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:

Saturday, January 14, 2017

Stroke rehab services to become community-based

You are going to have to be a real bastard and insist that the goals are 100% recovery for every survivor. They are going to scream that it is not possible. FUCK THEM.  That is the goal of every survivor, not the dumbed down goals that your doctor and therapist suggest, Running, not walking, going back to the same job in three months vs. not getting back to work ever, fully talking, not struggling for words. Yes these are BHAGs(Big Hairy Audacious Goals) but they are doable if you set out to solve them.
Inpatient stroke rehabilitation services at Nottingham University Hospitals (NUH) NHS Trust are to be replaced with community-based provision.
Nottinghamshire Healthcare NHS Foundation Trust, which delivers mental health, learning disability and physical health services, will take over the delivery of the £1.5m contract from April 1.
The trust was awarded the contract, which is due to end on March 31, 2021, by Nottingham's three clinical commissioning groups (CCG) – North and East, West and Rushcliffe.
The change means that patients will be rehabilitated in the community after spending time on the acute stroke unit at City Hospital.
A spokeswoman for Nottinghamshire Healthcare said work to develop the service is already underway, and that the trust will work closely with NUH and Nottingham CityCare.
She said: "We will be offering a therapy led multi-disciplinary team approach to providing stroke rehabilitation in a patient's home focused around the achievement of agreed rehabilitation goals. (100% recovery, nothing less)

"We are integrating the early supported discharge and the community rehabilitation elements of the care pathway and aim to improve integration with the acute unit. We will be working with an in-reach clinician supporting joint decision making on discharge and rehabilitation planning.
"Following stroke we will be providing stoke reviews for all patients – an element of the pathway not currently commissioned and provided for county patients who have had a stroke."
The decision to close the inpatient service has caused concern among Nottingham's MPs.
Graham Allen, who represents Nottingham North, Lilian Greenwood, for Nottingham South, and Chris Leslie, who represents Nottingham East, have written a letter to Health Secretary Jeremy Hunt to express their frustration at the decision.
The letter states: "We are worried that pushing stroke patients back into the community and closing specialist stroke beds will mean many who are not fit to leave hospital will be left in hospital, but without a specialist stroke ward for them to stay in."


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