If your doctor and hospital did nothing to stop the neuronal cascade of death in the first week, then your primary care doctor has a massive amount of work to do to get you recovered. 'care' is not what is wanted; 100% recovery is the only goal! Unless their definition of optimize quality of life uses the tyranny of low expectations to justify just surviving a stroke as enough. Ask your doctor what their goal is for your recovery, that will tell you if you need a new doctor, 100% recovery is the only goal in stroke. If your stroke medical professionals don't have that as a goal you need to fire the lot.
Primary Care of Adult Patients After Stroke: A Scientific Statement From the American Heart Association/American Stroke Association
Abstract
Primary care teams provide the majority of poststroke care. When optimally configured, these teams provide patient-centered care to prevent recurrent stroke, maximize function, prevent late complications, and optimize quality of life. Patient-centered primary care after stroke begins with establishing the foundation for poststroke management while engaging caregivers and family members in support of the patient. Screening for complications (eg, depression, cognitive impairment, and fall risk) and unmet needs is both a short-term and long-term component of poststroke care. Patients with ongoing functional impairments may benefit from referral to appropriate services. Ongoing care consists of managing risk factors such as high blood pressure, atrial fibrillation, diabetes, carotid stenosis, and dyslipidemia. Recommendations to reduce risk of recurrent stroke also include lifestyle modifications such as healthy diet and exercise. At the system level, primary care practices can use quality improvement strategies and available resources to enhance the delivery of evidence-based care and optimize outcomes.
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