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, June 20, 2018

Here's why the 90-day 'golden period' in post-stroke rehabilitation is vital

Crapola like this is just reinforcing the tyranny of low expectations from your stroke medical professionals.  You'll just have to ask them why they have such fucking low expectations. 100% recovery is the standard. Why the hell can't they get you there? Are they that fucking incompetent?
https://www.business-standard.com/article/news-ians/here-s-why-the-90-day-golden-period-in-post-stroke-rehabilitation-is-vital-comment-118061900254_1.html


A can hit anyone at any age. reports more than 1.8 million cases every year, of which almost 15 per cent affect people in their 30s and 40s.



A or a Cerebro Vascular Accident (CVA) results from a sudden blood loss to the brain or bleeding within the brain resulting in the impairment of neurological function. Obesity, smoking, hypertension, alcohol consumption, and family history are considered some of the common factors leading to a While effective is evolving in the country, a largely neglected area is the 'golden period' of post-stroke rehabilitation.
The first 90 days after recovery of a stroke are referred to as the 'golden period'. This phase is considered extremely important in the complete rehabilitation of a patient since most of the neurological recovery happens during this time.
This is why the 'golden period' is significant:
* In the absence of continued monitoring by a team of skilled nurses and doctors, critical signs in a patient could be overlooked consequently leading to a relapse, disability with profound effects on the quality of life or moving to a and death.
Some of the critical signs to watch for after a stroke are:
Symptoms of heart - chest pain, fatigue, congestion et al
- swelling, or tenderness in the legs
Pneumonia - fever, shortness of breath
Seizures - tingling sensation, partial loss of consciousness
- feelings of anxiety, irritability, helplessness
* Early rehabilitation in an organised care setting can prevent other complications like recurrent stroke, bed sores, aspirations, spasticity and
* A reliable prognosis (the likely course of a medical condition) in all patients is made within 12 weeks from a stroke's onset. The majority of neurological effects of a stroke can be reduced if early, intense and consistent rehabilitation is initiated.
* With the right rehabilitation care provided by a multidisciplinary team of doctors, within the first 90 days itself there will be noticeable signs of improved functional outcomes in the activities of daily living in a stroke patient. These interventions will enhance socialisation and minimize changes of mood issues like
The key objective of stroke rehabilitation is to restore in an individual through neurological recovery (mainly through neuroplasticity), functional recovery with task-specific training and improving the quality of life by focusing on emotional wellbeing.
The primary steps of rehabilitation care which needs to be initiated within the first 90 days of the Golden Period are:
* Base assessment & risk profiling - The recovery prognosis of a patient should be made as per the severity of the disease, by taking into account any co-morbidities including high blood pressure, diabetes, and preventable risk factors like falls, aspiration, et al.
* Goal setting - A multidisciplinary team of care providers including physicians, speech therapists, occupational therapists, nurses, physiotherapists and dieticians should work with the family to set realistic and mutually agreeable goals for enhanced recovery.
* Regular evaluation - Performance indicators should be rigorously monitored to continue/ modify the care plan. Stroke affects differently in individuals and hence each care plan should be customised as per the individual's condition.
* Empowerment - Soon after discharge from a critical care setting, depending on the intensity of the condition a stroke patient should decide to choose the next care setting. He/she should be advised to handle the disease/risk factors and ideally moved to an organised rehabilitation setting for an empowered and accelerated recuperation.
As battles a rising stroke epidemic compared to other developing nations, it is high time we focused on specialized programmes of stroke rehabilitation to effectively overcome the disability.
(Dr is - New Initiatives, SuVitas Holistic Healthcare. The views expressed are personal)
--IANS
vijay/vm/tb

1 comment:

  1. My hand was completely flaccid during the 90 days after my stroke. Yet my hemiplegic hand helps me do over 100 tasks today.

    ReplyDelete