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

Wednesday, July 19, 2017

Yale New Haven's nurse navigators assist stroke patients

The fact that this is needed means that the hospital is failing at getting stroke patients recovered. If tPA had a much better than 12% full success rate and they were solving and preventing the neuronal cascade of death by these 5 causes these navigators wouldn't be necessary. So put the blame where it belongs. Stroke hospital management is a complete fucking failure.
http://www.fiercehealthcare.com/healthcare/yale-new-haven-uses-nurse-navigators-to-assist-stroke-patients?
Stroke recovery can be a long and complex process for patients and caregivers, so Yale New Haven Hospital is deploying nurse navigators to help ease the transition between sites of care.
The hospital used nurses as care navigators in pediatrics and oncology before offering them to stroke patients starting in May 2016, according to an article from the New Haven Register. They meet with patients even before a stroke is formally diagnosed.
Care navigators can improve patient engagement and outcomes. And research suggests that they can reduce emergency department overuse and hospital readmissions, too. Navigators are also effective in helping poor patients who may not get sufficient care and can reduce delays in treatments and diagnoses.
Stroke symptoms can differ widely between cases, so the first thing Yale New Haven’s navigators do is offer patients and families an idea of what to expect. They then work alongside physicians and assist in “focusing on the gaps” in care.
“We can continue educating them to discuss stroke and what their expected hospital course is going to be, especially for the first 24 hours,” Kelsey Halbert, R.N., one of the navigators, said. “They will be seen by countless providers, so it’s nice to establish a familiar face.”

Some hospitals have found success using former patients as navigators and training students to serve as health coaches. At Garrett Regional Medical Center, a 55-bed rural facility in Oakland, Maryland, five volunteer navigators help their fellow patients traverse the healthcare system, and the Breast Cancer Center at the University of California, San Francisco deploys the Patient Support Corps.
At Yale New Haven, the nurse navigators also ease the transition from hospital to home for patients, according to the article. They schedule home health nurses and physical therapy appointments and keep primary care doctors in loop—or, when needed, connect patients with a PCP when they don’t have one.


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