Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 13403 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective 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
Tuesday, May 23, 2017
Feasibility of Integrating Post Stroke Rehabilitation and Recovery Assessments in Stroke Clinic (P5.295)
April 18, 2017
no. 16 Supplement
Objective: To assess the feasibility of integrating post-stroke rehabilitation and recovery guideline assessment during the outpatient
post-stroke follow-up visit.
Background: While a
large focus of post-stroke follow-up is secondary prevention, many
patients experience fatigue, depression, cognitive
and rehabilitation challenges requiring
attention. In May 2016, the AHA/ASA issued guidelines(not protocols) on adult stroke
and recovery integrating objective assessments
and treatment recommendations. Ensuring these aspects of care(not results) are
addressed by the provider during follow-up can
be challenging, particularly in mild stroke patients.
IRB approval, a prospective collection of rehabilitation and recovery
parameters for all patients seen in the stroke
clinic after hospital discharge was performed
using a structured questionnaire format completed by trained research
Metrics including clinical parameters, stroke
severity, modified Rankin Scale, Patient Health Questionnaire 9, Fatigue
Scale, Montreal Cognitive Assessment, and
rehabilitation status including ability to drive, return to work, and
Results: Thus far, 37
patients were surveyed with each assessment averaging 15 minutes.
Patients were 60% male with mean age of 65+/−
14.4 years. Despite low mean NIHSS (1 +/−2) and
MoCA score of 25 (+/−3), approximately 16% had clinical depression, 10%
mildly depressive symptoms, and 38% complained
of post stroke fatigue. Furthermore, 41% could not return to driving.
64% of patients were assessed within 3 months of
stroke and 36% >3 months. All but 4 patients required assistance in
Significant post stroke fatigue, depression and rehabilitative
challenges are prevalent, even in patients with mild stroke.
Utilizing a structured assessment tool with
dedicated personnel is a feasible and sensitive method in evaluating
patients and guiding management, particularly
those with mild disability.
Disclosure: Dr. Taboada has nothing to disclose. Dr. Taboada has nothing to disclose. Dr. Nouh has nothing to disclose.