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, October 23, 2019

Recovery from stroke: The challenges

Do you even understand that most of the problems you are referring to are secondary to the stroke? Getting to 100% recovery would eliminate all these problems. ARE YOU EVEN TRYING TO SOLVE THE 100% RECOVERY ISSUE?  Or just sitting on your ass twiddling your thumbs because solving that would be hard work? 

I'll simplify it for you in 5 steps:

Damn it all: stroke is easy; 5 steps.
1.  Describe the problems exactly.
2.  Write thousands of RFPs to researchers/MIT grads to solve those problems.
3.  Fund them with foundation grants.
4.  Write stroke rehab protocols based on the research.
5.  Get the Nobel prize in medicine 

Recovery from stroke: The challenges

Juliet Bouverie, Chief Executive of the Stroke Association explores the challenges around recovery from stroke

When stroke strikes, part of your brain shuts down. The impact is devastating. It could be anything from wiping out speech and physical abilities to affecting a person’s emotions and personality. There’s no doubt that recovery from these effects takes time, a ton of courage, determination and support.
Doctors, physiotherapists and speech therapists are a vital step in helping stroke survivors rebuild their lives, but we need to know what struggles stroke survivors face that advances in medical knowledge cannot solve. This is why the Stroke Association commissioned our largest ever survey of UK stroke survivors to form our four-part Lived Experience of Stroke report.
Throughout 2018, over 11,000 stroke survivors and carers from across the UK told us about their experience of stroke. They shared their thoughts and feelings about the severity of their stroke, life after their stroke, the things they have found challenging to adapt to, the support they have received, and the areas in which they wish they had been better supported.
Every day, my colleagues and I at the Stroke Association hear upsetting stories which bring the research findings to life. We hear of marriages broken and suicide attempts, of jobs lost, houses sold and stroke survivors, their families and family carers becoming homeless. When I first joined the Stroke Association, I was told about one man who lamented that living with the effects of stroke wasn’t a life worth living for him and that he’d rather have died in hospital. On the most basic level, this is upsetting and speaks of the psychological trauma a stroke can cause. We now have robust data to show what we knew anecdotally, that the stroke population desperately needs emotional and psychological support.
For too long now, the social and psychological impacts of stroke have gone unnoticed and have been overshadowed by the importance of physical rehabilitation. There are currently 1.2 million stroke survivors in the UK. Alarmingly, we found that nearly a million stroke survivors have a mental health problem as a consequence of their stroke. Three-quarters of survivors face a battle with depression, anxiety, lack of confidence, mood swings and even suicidal thoughts. Devastatingly, a quarter of these people say they haven’t had the emotional support they should be getting, and so desperately need, to rebuild their lives.
Overall, nine out of ten survivors experience at least one cognitive effect including fatigue, problems with concentration, decision-making, reading, writing and poor memory. These challenges are compounded by the worry that another stroke may be on the way.
A stroke at any age can be devastating, but the condition is particularly cruel when it hits people of working-age. One in every four strokes happens to a person aged 18-65. We now know that nearly half (43%) of working-age stroke survivors are faced with financial hardship after their stroke and over half (51%) gave up work or reduced their working hours following their stroke. Nearly one in six (15%) working-age stroke survivors experienced discrimination, missed out on a promotion or said their employer was not supportive.
Of course, the psychological and physical effects of stroke can be heavily intertwined, as often the mental and therefore hidden impacts of a stroke affect a stroke survivor’s ability to work as much as the physical impacts. Employers often do not understand the breadth of consequences that a stroke can have on a person; this is symptomatic of the public’s overall lack of stroke knowledge. For example, 14 million people who know a stroke survivor don’t even realise that stroke happens in the brain.
Our stroke recovery teams provide stroke survivors and their families with information and advice on how to rebuild their lives after stroke, including signposting to other services and support with filling in disability benefit application forms. The Stroke Association’s service teams help stroke survivors get back to work and provide advice to reduce the financial burden that a stroke can have on a survivor. We have developed My Stroke Guide to help stroke survivors access vital information and offer peer support online and we also run the Stroke Helpline as further support for everyone affected by stroke.
The evidence highlights how important it is that families, friends and health professionals who support stroke survivors understand what it means to live with these ‘hidden effects’, ask how people are feeling and provide appropriate social, emotional and psychological support. We have pushed for psychological support to become a higher priority and I’m pleased to see more holistic support included in the National Stroke Programme. The programme aims to deliver on stroke goals in the Long Term Plan

(Your long term plan is worthless.

Lousy plan for stroke. NOTHING on 100% recovery just 'care' and 'services'.  Whomever wrote this up didn't talk to stroke survivors and did no planning on how to solve all the problems in stroke. They assumed the status quo will continue and nothing new will be found. That way there will be no hard and difficult work to be done. In other words there are NO LEADERS to be found.)

 and we are proud to be working closely with NHS England to develop and deliver it. Please do refer your clients who may be affected by stroke to the Stroke Association’s vital information and support services (see below for details). We’re here to help rebuild lives after stroke.

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