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:

Tuesday, September 27, 2016

Review highlights urgent demand for tool to identify stroke survivors with visual impairments

Well there is NO standardized way to identify ANY stroke damage diagnosis because everyone uses impairment to try to guess where the damage was. Totally fucking useless. You have no way of knowing which of these 9 causes of deficits is responsible. Without knowing what caused the deficit your therapist is just whistling in the dark. We will never get stroke protocols properly correlated with damage until we get of objective damage diagnosis. Your doctor is totally incompetent for not coming up with a damage diagnosis and properly instructing your therapists in the stroke protocols that will get you back to 100%. Your doctor will whine and complain and give the fucking excuse: 'All strokes are different, all stroke recoveries are different'. If s/he gives you that load of bullshit, call up the hospital president and ask for someone competent. That probably means firing the complete stroke medical team, but we have to start cleaning out the deadwood sometime.

A University of Liverpool led review of the methods available to screen for post-stroke visual impairments has found there is an urgent demand for the development of a tool.
Currently, over 65% of stroke survivors will suffer from a visual impairment while 45% of stroke units do not assess vision.
Visual impairment significantly reduces the quality of life of stroke survivors with many being unable to return to work or drive and in some cases results in depression. The impairments can also have an impact on other people when it is not diagnosed or sufficiently communicated to patients.
Quality of life
Identifying visual impairment after stroke can aid general rehabilitation and thus, improve the quality of life for these patients.
The review, led by postgraduate researcher Kerry Hanna from the University's Institute of Psychology, Health and Society, examined the available literature about current screening methods to accurately identify stroke survivors with visual impairments.
This included reviews of randomised controlled trials, controlled trials, cohort studies, observational studies, systematic reviews and retrospective medical note reviews.
The review, published in 'The Journal of Disability and Rehabilitation' today, found that there is currently no standardised visual screening tool which can accurately assess all potential post stroke visual impairments.
Visual defects missed
Kerry Hanna, said: "The current tools screen for only a number of potential stroke-related impairments meaning many visual defects may be missed.
"The sensitivity of those which screen for all impairments is significantly lowered when patients are unable to report their visual symptoms.
"Future research is required to develop a tool capable of assessing stroke patients which encompasses all potential visual deficits and can also be easily performed by both the patients and administered by health care professionals in order to ensure all stroke survivors with visual impairment are accurately identified and managed."
University of Liverpool

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