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, October 12, 2016

MULTIDISCIPLINARY TEAM (MDT) APPROACH IN STROKE REHABILITATION

What ferocity of training is your doctor implementing because of this?
http://www.ijrs.org/wp-content/uploads/2016/08/6-Editorial.pdf

Editorial
MULTIDISCIPLINARY TEAM (MDT) APPROACH IN STROKE
REHABILITATION
Muhammad Naveed Babur
1
A multidisciplinary team (MDT) is composed of members from different healthcare professions with specialized skills and expertise. The members collaborate together to make treatment recommendations that facilitate quality patient care.
Multidisciplinary teams form one aspect of the provision of a streamlined patient
journey by developing individual treatment plans that are based on 'best practice.(1)
A recent systematic review examined a wide range of evidence for stroke rehabilitation,
determining interventions that were or were likely to be serviceable, those of uncertain benefit and those where the effect was presently unknown.(2)
The review drew attention to three areas where strong evidence existed.(3,4)
Firstly, that rehabilitation should begin as early as possible after stroke. Secondly, that repetitive task-oriented training targeted at goals or activities admissible to the needs of
patients can contribute to functional recovery, especially where training takes place in the patient’s own environment. Lastly, there was widespread consensus that increased ferocity of training is beneficial.(5)
Reported benefits of effective multidisciplinary team working include more patient centered decision making, a reduction in the disintegration of care and increased staff
gratification, as well as more efficient and effective use of resources.(6)
However, policies, guidelines and research evidence do not themselves bring about change in health professionals’ behavior; there has to be a commonly understood purpose and perceived or actual benefit at the individual and organization
al level.(7)
There is undeniable evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams. When compared with traditional care, organized inpatient stroke care resulted in long-term reductions in death, outpost and the need for institutional care.(8)
Reference
1.  Association of Academic Physiatrists(http://www.physiatry.org/). Accessed
on 12 May 2016)
2. Moylan CA, Lindhorst T, Tajima EA. Contested discourses in multidisciplinary sexual assault response teams (SARTs).
Journal of interpersonal violence. 2015.
3. Körner M, Wirtz MA, Bengel J, Göritz AS.
Relationship of organizational culture, teamwork and job satisfaction in interprofessional teams. BMC health services research. 2015;15(1):1.
4. Fluet G, Patel J, Merians A, Qiu Q, Yarossi M,Adamovich S, et al., editors.
Clinical and neurophysiologic responses to recovery-oriented virtual rehabilitation of hand function in a person with subacute stroke: A case study.
Virtual Rehabilitation Proceedings (ICVR),
2015 International Conference on; 2015: IEEE.
5. Andrews J, Guyatt G, Oxman AD, Alderson P, Dahm P, Falck-Ytter Y, et al. GRADE
guidelines: 14. Going from evidence to recommendations: the significance and
presentation of recommendations. Journal ofclinical epidemiology. 2013;66(7):719-25.
6. Clarke DJ, Holt J. Understanding nursing practice in stroke units: a Q-methodological
study.
Disability and rehabilitation.
2015;37(20):1870-80.
7. Lord J, Willis S, Eatock J, Tappenden P, Trapero-Bertran M, Miners A, et al. Economic modelling of diagnostic and treatment pathways in National Institute for Health and Care
Excellence clinical guidelines: the Modelling Algorithm Pathways in Guidelines (MAPGuide) project. 2013.
8. Clarke DJ. The role of multidisciplinary team care in stroke rehabilitation. Progress in
Neurology and Psychiatry. 2013;17(4):5-8.
1.
Associate Professor, IIRS Isra University Islamabad
Correspondence:
Muhammad Naveed Babur, Associate Professor IIRS Isra
University. Farash
Town Islamabad
E
-
mail:
naveedphysio@gmail.com

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