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, April 12, 2017

Improved outcomes in patients with high BP who trust the medical profession

I trust my current doctors. I have zero trust in any stroke doctor or hospital.
http://cm.healio.com/cardiology/vascular-medicine/news/online/%7Bc1da8796-4e9c-4b87-a001-3bb4583fed9a%7D/improved-outcomes-in-patients-with-high-bp-who-trust-the-medical-profession?utm_source=selligent&utm_medium=email&utm_campaign=cardiology%20news&m_bt=592835816269
Among patients with hypertension, confidence in the medical profession was associated with medication adherence, resilience and improved quality of life, according to findings presented at the American Heart Association’s Quality of Care and Outcomes Research Scientific Sessions.
Researchers conducted a cross-sectional survey with 201 participants treated for hypertension; 101 of whom were Hispanic.
They aimed to determine the connection between trust and health-related quality of life, including physical and mental health. Researchers analyzed whether health-related quality of life was facilitated by resilience, defined as ability to adapt to difficult circumstances, and medication adherence. This association was also compared between the Hispanic and non-Hispanic groups.
Trust in the medical profession was positively associated with mental health (beta = 0.43; P < .001), physical health (beta = 0.32; P < .001), medication adherence (beta = 0.25; P < .05) and resilience (beta = 0.18; P < .05). Resilience was positively associated with mental health (beta = 0.34; P < .001), but not with physical health. Medication adherence was not linked to mental or physical health.
Resilience partially affected the link between trust in the medical profession and both physical and mental health. This was also noted for medication adherence and the relationship between trust and mental health, but not for physical health.
Hispanic ethnicity did not affect the associations between trust, resilience, medication adherence and health-related quality of life, according to the researchers.
“Because adherence to [BP]-lowering medication is a challenge for many people, identifying and understanding how to overcome obstacles that prevent patients from following prescribed treatments may help lower their risk for the serious health consequences of poorly controlled hypertension, including stroke and [MI], and, in turn, may lead to improved health outcomes,” Lilia Meltzer, PhD, a nurse practitioner at UCLA, said in a press release. – by Darlene Dobkowski
Reference:
Meltzer LS, Hays RD. Presentation 252. Presented at: American Heart Association’s Quality of Care and Outcomes Research Scientific Sessions; April 2-3, 2017; Arlington, Va.

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