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, August 1, 2017

Stroke recovery linked to stimulating environment

Well shit this enriched environment was talked about by Dr. Dale Corbett in 2011. 
Just shows you how fucking incompetent stroke hospitals are, that it takes 6 years to get this into a stroke hospital. It should have been implemented within weeks of first reports of this.  I bet your stroke hospital hasn't done this either. Call that incompetent president and ask for a resignation.
https://www.uq.edu.au/news/article/2017/07/stroke-recovery-linked-stimulating-environment
A Queensland hospital has become the first to trial how increased activity in an acute stroke unit impacts on patients.
Ingrid Rosbergen from The University of Queensland’s School of Health and Rehabilitation Sciences said the study at Nambour General Hospital compared a sample of patients rehabilitated in an ‘enriched’ environment with patients rehabilitated in a ‘usual’ environment.
“Within the ‘enrichment’ model patients were encouraged to get out of their rooms and participate in group and communal activities as well as use stimulating resources such as iPads, music, newspapers, books and puzzles,” Ms Rosbergen said.
“The ‘enrichment’ model implemented in the acute stroke unit resulted in a significant increase in physical, social and cognitive activity.
“Results were sustained six months post implementation and patients showed a significant reduction in adverse events.”
The ‘usual’ environment in the acute stroke unit consisted of diverse therapists providing rehabilitation mainly within patient’s rooms.
The ‘enrichment’ model included additional education and encouragement for patients, their families and hospital staff.
Patients, families and staff were provided with education about the benefits of increased activity on functional recovery after stroke and how they could contribute to recovery.
Families were requested to bring in the patient’s clothes, hobby activities and photos and take patients out of the room and off the ward, when medically stable.
Patients in the ‘enriched’ acute stroke unit were significantly more active in a variety of areas.
Of patients in the ‘enriched’ environment group, 33 per cent were physically active, compared to 22 per cent from the ‘usual’ care group.
Forty per cent of the ‘enriched’ group were more social active, compared to 29 per cent, and 59 per cent were involved in cognitive activity, compared to 45 per cent for the ‘usual’ environment.
According to the Stroke Foundation, by the end of 2017 more than 470,000 people will be living with the effects of stroke, and this is predicted to increase to 709,000 by 2032.
“With the rising number of people affected by stroke, it is vital we improve the current model of rehabilitation to reduce the burden of stroke and find a cost-effective intervention possible within our current staffing,” Ms Rosbergen said.
“The next step for our research is to expand on current evidence to shape the ‘enriched’ environment so it can be used in multiple acute stroke units across other hospitals.”
The study was published in the Clinical Rehabilitation journal.
Media: Ingrid Rosbergen, Ingrid.Rosbergen@health.qld.gov.au, +61 07 5202 8648; Kirsten O’Leary, UQ Communications, k.oleary@uq.edu.au, +61 73365 7436

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