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.

Tuesday, May 26, 2020

Stroke survivors, caregivers may benefit from spirituality

Not me.  Don't let your doctor use this as a get out of jail free card for not getting you 100% recovered.  A statement from my parents that 'God doesn't give you anything more than you can handle'. A God that is that evil tipped me completely into atheism and I relied on my own internal strengths to get where I am today.

Stroke survivors, caregivers may benefit from spirituality

Spirituality improved quality of life for patients who survived stroke and for their caregivers who reported depressive symptoms, according to a study published in Circulation: Cardiovascular Quality and Outcomes.
“The results of this study highlight the protective role of spirituality understood not as religiosity, but as the individual’s perception of life within the context of the culture and value systems of the society and in relation to the individual’s goals, expectations, standards and concerns,” Gianluca Pucciarelli, PhD, FAHA, research fellow at the University of Rome, told Healio. “Spirituality seems to be a coping variable that ‘moderates’ the effect of psychological variables (ie, depression) on individual variables (ie, quality of life). Being a coping variable, spirituality may alter the meaning of the events, making them less stressful in nature, moderate the negative associations leading to problems or manage the level of emotional response to stressors.”
Researchers analyzed data from 213 dyads of stroke survivors (mean age, 71 years; 49% women) and their care partners (mean age, 52 years; 66% women) who were enrolled at discharge from 10 rehabilitation hospitals in Italy. Care partners were defined as those who provided most of the informal care for the stroke survivor. Dyads were followed up every 3 months for 1 year.
Several measures were taken during the study for the stroke survivor and care partner, including anxiety, depression and spirituality. Researchers also assessed physical, environmental, social and psychological quality of life.
The spirituality of the stroke survivor significantly weakened the link between a care partner’s depressive symptoms and the psychological quality of life of the survivor (beta = 0.05; P < .001). This specifically focused on the significant interaction between depressive symptoms of the care partner and the survivor’s spirituality (effect size = 0.24). A similar effect related to spirituality was also observed for the care partner’s baseline psychological quality of life (beta = 0.04; P < .001), with a significant interaction between depressive symptoms of the care partner and the spirituality of the survivor (effect size = 0.24).
Spirituality of the care partner was linked to their physical quality of life at baseline (beta = 0.28; P < .001).
“Our study emphasizes the importance for clinicians to view survivors holistically; not just as a patient with symptoms and disabilities, but also as an individual made up of emotional needs, suffering, hopes, faith, religious beliefs and desires, and also part of an interdependent unit with their caregivers,” Pucciarelli said in an interview. “Usually in the international context, there is a tendency to put the patient at the center of care, but it would be advisable to change the thinking strategy. We should start developing projects that may put the dyad at the center of care and not only the patient, because as we have seen, stroke does not impact only on the survivors’ life.” – by Darlene Dobkowski
For more information:
Gianluca Pucciarelli, PhD, FAHA, can be reached at gianluca.pucciarelli@uniroma2.it.

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