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.

Friday, May 7, 2021

EXPRESS: Palliative care after stroke: a review

If your hospital has to put you in pallative care then your hospital completely failed as getting you 100% recovered. If they didn't do an analysis to see where they failed they are worse than worthless and the complete hospital needs to be started over.

EXPRESS: Palliative care after stroke: a review

First Published May 5, 2021 Research Article 

Background: Palliative care is an integral aspect of stroke unit care. In 2016, the American Stroke Association published a policy statement on palliative care and stroke. Since then there has been an expansion in the literature on palliative care and stroke.

Aim: our aim was to narratively review research on palliative care and stroke, published since 2015.

Results: The literature fell into three broad categories: a) scope and scale of palliative care needs, b) organisation of palliative care for stroke and c) shared decision making. Most literature was observational. There was a lack of evidence about interventions that address specific palliative symptoms or improve shared decision making. Racial disparities exist in access to palliative care after stroke. There was a dearth of literature from low and middle income countries.

Conclusion. We recommend further research, especially in low and middle income countries, including research to explore why racial disparities in access to palliative care exist. Randomised trials are needed to address specific palliative care needs after stroke and to understand how best to facilitate shared decision making

 

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