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, November 5, 2020

Reducing Variability in Rehabilitation: Use of Clinical Knowledge Brokers

 

This is so fucking simple:

1. First there is the objective diagnosis which points you to the intervention protocol to be used to fix that diagnosis.

2.  The protocol itself contains EXACT instructions and EXACT NUMBER OF REPETITIONS.  None of this guideline crapola or clinician's expertise . 

3. Doing the first two steps correctly leads to the intended result; Recovery from the disability.

 

Reducing Variability in Rehabilitation: Use of Clinical Knowledge Brokers

    Patricia Scheets
    Patrick Hennessy
    Sarah Townsend-Grant
    J Kele Murdin

DOI:https://doi.org/10.1016/j.apmr.2020.09.272
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Large gaps exist in the implementation of research evidence in rehabilitation practice. Clinical Knowledge Brokers (CKBs) may assist in closing gaps by facilitating desired practice changes. The primary objectives of this performance improvement project were to: 1) determine if the use of CKBs would improve skills with standardized evidence-based guidelines(This is the whole problem in one word, guidelines, NOT PROTOCOLS.) 2) measure the gaps between desired and usual practice.
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