Deans' stroke musings: Clinical assessment and screening of stroke patients with aphasia: a best practices implementation project

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, December 30, 2021

Clinical assessment and screening of stroke patients with aphasia: a best practices implementation project

Oh for fucks sake, this is totally useless, not one survivor gives a damn about your assessments. I'd have your asses fired in no time. The only goal in stroke is 100% recovery, this does nothing for that.

Give us EXACT STROKE PROTOCOLS PRODUCING EXACT RESULTS.

Clinical assessment and screening of stroke patients with aphasia: a best practices implementation project

JBI Evid Implement. 2021 Nov 11. doi: 10.1097/XEB.0000000000000300. Online ahead of print.

ABSTRACT

INTRODUCTION AND AIMS: As a critical form of stroke damage, aphasia negatively impacts stroke patients’ return to society. Speech and language intervention has been found to assist in optimizing poststroke aphasia patient outcomes; consequently, early identification and diagnosis are vital for poststroke aphasia to ensure that patients receive the rehabilitation they require. This project aimed to promote evidence-based practice (EBP) in the assessment and screening of stroke patients with aphasia and to improve the clinical outcomes of patients who suffer from poststroke aphasia in a large tertiary hospital.

METHODS: The current evidence implementation project was conducted in the neurology and rehabilitation departments of a tertiary hospital in China. Six audit criteria were developed for the baseline and follow-up audits. The project used the Joanna Briggs Institute’s (JBI) PACES software, as well as JBI’s Getting Research into Practice audit and feedback tool, to foster evidence-based healthcare in practice.

RESULTS: Although the performance of all evidence-based criteria during the baseline audit was poor, barriers were identified through baseline, and the project team carried out and implemented developed strategies following Getting Research into Practice resources. All the criteria improved from baseline after the follow-up cycle, with four out of six criteria achieving a compliance rate of 100%, and two evidence-based criteria recorded at 73 and 80% compliance, respectively.

CONCLUSION: The current project successfully increased EBP for the assessment and screening of stroke patients with aphasia. Further studies are needed to ensure the project’s long-term sustainability.

PMID:34772826 | DOI:10.1097/XEB.0000000000000300