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:

Sunday, July 30, 2017

Update on the State of the Evidence for Stroke Family Caregiver and Dyad Interventions

You'll have to hope you get proper interventions for you and your caregivers mental health. But very very unlikely.
Tamilyn Bakas, Michael McCarthy, Elaine T. Miller
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Stroke remains a leading cause of serious long-term disability,1 with most stroke survivors returning home under the care of family members who are often unprepared for the caregiving role and lack training from healthcare providers.2,3 As a result, many stroke family caregivers experience burden, depressive symptoms, and reduced health-related quality of life.2,3 Aside from these individual issues, caregivers commonly experience interpersonal and organizational issues.2,3 Interpersonal issues reflect changes in relationships with the survivor and others, impacting roles and social activities.2 Organizational issues involve difficulty in finding resources and services.2
The American Heart Association/American Stroke Association published a scientific statement with evidence-based recommendations for stroke family caregiver and dyad interventions that are summarized in 5 main areas (Table I in the online-only Data Supplement).4 Dyad interventions were defined as those that targeted both the stroke survivor and the family caregiver, with both being active participants in the intervention.4 Intervention studies that involved family caregivers in the intervention, but did not target the health or well-being of the caregiver, were not considered to be dyad interventions.4 The recommendations were based on a critical analysis of 17 caregiver and 15 dyad intervention studies found in the literature between January 1990 and October 2012.4 Because of the rapidly growing literature in this area, the purpose of this article is to provide an update on the state of the evidence for stroke family caregiver and dyad interventions published between November 2012 and December 2016.


A critical analysis of published stroke family caregiver and dyad intervention studies was conducted using the following inclusion criteria: (1) written in the English language; (2) published from November 2012 through December 2016; (3) used a quasi-experimental or experimental research design; (4) involved a …
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