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.

Monday, January 22, 2018

Cognitive and Mood Assessment Tools for Use in Stroke

My mood after my doctor not telling me anything about my recovery prospects or stroke protocols being used to get recovered was not good.  My next doctor will not be let off without a complete dressing down of their lack of knowledge. If 10 million yearly stroke survivors  started dressing down their doctors for not knowing anything about recovery we might start getting somewhere.

Cognitive and Mood Assessment Tools for Use in Stroke

Terence J. Quinn, Emma Elliott, Peter Langhorne
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Should Stroke Physicians Assess Cognition and Mood?

It would seem intuitive that for a brain disease, such as stroke, the examination of memory, thinking, and mood would be fundamental to the clinical assessment. Yet in contemporary stroke practice, we have tended to focus on the physical manifestations of stroke and neuropsychological aspects have received little, if any, attention.1 Thankfully the landscape is changing, and there is an increasing recognition of the importance of the psychological consequences of stroke and a growing evidence base and standardization around assessment.24 The stroke physician cannot be expected to take on the role of the neuropsychology specialist, and there will always be cases where expert input is required. However, a basic appreciation of how to approach cognitive and mood assessment should now be mandatory for all working in stroke care.
In this review, we discuss assessment of cognitive function and mood. We have drawn on evidence from recent research, particularly systematic review.3 We do not offer a comprehensive critique of all cognitive and mood assessment tools. Rather, we suggest a framework for assessment that emphasizes the need for differing approaches to testing at differing points in the stroke pathway (Figure 1).
Figure 1.
Neuropsychological assessment throughout the stroke pathway. Schematic illustrating a potential approach to neuropsychological assessment at various stages in the stroke pathway. The tests named are given as examples rather than recommendations. Note how all elements are used to inform the clinical diagnosis. Note also that the early assessments focus on prestroke cognition, delirium, and stroke impairments rather than detailed cognitive assessment. CAM-ICU indicates Confusion Assessment Method for the Intensive Care Unit; CES-D, Centre for Epidemiologic Studies Depression; E-ADL, Extended Activities of Daily Living; HR-QoL, Health-Related Quality of Life; IQCODE, Informant Questionnaire for Cognitive Decline in the Elderly; MoCA, Montreal Cognitive Assessment (mini-MoCA, short form of …

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