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, November 13, 2022

Management of post-stroke fatigue: an Australian health professional survey

 Look at this lazy crapola! 'Management' NOT RECOVERY OR RESULTS! With all this post stroke fatigue out there survivors need cures, not this shit!

At least half of all stroke survivors experience fatigue Known since March 2017

Or is it 70%? Known since March 2015

Or is it 40%? Known since September 2017

The latest crapola here:

Management of post-stroke fatigue: an Australian health professional survey


Stewart Blackwell
ORCID Icon,
Gary Crowfoot
ORCID Icon,
Julie Davey
,
Avril Drummond
ORCID Icon,
Coralie English
ORCID Icon,
Margaret Galloway
ORCID Icon, show all
Received 28 Apr 2022, Accepted 30 Oct 2022, Published online: 11 Nov 2022

Abstract

Purpose

Evidence for post-stroke fatigue management is limited. We aimed to explore how Australian health professionals assess and assist fatigue management. Our objectives were to identify fatigue assessment tools and interventions used, explore clinician’s confidence managing fatigue and explore whether management of post-stroke fatigue differs from management of fatigue related to other conditions.

Materials and methods

An online cross-sectional survey was completed by Australian health professionals (n = 60) providing services to people with fatigue. Analysis of open-ended questions identified common interventions and descriptive statistics were calculated for closed and dichotomized questions.

Results

Routine use of formal fatigue assessment tools was low (17%, n = 10). Most respondents reporting use of the Fatigue Impact Scale, Fatigue Assessment Scale and Fatigue Severity Scale. To address fatigue, respondents reported providing energy optimization strategies, education, and exercise interventions in clinical practice. Less frequently reported interventions were strategies to adapt tasks, sleep hygiene, psychology, nutrition, and pharmacology interventions. Respondents were “moderately” confident managing post-stroke fatigue. Respondents did not report differences between how they manage post-stroke fatigue and fatigue present in other conditions.

Conclusions

Few Australian health professionals formally assess post-stroke fatigue. Management is multidisciplinary and based on evidence from fatigue management in other conditions.

  • Implications for rehabilitation

  • Most health professionals are not routinely using formal assessment tools for fatigue, possibly due to a lack of consensus on best practice in research.(Assessments do fucking NOTHING for getting survivors recovered.)

  • Common strategies recommended by health professionals include energy optimisation strategies, education and exercise.

  • Comprehensive guidelines(NO, we need EXACT PROTOCOLS; guidelines are worthless!) for post-stroke fatigue management are yet to be established.

  • Health professionals should assess post-stroke fatigue using a validated tool to ensure an individualised approach to management based on the current available clinical guidelines.

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