Deans' stroke musings: Continuity of Care Advocate Model (CCAM): Healthcare Workers’ Perspectives on Quality Stroke Care at an Acute Unit, Rehabilitation Center and Community Rehabilitation Program in Singapore

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, November 29, 2022

Continuity of Care Advocate Model (CCAM): Healthcare Workers’ Perspectives on Quality Stroke Care at an Acute Unit, Rehabilitation Center and Community Rehabilitation Program in Singapore

You don't ask staff what constitutes quality stroke 'care'. You ask patients what constitutes QUALITY STROKE RECOVERY. And that is only one question. Are you fully recovered? Y/N?

Continuity of Care Advocate Model (CCAM): Healthcare Workers’ Perspectives on Quality Stroke Care at an Acute Unit, Rehabilitation Center and Community Rehabilitation Program in Singapore

HL Michelle Chiang https://orcid.org/0000-0001-6991-751X michellechiang@ntu.edu.sg, Audrey Yoke Poh Wong, and Andy Hau Yan HoView all authors and affiliations

OnlineFirst

https://doi.org/10.1177/10497323221139392

Abstract

Physicians, nurses, social workers, and allied health professionals including physiotherapists and occupational therapists play important roles as they work closely with stroke survivors to improve functional independence in daily activities and quality of life. Yet, in Singapore little is known about their perspectives on what constitute quality stroke care based on their clinical experiences. In this project, our qualitative interviews with 15 healthcare workers at a major stroke center in the country yielded a Continuity of Care Advocate Model (CCAM) to help us better understand our participants’ experience-based perspectives on quality stroke care(NOT RESULTS!). We found that CCAM, constructed based on the perspectives of HCWs across a stroke care continuum, is a holistic model of quality stroke care(NOT RESULTS!) which prioritizes support for patients and their families throughout the patient’s health trajectory. We conclude by discussing how this model is aligned with and differs from current research on definitions of care continuity.