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

Friday, May 12, 2017

Ireland’s stroke rate could increase 59% by 2035

I see nothing here that they are working on the appalling 10% full recovery rate or the 88% failure rate of tPA to full recovery. Nothing on the 5 causes of the neuronal cascade of death in the first week. Rather they are going down the failed assumption that they just need more therapists, that €15 million a year could solve a lot of stroke problems. Without working on solving any of these problems stroke survivors will be screwed forever.
Others have referred to this as the upcoming tsunami of stroke.  
http://www.irishtimes.com/news/health/ireland-s-stroke-rate-could-increase-59-by-2035-1.3080300

Irish Heart Foundation says acute services already less effective and more expensive


Chris Macey from the Irish Heart Foundation said: “We have to act now or the surging stroke rate will not just overwhelm our stroke units.”



The Irish Heart Foundation called for an urgent overhaul of how stroke services are resourced after a European study showed the death rate from stroke in Ireland will increase by 84 per cent in less than 20 years.
The Burden of Stroke in Europe report launched in the European Parliament in Brussels on Thursday by the Stroke Alliance for Europe also predicts the incidence of stroke in Ireland will increase by 59 per cent by 2035.
Irish Heart Foundation head of advocacy Chris Macey said acute stroke services were already becoming less effective and more expensive because stroke units could not cope with the number of strokes Irish people were having.
“We have to act now or the surging stroke rate will not just overwhelm our stroke units, there will also be a huge spill over into all acute services that will affect all patients using emergency services,” said Mr Macey.
“We don’t need extra money to fix things – we just need to invest in treatment and care that has been proved to save lives and money so we don’t have to send so many patients unnecessarily to expensive nursing home care.”
The latest statistics show that long-term care costs rose by €17.3 million in 2015 due to an increase in nursing home discharges – which could have paid for up to 1.6 million hours of homecare.
“If the HSE spent €15 million a year on providing the 200 extra therapists required to staff stroke units properly, these cost reductions would be restored and stroke services could gear up to deal with the accelerating upsurge of strokes facing our hospital system,” he said.

Clot retrieval

Other measures proven to be cost effective include the development of clot retrieval thrombectomyservices, which have been deemed cost effective in a Hiqa health technology assessment; the roll out of early supported discharge programmes whereby stroke patients receive vital therapy at home rather than in hospital; and increasing access to homecare for stroke survivors.
“These measures are largely deliverable within the funding restrictions imposed on the health services. Many are considered to be basic standards of care in other countries. Together they can significantly reduce preventable death and disability without any increase in overall costs,” said Mr Macey.
Three out of four of the country’s rehabilitation hospitals said they were unable to provide stroke patients with the recommended level of therapy they need, according to a HSE audit carried out last year.
Just one in four has a dedicated stroke unit and 60 per cent lack a stroke specialist to oversee rehabilitation. Less than one in three units has access to psychological services.
In addition, the vast majority of the 26 hospitals that took part in the study have no access to community rehabilitation teams to continue therapy that is essential to assist recovery for patients after they are discharged home.

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