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.

Thursday, February 21, 2019

Returning to Work After Mild Stroke

I'm just focusing on one section which shows you the many many failure points of your doctor in getting you recovered enough to return to work.  Your doctor is responsible for you not needing any of these accommodations. 

THIS IS YOUR DOCTORS' RESPONSIBILITY!

Returning to Work After Mild Stroke

Shannon L. Scott, OTD, OTR/L
,
Suzanne Perea Burns, PhD, OTR/L
,
Jaclyn Schwartz, PhD, OTR/L
,
Mark Kovic, OTD, OTR/L

What are reasonable accommodations?

Some people need reasonable accommodations, supportive services, and a gradual return to work plan. The Americans with Disabilities Act18 protects employees by preventing discrimination on the basis of disability and requires employers (with 15 or more employees) to provide reasonable accommodations. Requests for accommodations must be made in writing. Table 1 shows some common problems experienced by people with mild stroke and some potential accommodations. Table 2 shows some additional resources that may be useful after a mild stroke.
Table 1Common problems after stroke and potential work accommodations
Work-Related Problems Common in Mild StrokePotential Accommodations
Oversensitivity to external stimuli such as noise or lightsPrivate office, desk light instead of overhead fluorescent lights
Difficulty concentrating when there is noise and/or distractionsQuiet work area, headphones, or ear plugs
Difficulty resuming tasks if interruptedUninterrupted hours
Needing longer time to process information and instructionsGetting written instructions for all assignments, ability to record meetings, extended deadlines
Difficulty remembering detailsAssistive technology such as the use of a notebook or smartphone to take notes, written checklists
Difficulty completing more than 1 task at a timeOrganizing tasks into smaller steps, job sharing
Delays in recognizing errors in work and problem solvingFlow charts, regular reviews with assigned colleague or mentor
Difficulty staying organized and meeting deadlinesAssistive technology such as the use of a smartphone at work to remind you of deadlines and meetings
Not being able to work as long due to mental and/or physical fatigueIncreased breaks, shorter work days, or a gradual return to work schedule
Becoming easily stressed and overwhelmedIncreased breaks, job restructuring for essential job functions only
HeadachesQuiet work areas, more frequent breaks
Problems with visionAssistive technology such as different glasses or computer programs
Conflicts with coworkers and colleagues19Sensitivity training for supervisors and staff, approved breaks for stress management, allotted time for calls to counselors, individual or group psychotherapy for skill training in areas of communication and emotional regulation
Weakness and/or decreased coordination on 1 side of the bodyHands-free telephone systems, ergonomic workstations, modified keyboards, voice recognition software
Poor schedule flexibilityConsistent work hours that allow you to keep a consistent sleep schedule and morning and evening routine
Altered ability to driveAbility to work from home or adjust work hours to allow for use of public transportation

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