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.

Sunday, October 20, 2019

Bluewater Health eying national stroke designation

Big fucking whoopee.

 

 But you tell us NOTHING ABOUT RESULTS. They remind us they 'care' about us 10 times but never tell us how many 100% recovered.

Three measurements will tell me if the stroke hospital is possibly not completely incompetent; DO YOU MEASURE ANYTHING?

  1. tPA full recovery? Better than 12%?
  2. 30 day deaths? Better than competitors?
  3. rehab full recovery? Better than 10%?

I absolutely hate invalid chest thumping like this. 

 

Bluewater Health eying national stroke designation


District stroke centre Bluewater Health, a provincial leader in two categories in this year’s stroke report card, has sights set on national stroke distinction with Accreditation Canada.
Bluewater Health
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District stroke centre Bluewater Health, a provincial leader in two categories in this year’s stroke report card, has sights set on national stroke distinction with Accreditation Canada.
The designation – an evaluation survey is planned for November 2020 – means achieving 90 per cent across 46 key indicators in acute and inpatient rehabilitation care, said Alison Coy, interim district manager of the district stroke centre.
“It really covers the whole continuum of care,” she said about the evaluation.
Everything from the quality of service, staff expertise, how patients are educated, how timely care is, how patients are transitioned between departments – emergency to acute care or intensive care, to inpatient rehabilitation, etc. – and how well they’re supported after discharge are in the evaluation, she said.
Bluewater Health, she said, is conducting a gap analysis in acute care and rehabilitation services – separate but concurrent designations are being sought for both.
“We’re going to be targeting the areas where we really need to focus on and meet all of the standards and achieve the award,” she said.
Getting the designation – performance data would be monitored every six months afterwards in order to keep the designation, Coy said – means Bluewater Health is focused on improving patient outcomes, and highlighting its existing strengths, said Paula Gilmore, director of rehabilitation stroke, vascular and dialysis with Bluewater Health.
The designation could also help with staff recruitment and retention, she said, noting Bluewater Health’s Sarnia site has since 2003 been a district stroke centre – one of several in the Southwestern Ontario Stroke Network spanning the Erie St. Clair and Southwest local health integration networks’ territories.
Bluewater Health and nine others in that network are concurrently applying for national stroke distinction, though they’ll be evaluated individually, Gilmore said.
“All the centres can support one another too, share resources,” Coy said about the joint application. “So it really gives us strength in numbers.”
Between April 2018 and March 2019, 284 patients with stroke were treated at Bluewater Health.
Thirty-four received a clot-busting drug – arriving within 4.5 hours is a prerequisite –, 214 were admitted to the stroke unit, and 122 of those patients were transferred to inpatient rehabilitation, Coy said.
In this year’s stroke report card, via CorHealth Ontario, Bluewater Health was the top performer in two categories – number of days stroke patients waited in acute care for rehab beds to open up, and the percentage of acute care patients discharged to inpatient rehabilitation.
“What those two indicators really kind of mean together is we are ensuring good patient flow with our stroke patients, and they are receiving the right care at the right time,” Gilmore said.
“And making sure … once their acute needs are met, they are being cared for in our inpatient rehabilitation unit.”
To boost the number receiving clot-busting drugs – Bluewater Health on the report card (using data from 2017/18) registered 12.3 per cent; the provincial benchmark is 17.7 per cent – it’s vital people suffering stroke call 911 for an ambulance, Gilmore said.
Paramedics pre-register patients and notify the hospital so needed staff are waiting for stroke patients when they arrive, Coy said.
“If you’re walking into the emergency department, you’re kind of delayed in that whole ‘having the team assemble for you,’” Gilmore said.
For World Stroke Day, Oct. 29, free blood pressure checks are being offered in the atrium at Sarnia’s hospital 9:30-11:30 a.m.
“Eighty per cent of all stroke can be prevented with healthy lifestyle and controlling of risk factors,” Gilmore said.
“Making sure you have good blood pressure can help prevent stroke in the future, as well as heart disease.”
tkula@postmedia.com

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