stroke hospital updated anything of this in the past 14 years? ANYTHING AT ALL? 

'Care' is NOT RECOVERY!

This is the whole problem in stroke enumerated in one word; 'care'; NOT RECOVERY! 

Our non-existent stroke leadership should be demanding RECOVERY NOT 'CARE'! This is you, WSO!

My god, anyone in the business world would be fired immediately for managing or caring about something rather than delivering RESULTS. And this is why this is a complete fucking failure! This does nothing to guarantee recovery for survivors!

If your stroke medical 'professional'/hospital is touting 'care' it means they are a failure because they are delivering 'care'; NOT RECOVERY! I would never go to a failed hospital! Anytime I see the word 'care' associated with a stroke hospital; I immediately think fucking failure!

YOU have to get involved and change this failure mindset of 'care' to 100% RECOVERY! Survivors want RECOVERY, NOT 'CARE'!

I see nothing here that states going for 100% recovery! You need to create EXACT PROTOCOLS FOR THAT!

ASK SURVIVORS WHAT THEY WANT, THEY'LL NEVER RESPOND 'CARE'! This tyranny of low expectations has to be completely rooted out of any stroke conversation! I wouldn't go there because of such incompetency as not having 100% recovery protocols!

RECOVERY IS THE ONLY GOAL IN STROKE!

GET THERE!

What are the components of effective stroke unit care?

Age and Ageing 2002; 31: 365–371
PETER LANGHORNE, ALEX POLLOCK IN CONJUNCTION WITH THE STROKE UNIT TRIALISTS’
COLLABORATION*
Academic Section of Geriatric Medicine, Level 3, Centre Block, Royal Infirmary, Glasgow G4 OSF, UK
Address correspondence to: P. Langhorne. Fax: (q44) 141 211 4944. Email: P.Langhorne@clinmed.gla.ac.uk
Abstract
Background: the effectiveness of organized inpatient (stroke unit) care has been demonstrated in systematic reviews of clinical trials. However, the key components of stroke unit care are poorly understood.
Methods: we conducted a survey of recent trials (published 1985–2000) of a stroke unit/ward which had demonstrated a beneficial effect consistent with the stroke unit systematic review.
Results: we identified 11 eligible stroke unit trials of which the majority described similar approaches to i) assessment procedures (medical, nursing and therapy assessments), ii) early management policies (e.g. early mobilization; avoidance of urinary catheterization; treatment of hypoxia, hyperglycaemia and suspected infection), iii) ongoing rehabilitation policies (e.g. co-ordinated multidisciplinary team care, early assessment for discharge).
Conclusions: this survey provides a description of stroke unit care which can serve as a benchmark for general stroke patient care and future clinical research.