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, June 2, 2016

Access to rehab after strokes remains issue in Ottawa, report finds

You are going to have to complain that  access to rehabilitaion means jackshit if the results aren't measured and improved. They didn't even focus on the important parts of stroke. This is why you never allow medical staff to run reports like this, they don't even work or report on the correct stuff.
http://www.cbc.ca/news/canada/ottawa/stroke-mortality-rate-improves-heart-health-ottawa-ontario-1.3611496
Ottawa stroke patients have survival rates on par with the rest of the province but are less likely to get rehabilitative care and must wait longer to get it, according to new research from the Ontario Stroke Network.
According to the annual OSN Stroke Report Card, the risk of dying within 30 days of a brain attack was 10.6 per 1000 people in 2015. That's more than a ten-per-cent drop from the previous year and researchers say that means 60 fewer adults are dying annually from strokes.
Ottawa is getting more stroke patients into rehab but more needs to be done." Ruth Hall, Ontario Stroke Network researcher
But while Eastern Ontario can boast it has the same mortality rate, hospitals in the Champlain LHIN are having trouble keeping up with other regions when it comes to acute stroke care and rehabilitation.
"Ottawa is getting more stroke patients into rehab, but more work needs to be done," said researcher Ruth Hall, one of the authors of the report.
In 2015, 30 percent of patients were admitted to inpatient rehabilitation after being discharged from acute care. That's a three per cent increase from the previous year, but well below the provincial benchmark of 45 per cent.
Hall says the deficiency can be directly linked to the region's lack of centralized care for stroke patients. Less than two per cent of patients in the Champlain LHIN get treated in a stroke unit, while provincially 72 percent of patients are treated in stroke units.

No defined stroke unit, author says

"Ottawa does not have what meets the definition of a dedicated stroke unit," said Hall.
OSN defines a stroke unit as "a geographical unit with identifiable co-located beds occupied by stroke patients on average 75 [per cent] of the time." The unit has a dedicated inter-professional team consisting of nurses, physiotherapists, occupational therapists and speech language pathologists.
"Patients receive better care management and treatment of strokes and get admitted into rehabilitation faster if there is a dedicated unit."
HealthMatters Stroke Rehab 20130527
Stroke rehab like that pictured in this 2013 file photo takes longer to access in eastern Ontario than the rest of the province, the report found. (Jesse Johnston/Canadian Press)
In the capital region, it takes a stroke patient roughly 14 days to get access to physiotherapy in hospital, more than double the time of the provincial average.
Of the 20 categories of care the OSN lists, hospitals in the Champlain LHIN received failing grades in seven areas, acceptable marks in six areas and only one exemplary mark. Only 1.2 people out of 1000 in Ottawa Centre are admitted to hospital for strokes.
Health experts say the Champlain LHIN is good at preventing strokes, it just needs to get better at treating the neurological attacks.
You can read the Ontario Stroke Network Report Card here.

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