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:

Wednesday, September 28, 2016

Falls are leading cause of injury and death in older Americans

Are you getting perturbations while walking? If not then your fall prevention program is totally lacking. Mine consists of a couple of drinks on a high bar stool, then walking thru a crowded bar to the restroom. Bumping into people is actually required so you can practice your recovery techniques.
I bet your doctor will miss giving you this excellent therapy practice.
 When I told this to an Uber driver today he suggested I write up and publish this as a stroke protocol. His wife had a massive stroke and doctors at the RIC were pretty useless is getting her recovered.

Healthcare providers play an important role in falls prevention.
Every second of every day in the United States an older adult falls, making falls the number one cause of injuries and deaths from injury among older Americans. In 2014 alone, older Americans experienced 29 million falls causing seven million injuries and costing an estimated $31 billion in annual Medicare costs, according to a new report published by the Centers for Disease Control and Prevention in the Morbidity and Mortality Weekly Report (MMWR). The new numbers are being released in conjunction with the 9th Falls Prevention Awareness Day, sponsored by the National Council on Aging (NCOA). The observance addresses the growing public health issue and promotes evidence–based prevention programs and strategies to reduce the more than 27,000 fall deaths in older adults each year. With more than 10,000 older Americans turning 65 each day, the number of fall–related injuries and deaths is expected to surge, resulting in cost increases unless preventive measures are taken. STEADI helps healthcare providers make fall prevention routine. To reduce older adult falls, CDC created the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative to help healthcare providers make fall prevention routine. STEADI is based on clinical guidelines and provides information and resources for patients, caregivers, and all members of the healthcare team. STEADI includes:
  • Information on how to screen for falls
  • Online training for providers
  • Videos on how to conduct functional assessments
  • Informational brochures for providers, patients and caregivers
At each visit, healthcare providers should:
  1. Ask patients if they have fallen in the past year, feel unsteady, or worry about falling.
  2. Review medications and stop, switch, or reduce the dose of medications that could increase the risk of falls.
  3. Recommend vitamin D supplements.

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