I see absolutely nothing here that suggests you got them 100% recovered and as such you completely failed them. There are no excuses, you have had decades of failure and could have come up with solutions in those decades if you had acknowledged how fucking bad you were at stroke rehab. But no; excuses abound.
Excuse #1. People with hemiparesis after stroke appear to recover 70 to 80 percent of the difference between their baseline and the maximum upper-extremity Fugl-Meyer (UEFM) score, a phenomenon called proportional recovery (PR).
Excuse #2. Have the potential to empower patients to take more responsibility for their rehabilitation and continue with long-term exercise. So blame the patient rather than the doctor.
Factors associated with successful home discharge after inpatient rehabilitation in frail older stroke patients
BMC Geriatrics — Vluggen TPMM, et al. | January 28, 2020
Researchers sought to determine the factors
associated with home discharge after inpatient rehabilitation among
frail and multimorbid older stroke patients. Ninety-two
community-dwelling stroke patients (mean age: 79.0 years (SD 6.4); 51.1%
females) were assessed in this longitudinal cohort study. Sixteen
potentially relevant factors (age; gender; household situation before
admission; stroke history; cardiovascular disorders; diabetes mellitus;
multimorbidity; cognitive disability; neglect; apraxia; dysphagia;
urinary and bowel incontinence; emotional problems; sitting balance;
daily activity level; and independence in activities of daily living) (You are missing testing for 100% recovery, all the rest is not needed then)
measured at admission were examined for their association with discharge
to the former living situation. Within 6 months following the start of
geriatric rehabilitation, discharge to the former living situation was
reported for a total of 71 patients (77.1%). Findings suggest the
significant correlation of only a higher level of independence in
activities of daily living at admission with home discharge.
- See Also: Tea drinkers live longer
Read the full article on BMC Geriatrics
No comments:
Post a Comment