What is so wrong about this is that it assumes the failures of stroke rehab status quo can't change. CHANGE THE STATUS QUO!
There should be rehab protocols for stroke severity and time to intervention, don't just throw up your hands in defeat because this is going to be difficult. Try recovering from a stroke with NOTHING USEFUL from your stroke medical professionals.
Abstract
Stroke severity and time to rehabilitation admission
(Quit using your fucking lazy excuses as to why you can't get survivors recovered.)are important factors in influencing stroke rehabilitation outcomes. We
aimed to determine the impact of: (1) stroke severity and timing to
inpatient rehabilitation admission on length of stay, functional gains,
and discharge destination; and (2) age and sex differences in time to
rehabilitation, length of stay in rehabilitation, and discharge
destination for stroke patients in Alberta. The first manuscript offers a
discussion of post-positivist critical multiplism and its value for
nursing research and describes the steps for conducting critical
multiplist nursing research using stroke rehabilitation as an example.
We identify that post-positivist critical multiplism offers a useful,
rigorous approach that relies on a step-by-step method and a
collaboration with a team of scholars who offer different perspectives,
open questioning and critique, and rigorous attention to minimize biases
throughout the research process. We examined a large retrospective
cohort to address the research aims. In the second paper, we identified
that length of time to rehabilitation admission was not significantly
different between stroke severities. Individuals with moderate and
severe stroke made significantly larger FIM gains than mild stroke
during inpatient rehabilitation. LOS was longer with increasing stroke
severity. Time to inpatient rehabilitation admission had small, but
significant impacts on functional gains and LOS. Patients with shorter
times to rehabilitation admission and those with mild stroke were more
likely to be discharged home without needing health services. In the
third paper, we identified that mean length of time from acute care
admission to inpatient rehabilitation admission was not significantly
different between males and females. There was no significant difference
in mean FIM change between males and females during inpatient
rehabilitation. Mean LOS in rehabilitation was slightly longer among
females compared to males. Male patients and those of younger age were
more likely than females and those of older age to be discharged home
without needing homecare. In conclusion, stroke severity had a
significant impact on the conduct of inpatient rehabilitation. The
impact of timing on functional gains and LOS was small. Differences in
LOS and discharge destination based on sex and age were significant.
Citation
Tanlaka, E. F. (2020). The Impact of Severity, Timing, and Sex on
Outcomes of Inpatient Stroke Rehabilitation (Unpublished doctoral
thesis). University of Calgary, Calgary, AB.
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