Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, July 29, 2016

Building a Knowledge to Action Program in Stroke Rehabilitation

Precisely what I've been railing about for years. We'll see if our fucking failures of stroke associations pick up on this and actually do something. My quibble with this is they talk about guidelines not protocols. Guidelines are suggestions, protocols are exact ways of doing things.
http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=10426874&fileId=S0317167116002584

Review Article

Building a Knowledge to Action Program in Stroke Rehabilitation

Shannon Janzena1 c1, Amanda McIntyrea1a2, Marina Richardsona3, Eileen Britta4 and Robert Teasella1a4a5

a1 Lawson Health Research Institute, Parkwood Institute, London, Ontario, Canada
a2 University Hospital, London Health Sciences Centre, London, Ontario, Canada
a3 Canadian Agency for Drugs and Technologies in Health, Ottawa, Ontario, Canada
a4 Parkwood Institute, St. Josephs Health Care London, London, Ontario, Canada
a5 Department of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Abstract
The knowledge to action (KTA) process proposed by Graham et al (2006) is a framework to facilitate the development and application of research evidence into clinical practice.(otherwise known as translational science) The KTA process consists of the knowledge creation cycle and the action cycle. The Evidence Based Review of Stroke Rehabilitation is a foundational part of the knowledge creation cycle and has helped guide the development of best practice recommendations in stroke. The Rehabilitation Knowledge to Action Project is an audit-feedback process for the clinical implementation of best practice guidelines, which follows the action cycle. The objective of this review was to: (1) contextualize the Evidence Based Review of Stroke Rehabilitation and Rehabilitation Knowledge to Action Project within the KTA model and (2) show how this process led to improved evidence-based practice in stroke rehabilitation. Through this process, a single centre was able to change clinical practice and promote a culture that supports the use of evidence-based practices in stroke rehabilitation.

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