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.

Thursday, October 23, 2025

Narrative Review of Patient-centred Models and Health Systems Strategies in a Global Context to Advance Post-Stroke Care

This is the whole problem in stroke enumerated in one word; 'care'; NOT RECOVERY! 

Our non-existent stroke leadership should be demanding RECOVERY NOT 'CARE'!

My god, anyone in the business world would be fired immediately for managing or caring about something rather than delivering RESULTS. And this is why this is a complete fucking failure! This does nothing to guarantee recovery for survivors!

If your hospital is touting 'care' it means they are a failure because they are delivering 'care'; NOT RECOVERY! I would never go to a failed hospital! Anytime I see the word 'care' associated with a stroke hospital; I immediately think fucking failure!

YOU have to get involved and change this failure mindset of 'care' to 100% RECOVERY! Survivors want RECOVERY, NOT 'CARE'!

I see nothing here that states going for 100% recovery! You need to create EXACT PROTOCOLS FOR THAT!

ASK SURVIVORS WHAT THEY WANT, THEY'LL NEVER RESPOND 'CARE'! This tyranny of low expectations has to be completely rooted out of any stroke conversation! I wouldn't go there because of such incompetency as not having 100% recovery protocols!

RECOVERY IS THE ONLY GOAL IN STROKE!

GET THERE!

 Narrative Review of Patient-centred Models and Health Systems Strategies in a Global Context to Advance Post-Stroke Care

 Farshid Shekari1* , Masoud Adib2 , Dr.Iman Navidi3 1,2. Public Health Student, Students Research Committee, Faculty of Health, Torbat Heydariyeh University of Medical Sciences, Tor bat Heydariyeh, Iran. 3. PhD in Health Education and Health Promotion, Faculty of Health, Arak University of Medical Sciences, Arak, Iran. Corresponding author: Farshid Shekari farshidthums@gmail.com 

 ABSTRACT. 

Strokes require coordinated post-acute care(NOT RECOVERY!) to maximise recovery and quality of life, as they are a major cause of long-term disability worldwide. This narrative review summarises recent research (2019-2024) on patient-centred models of post-stroke care(NOT RECOVERY!), health system interventions and treatment strategies. The search was done systematically using keywords related to stroke rehabilitation, case management, care(NOT RECOVERY!) pathways and equity across the reference databases PubMed, Scopus, Science Web and Google Scholar. Five major studies were reviewed, representing different contexts, such as Poland, the USA and India. The results demonstrate the value of case management by nurses, integrated care(NOT RECOVERY!) models, culturally appropriate interventions in underprivileged groups and standardised care(NOT RECOVERY!) pathways such as IMPACTUS. Basic ideas of continuity of care(NOT RECOVERY!), interdisciplinary teamwork and empowerment of patients are becoming universal, despite the differences in the context. The low-resource environment remains a challenge, particularly as regards infrastructure and labour capacity. We propose a hybrid framework combining local adaptability with international best practice. Cost-benefit studies and implementation science in low and middle income countries should be a high priority for future research © 2025 Published by Public Knowledge Project (PKP). 
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