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

Wednesday, September 28, 2016

The Rehabilitation of Younger Stroke Patients

Your doctor can read the 68 pages here and update the young stroke protocols she has.

The Rehabilitation of Younger Stroke Patients

www.ebrsr.com
Key Points
The incidence rate of young stroke patients varies considerably due to differing population
demographics surveyed.
Approximately one third of young stroke victims suffered a stroke of unknown etiology.
Hypertension, arteriovenous ma
lformations, ruptured aneurysms, or a combination of these
factors are the most common causes for hemorrhagic strokes in young individuals.
The majority of strokes in young patients are ischemic.
Patients under 30 experience more uncommon etiologies. Pote
ntial causes of young strokes are
likely due to genetic factors or pre
-
existing conditions/diseases that increase the risk of strokes.
Modifiable risk factors for stroke include smoking, hypertension, hyperlipidemia, diabetes mellitus,
excessive alcohol co
nsumption, drug use, oral contraceptive use in women, and migraine with aura
in young females.
Non
-
modifiable risk factors for stroke include family history, patent foramen ovale, age, race,
mitral
-
valve prolapse, and pregnancy/postpartum in young females.
Young stroke patients have a better recovery and prognosis when compared to older stroke
patients.
Young stroke rehabilitation differs when compared to the typical older stroke rehab because of a
better likelihood of neurological recovery and unique
social issues.
Improved recovery of young stroke patients tends to put less stress on caregivers; however,
struggles are often associated with changes in relationships and difficulty adjusting post
-
stroke.
Institutionalization is required infrequently in y
oung stroke patients and is generally associated with
severe stroke and poor or limited social support.
Vocational issues are often neglected in young stroke patients’ rehabilitation.
Vocational issues in young patients are influenced by job type, cognitiv
e ability, functional recovery
and stroke severity.
Young patients post
-
stroke tend to have unique psychosocial and supportive needs rather than
specific health concerns.
Dr. Robert Teasell
Parkwood Institute, 550 Wellington Road, London, Ontario, Canada, N6C 0A7
Phone: 519.685.4000 ● Web:
www.ebrsr.com
● Email:
Robert.Teasell@sjhc.london.on.ca

No comments:

Post a Comment