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

Thursday, April 27, 2017

What are the stroke ADLs you should be trained in?

Canadas' Stroke Engine is here; But you have to buy it.
http://www.strokengine.ca/family/adl_family/
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Flint Rehabs are here:
https://www.flintrehab.com/2016/activities-of-daily-living-and-stroke-recovery/
The activities of daily living (ADL’s) are:
  • Eating
  • Bathing
  • Dressing
  • Toileting
  • Transferring
  • Continence
Way too general, no way to write stroke protocols for these.
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Another site:
https://sites.google.com/site/movementincontext6/list-of-adl-activities/basic-adls-badls
Basic ADLS – these activities of daily living consist mostly of self-care tasks.
·         Bathing/Showering (including drying up, but not including dressing)
·         Dressing – Including the use of zippers, valcrow, buttons, hooks and laces.
·         Eating/Chewing/Swallowing
·         Feeding – The physical set up of food, and bringing it to the mouth
·         Functional mobility – ambulating from point a to point b in need of performing a task
·         Personal hygiene/grooming – includes washing hair, waxing, shaving and personal skin care.
·         Sexual activity
·         Toilet Hygiene – including the acts of washing down and toilet operation.
Way too general, no way to write stroke protocols for these.
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Because there seems to be no definitive definition of ADLs, you once again are guinea pigs in undocumented research  on stroke recovery with no followup report. With NO specifics you have no clue  how to open a jar of pickles, steady the jar as you stab pickles with a fork, remove that pickle from the fork. No specifics on how to wash your hands one-handed or how to dry both hands one-handed.
Simple things like:
How to spread peanut butter on bread.
How to open those little jelly packets in restaurants.
How to get jelly out of those packets.
How to shake hands with a glass of wine in your good hand.
Clapping.
NOTHING HERE IS USEFUL


1 comment:

  1. The ADLs you listed are in a separate group called Instrumental ADLs. I don't know why someone thought calling them "instrumental" was a good idea.

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