Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, December 13, 2016

How Do Therapists Understand and Intend to Implement Practice Guideline Recommendations for Rehabilitation of the Upper Limb Following Stroke?

Who gives a fuck about guidelines you idiots? Write up protocols, they would be exact enough to follow. 
https://macsphere.mcmaster.ca/handle/11375/20881


Authors: Sahely, Ahmad
Advisor: MacDermid, Joy
Department: Rehabilitation Science
Publication Date: 2017
Abstract: Stroke rehabilitation interventions must be evidence-based and applicable to a range of stroke subtypes and severity of disabilities to obtain the optimal outcomes. Clinical practice guidelines assist clinicians to implement rehabilitation plans based on research evidence. Evaluations of clinicians’ practices suggest that therapists may not be following guidelines, which may explain why patient outcomes are less than expected. To increase therapists' adherence to guidelines, it would help to understand their understanding, barriers and facilitators to implementing a clinical guideline. The purpose of this thesis was to demonstrate how rehabilitation therapists understand and interpret specific clinical guideline recommendations for upper limb rehabilitation post-stroke, and to identify perceived implementation barriers and facilitators. This thesis has two elements. The first demonstrates the application of the Theory of Planned Behaviour as a conceptual framework for understanding rehabilitation professionals’ intention toward implementation of clinical guidelines in rehabilitation of persons following stroke. The second part illustrates how physiotherapists and occupational therapists understand the individual recommendations for rehabilitation of upper extremity after stroke from the Canadian Best Practice Recommendations for Stroke Care. It also characterizes the barriers and facilitators that influence therapists’ uptake of these recommendations. The data for second manuscript were collected from therapists in two different countries (Canada and Saudi Arabia) to explore the global issues of clinical guidelines implementation. The review of the Theory of Planned Behaviour informed the study design and thinking about barriers and facilitators; but thematic analyses were driven by the data, not by theory. The similarities across health systems in the two countries were more striking than the differences, highlighting common challenges for guideline implementation. The findings of this thesis highlight the need for clearer communication of the specific actions intended by the CPG, and education of therapists to ensure they know how to implement interventions utilizing these specific actions.
URI: http://hdl.handle.net/11375/20881
Appears in Collections:Open Access Dissertations and Theses

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