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

Thursday, May 10, 2018

Stroke survivors are being failed by the NHS and not getting the rehab they need, charity claims

This is the wrong focus. Getting access to rehab is mostly useless, since 'Only 10% of patients get fully recovered'. The problem to solve is getting results from rehab, not just access. Solve the correct problem.
http://www.infosurhoy.com/cocoon/saii/xhtml/en_GB/health/stroke-survivors-are-being-failed-by-the-nhs-and-not-getting-the-rehab-they-need-charity-claims/

Stroke survivors are being failed by the NHS and not getting the rehabilitation they need, a charity claims.
Guidelines from the National Institute for Health and Care Excellence say those leaving hospital after a stroke should get at least 45 minutes of each kind of therapy they need for at least five days a week.
They can receive physiotherapy, help with speech and language and occupational therapy.
But the Stroke Association claims patients in fact receive around a third of what they should be getting.
They received the equivalent of 16 minutes of physiotherapy, 16 minutes of occupational therapy and 12 minutes of speech and language therapy a day, an analysis of the Sentinel Stroke National Audit Programme report for 2016 and 2017 showed.
Therapy is vital to help stroke patients relearn basic skills such as walking, talking and eating in order to regain their independence. Juliet Bouverie, chief executive of the Stroke Association, said: ‘These findings clearly show that the amount of rehabilitation therapy stroke survivors receive once they return home from hospital is woefully inadequate and jeopardises their recoveries.
‘Almost two-thirds of stroke survivors leave hospital with a disability. For those who have been robbed of the ability to carry out simple everyday tasks, access to rehabilitation therapy can be truly life-changing for them and their families.’
The charity says some stroke survivors have resorted to paying privately for therapy, making it a luxury for those who can afford it. Philippa Haslehurst, from London, had a stroke aged 47. After leaving hospital she received only two NHS sessions of physiotherapy and occupational therapy, so chose to go private.
She said: ‘I felt like after a couple of rehabilitation sessions, the NHS had wiped their hands of me. I’d made hardly any progress and was still very much dealing with the debilitating after-effects of my stroke.
‘If it wasn’t for the private physiotherapy, I wouldn’t be walking now, let alone back at work. I believe physiotherapy saved me.’
Strokes are the country’s fourth biggest killer and a major cause of disability.
NHS Clinical Commissioners, the organisation representing clinical commissioning groups, said: ‘Unfortunately the NHS does not have unlimited resources.
‘On a daily basis [clinical commissioners]are forced to make difficult decisions that balance the needs of the individual against those of their entire local population.’

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