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:

Friday, December 9, 2016

Magee treats all of the complex consequences of stroke so you can return to a active life - Philadelphia, PA

Nowhere in here do they discuss results, fucking worthless platitudes and cliches about care and services. Someday these hospitals will realize that stroke survivors only care about getting back to 100% recovery.
Stroke affects 500,000 individuals a year and is the leading cause of disability in older adults. Stroke is sometimes referred to as a "Brain Attack" and occurs when there is a sudden disruption of the blood flow to the brain either by blood vessel blockage or a burst artery. Brain cells that are deprived of blood either become damaged or die. Those that die do not regain function and cause disability. The area of the brain that has been affected determines what problems a person has.
The environment for the stroke program at Magee is focused on safety, comfort and recovery. Patient rooms and the large therapy gym are located on the same unit, allowing easy communication between therapy and nursing team members, Magee's Stroke Center is led by a stroke program physician, who is a board certified physiatrist (fiz-ee-ah-trist - specialized rehabilitation physician). This physiatrist leads a team of stroke rehabilitation experts including case managers, nurses, respiratory therapists, occupational therapists, physical therapists, psychologists, recreational therapists, registered dietitians and speech therapists.
The stroke rehabilitation program is customized to fit each patient and family. The stroke rehabilitation team works with the patient and the family to identify their goals, completes a comprehensive assessment, and then maps out a patient-specific plan.
The Magee Stroke Program utilizes evidence based intervention; that is, the treatment provided at Magee includes those things that clinical research have proven to be best for advancing return of health and function after stroke. The entire team, nursing as well as therapy, is trained to support and to facilitate return of function through activity based intervention.
The benefits of rehabilitation do not stop after a patient has successfully demonstrated improved function and has returned home. Stroke recovery can continue for months and years, and the Magee program is designed to support that continued recovery. Magee’s Lifetime Follow-Up System of Care at the Gaspar Center provides individuals and families with continued access their rehabilitation physician and a team of expert rehabilitation professionals. This team provides a variety of services to help patients continue to regain or to maintain function, including case management for lifetime rehabilitation care.
Magee's comprehensive stroke rehabilitation care system includes:
  • Acute Rehabilitation
  • Day Hospital
  • Outpatient Services
  • Vocational Evaluation
  • Medical (Physiatric) Evaluations
  • Lifetime Follow-Up
  • Peer Mentor Program

Admission to the Stroke Rehabilitation Program

Stroke patients may be admitted to Magee's Stroke Rehabilitation Program, either directly from the acute care hospital or from home or any other care setting. For patients in formal care settings (i.e., hospital, nursing home) an evaluation by Magee's clinical outreach staff is required. Clinical evaluations are carried out within 24 hours of the referral phone call. For patients at home, a referral from a primary care physician may be required before an evaluation can take place in Magee's outpatient clinic.

Wendkos Community Center for Stroke Survivors

Magee Rehabilitation is committed to assisting stroke survivors in their return to the community. We understand that rehabilitation does not end once an individual leaves the hospital. A full continuum of services must be available, and there will always be the need to provide community based activities and opportunities for socialization. Community based programs help the person re-enter the world, to become comfortable in their own social environments, and to have fun! These resources support the stroke survivor and reduce the risk of isolation and depression.
The Wendkos Community Center for Stroke Survivors provides community based education and activities for the stroke survivor and the stroke survivor's caregiver. The center is open to the community.
An integral part of the Wendkos Community Center for Stroke Survivors is the Magee Stroke Club. Since 1991 Magee has hosted a stroke club which includes monthly education and socialization for its members, and provides opportunities for organized trips with other stroke survivors and their support persons.
Stroke Club meetings are held on the first Tuesday of every month at 11:00 a.m. at Magee. For more information, or to sign up to be on our mailing list, please click here.

Constraint Induced Movement Therapy

Constraint Induced Movement Therapy (CIMT) is a research supported intervention that assists individuals in increasing the functional use of their hemiplegic arm. Click here for more information.

Delaware Valley Stroke Council

The work of Delaware Valley Stroke Council (DVSC) is to improve services for and treatment of stroke survivors and their families. DVSC fulfills this mission by promoting optimal stroke care through advocacy, education, awareness, diagnosis and treatment.
DVSC has always believed that the organization should help provide the best stroke care through a continuum of consumer-driven, community based services. The need to promote and protect such progressive services remains urgent - especially at the local, state and federal levels. Delaware Valley Stroke Council provides leadership in our community in the hope of helping stroke survivors return to productive lives.
Click here to go to the DVSC web page.

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