Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, October 18, 2017

Environmental factors that influence communication between patients and their healthcare providers in acute hospital stroke units: an observational study

There was NO communication from my stroke doctors, nothing on how rehab and recovery would go. Nothing on what my brain damage was. NOTHING! I'd have to say this is all because there are NO protocols out there anywhere that can be used to get you recovered. Better to say nothing or just give you platitudes that hard work and exercise will get you recovered, even though your doctor knows that is false. 
http://www.tandfonline.com/doi/abs/10.3109/13682821003660380?src=recsys&journalCode=ilcd20#.WeYm5DFCUD4.twitter

Robyn O'Halloran, Linda Worrall & Louise Hickson
Pages 1-18 | Received 11 Jun 2009, Accepted 24 Jan 2010, Published online: 26 Mar 2010
 
Translator disclaimer
Abstract
Background: Many people have communication-related impairments when they are patients in acute hospital stroke units. One way to improve a person's ability to communicate is by providing a supportive communicative environment.
Aims: Using the World Health Organisation's (WHO) International Classification of Functioning, Disability and Health (ICF) framework, this research sought to identify the environmental factors that either create barriers to and/or facilitate communication between patients and their healthcare providers in acute hospital stroke units.
Methods & Procedures: A qualitative research methodology was used. Sixty-five patients were observed communicating with their healthcare providers in healthcare events. Interactions were transcribed and analysed to identify any environmental factors that may have influenced the interaction.
Outcomes & Results: In total, 126 environmental factors were identified, which were grouped into 89 subcategories, 28 categories, and seven overall themes. Four themes related to the healthcare provider's knowledge, communication skills, attitudes and individual characteristics. The other three themes included the presence of family, the physical environment, and hospital systems.
Conclusions & Implications: There are many environmental factors that influence communication between patients and their healthcare providers in the acute stroke unit. Removing barriers and maintaining factors that facilitate communication may contribute towards the development of communicatively accessible stroke units.
Original Article
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