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, February 27, 2018

Guidelines for Adult Stroke Rehabilitation and Recovery

You have to scream at anyone lazy enough to publish GUIDELINES and not PROTOCOLS, these people need to be keel-hauled and removed from any position in stroke. They are too lazy to solve any of the problems in stroke. Status quo is good enough for them. Management is fucking useless, we want results. GET THERE. 
https://jamanetwork.com/journals/jama/article-abstract/2673525?redirect=true

JAMA. 2018;319(8):820-821. doi:10.1001/jama.2017.22036




Stroke affects more than 800 000 people each year in the United States. Between 2000 and 2010, stroke-related deaths declined by 35% in the United States, and 80% survive the acute event.1 There is wide diversity in stroke patients and stroke severity,2 but of those admitted to a hospital, about 65% of survivors receive rehabilitation services, and more than 30% have persistent deficits in autonomy, engagement, and fulfilling societal roles.3 Clinicians should be familiar with the levels of care of poststroke rehabilitation and services, which include the acute hospital stay and postacute continuum of care, with care delivery sites differentiated by intensity of care, location of care, and needs for skilled nursing. The AHA/ASA guideline weaves evidence and consensus to guide stroke rehabilitation management throughout the spectrum of care and promote return of patients to their communities.4

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