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, February 16, 2021

Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation

 The biggest barrier to participation is the FACT that your stroke medical team KNOWS NOTHING ABOUT GETTING YOU 100% RECOVERED. You get guidelines and excuses: 'All strokes are different, all stroke recoveries are different.' With exact protocols, even if millions of reps were required survivors would gladly do the work.

Exploring patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation

Nicole Last , Tara L. Packham ORCID Icon, Rebecca E. Gewurtz , Lori J. Letts & Jocelyn E. Harris
Received 10 Nov 2018, Accepted 23 Jan 2021, Published online: 11 Feb 2021
 
Translator disclaimer

Abstract

Background

Patient participation is recognized as an important element of rehabilitation. However, few studies have used a qualitative lens to specifically examine factors influencing patient participation in stroke rehabilitation.

Aim

The purpose of this study was to investigate patient perspectives of barriers and facilitators to participating in hospital-based stroke rehabilitation.

Methods

Semi-structured interviews were conducted with 11 patients, with confirmed diagnoses of stroke, recruited from three separate rehabilitation settings. Analysis of the interviews was guided by a process of interpretive description to identify key barriers and facilitators to participation in stroke rehabilitation.

Results

Four main themes and corresponding sub-themes were constructed concerning participation in rehabilitation: (i) Environmental Factors, (ii) Components of Therapy, (iii) Physical and Emotional Well-Being, and (iv) Personal Motivators. An exploratory model of personalized rehabilitation emerged, integrating the themes emerging from the data.

Discussion

Personalized rehabilitation can be considered in comparison to person-centred care principles. The barriers and enablers experienced by patients in this study contribute to the existing knowledge of the patient experience of stroke rehabilitation and may be used to inform clinical practices and future research.

  • Implications for Rehabilitation

  • The surrounding environments can facilitate participation in rehabilitation using strategies to reduce noise and disruption and also by encouraging social interactions among patients.

  • Increasing the frequency and consistency of communication with patients about rehabilitation goals and progress could enhance participation.

  • Designing interventions to include activities that are meaningful and focused on the resumption of valued life roles is key to participation.

  • Therapy intensity, time spent sedentary, and the emotional impact of stroke are aspects of rehabilitation patient’s feel are neglected.

 
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