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:

Wednesday, February 1, 2017

Physios urge MPs to prioritise stroke care in England

Totally fucking wrong, wrong, wrong. Wrong focus, this is like shutting the barn door after the horses have already left. You stop a lot of damage in the first place by stopping the neuronal cascade of death by these 5 causes in the first week.
Working on the 90% failure rate of rehab to get you to 100% recovery is not where the focus should be. This is a jobs bill for physios rather than what is best for stroke survivors.
MPs have heard there is an urgent need for improvements in stroke care in England, after speaking with physiotherapists, stroke survivors and other medical professionals.
The discussions were part of a meeting, hosted by Labour MP Chris Leslie and organised by UK charity the Stroke Association, at the House of Commons on 31 January.
It focused on the future of stroke services and highlighted the charity’s campaign, A New Era for Stroke, which is calling on the government to commit to a new national stroke strategy.
Jakko Brouwers, chair of the Association of Chartered Physiotherapists in Neurology (ACPIN), attended the event and told Frontline: ‘There is a need for continued focus on speedy, efficient and prolonged delivery of care, including the provision of dedicated stroke rehabilitation.
‘Although there is an awareness that physiotherapy provision is needed post stroke, in discussion with MP's and stroke survivors, it was clear that ACPIN and the CSP still have a lot to work on in order to bring the message home that stroke rehabilitation and ongoing care needs specialist neuro physiotherapists who are experienced in stroke.’
Inconsistent provision of care(We only care about results you blithering idiots)
Other delegates warned that stroke services across England are at risk of being deprioritised once the current national stroke strategy, which started in 2007, ends next year.
This is despite a 2016 Stroke Association survey of 1,424 stroke survivors, which showed that
  • 45 per cent of stroke survivors feel abandoned after discharge from hospital
  • only 77 per cent are receiving the rehabilitation they are entitled to while in hospital
  • 80 per cent have a physical disability but 38 per cent of those who said their disability was severe described their physiotherapy rehab as ‘poor’ or ‘very poor’
In addition a CSP audit of stroke services in England, conducted last year, found that patients in different areas of the country were receiving highly inconsistent levels of care after leaving hospital.

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