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

Tuesday, May 9, 2017

How Rehabilitation Helps Stroke Patients Recover ‘Faster and Better’

Status quo stuff and nothing about factual results. Doesn't even suggest getting to 100% recovery.
1. Nothing on 100% recovery statistics.
2. Nothing on 30-day deaths compared to other hospitals.
3. Nothing on the efficacy of their stroke rehab protocols.
http://healthblog.uofmhealth.org/brain-health/how-rehabilitation-helps-stroke-patients-recover-faster-and-better
May 08, 2017 6:00 AM
Every year in the United States, nearly 800,000 people have a stroke, according to the Centers for Disease Control and Prevention. Approximately three-quarters of these cases are first, or new, strokes.
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The fifth-leading cause of death in the United States, stroke is also a major cause of disability in adults.
Although some people and their families might focus only on the immediate treatment following a stroke, they needn’t delay a suitable course of rehabilitation.
“Stroke patients will have some natural recovery without rehab, but there is quite a bit of evidence that formal rehabilitation helps patients recover faster and better than they would otherwise,” says Edward S. Claflin, M.D., an assistant professor in physical medicine and rehabilitation at the University of Michigan Medical School.
“Our goal is to help patients achieve their best level of function after a stroke,” says Claflin, who also directs U-M’s Stroke Rehabilitation Program — which recently achieved certification from the Joint Commission.
He shared important information about various aspects of stroke rehab and what to expect if you or a loved one needs these services. 

What are the different levels of stroke rehabilitation?  

Claflin: Acute rehabilitation, which often begins shortly after the stroke occurs, is for patients who have significant disabilities and can tolerate an intensive rehab program. The patient is evaluated by a number of rehabilitation providers, such as physicians, a physical therapist, a speech therapist and so on, depending upon needs. The patient typically participates in three to four hours of therapy per day, five days per week, for two to three weeks. This team then develops specific rehab goals and a timeline for transitioning to another rehab setting or back home.
The next level, subacute rehabilitation, is usually provided in community facilities such as nursing homes, which offer one to two hours of therapy per day. These facilities can often keep people for months, and this is typically most appropriate for those who cannot tolerate a more intense rehabilitation program.
If patients are able to return home, a home health program may be best. In these programs, rehabilitation services are provided in the home two to three times per week. If patients are more mobile, they can go to an outpatient rehabilitation program two to three times a week, where they will have the benefit of newer, better equipment than they would have at home.
Patients who are out of the hospital can visit their doctor in clinic to collaboratively develop an individualized rehabilitation program.

What types of stroke rehabilitation does U-M offer?

Claflin: Acute rehabilitation, home health and outpatient services.
The U-M Acute Stroke Rehabilitation Program includes daily physician visits, occupational therapy (for daily living skills such as dressing, eating and bathing), physical therapy, speech language pathology (for cognition, language skills and swallowing) therapeutic recreation, rehabilitation psychology, rehabilitation engineering, orthotics (for bracing), nutrition and social work services.
Our physicians are also active in traveling to subacute rehab facilities in the region to assist in meeting the needs of those patients, and we have a highly rated outpatient multidisciplinary stroke program that incorporates all the types of providers I’ve mentioned for patients well enough to travel from home.

What else should patients know about stroke rehabilitation?

Claflin: Stroke rehabilitation is not a “one-size-fits-all” kind of program. Just as every patient is different, every stroke is different. We match patients’ tolerance for rehabilitation and their rate of improvement with the amount of therapy they receive through our comprehensive program. No matter what type or level of disability they experience after a stroke, we are able to address their needs.
While not every patient will have a complete recovery, our ultimate goal is to get stroke survivors back home and living happy, healthy lives. (Nothing about 100% recovery)
 

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