Where we stand is simple. Your doctor knows nothing, Your therapists only have guidelines, NOT PROTOCOLS.
Your hospital doesn't measure a damn thing, that way they don't know what their problems are, it is better for them to be dumb, less work.
Percentage fully recovered?
Percentage accurately diagnosed as having a stroke on the first pass?
tPA delivered and percentage fully recovered?
30 day deaths?
You are screwed if you have a stroke right now and survive.
Post-Stroke Treatment Strategies, Management, and Rehabilitation: Where We Stand?
I only copied the Conclusion.13.5ConclusionThe medical care for stroke survivors is often patchy and incompatible. Once admitted, patients are confronted with a baffling range of tests, people, and places, as well as confusion about treatment and services. This chapter takes into account the various strategies that could be employed to treat patients suffering from both ischemic and hemorrhagic stroke. The advances in acute treatment are saving the lives of people who would not have survived in the past. As a result post-stroke therapy is more important than ever. The inhospital treatments include the administration of thrombolytic agents like rtPA or urokinase as a part of thrombolysis therapy; aspirin (acetylsalicylic acid) for the prevention of MI and AIS; targeted temperature treat-ment to clear blood obstructions; management of blood pressure; the use of anti-platelet agents such as aspirin, clopidogrel, and PDE inhibitors; surgery of cerebral edema; and antithrombotic agents. The post-discharge therapies in stroke rehabilita-tion are mostly noninvasive and include lifestyle restrictions such as limiting the daily alcohol intake, abstaining from smoking, and resorting to physical exercise and herbal medications. Many trials are currently underway, which, in time, may impact on future rehabilitative practice
No comments:
Post a Comment