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.

Tuesday, July 11, 2023

“Wasting time”: a qualitative study of stroke survivors’ experiences of boredom in non-therapy time during inpatient rehabilitation

 Stroke survivors should have zero downtime during their hospital stay. That is the complete responsibility of your stroke doctor. If s/he is not up to the task fire them.  Blaming  needing to redesign the rehabilitation environment  is complete fucking stupidity. The blame lies directly on the doctor.

You could have at least come up with other therapies to fill their complete day with practicing something. 

Like maybe:


  1. action observation (103 posts to May 2011)

  2. music(86 posts to March 2011)

  3. music therapy (52 posts to October 2014)

  4. musical training (13 posts to June 2014)

  5. meditation (48 posts to January 2012)

  6. lucid dreaming (16 posts to January 2013) 

  7. mirror box (9 posts to October 2010)

  8. mirror therapy (64 posts to October 2012)

    If your stroke hospital can't figure out how to fill a complete day with rehab;THEY ARE COMPLETELY FUCKING INCOMPETENT!

    The latest here:

“Wasting time”: a qualitative study of stroke survivors’ experiences of boredom in non-therapy time during inpatient rehabilitation

Received 06 Dec 2022, Accepted 23 Jun 2023, Published online: 06 Jul 2023

Purpose

Stroke survivors regularly report experiencing boredom during inpatient rehabilitation which may detrimentally affect mood, learning and engagement in activities important for functional recovery. This study explores how stroke survivors meaningfully occupy their non-therapy time and their experiences of boredom, to further our understanding of this complex phenomenon.

Methods

Secondary analysis of transcripts from semi-structured interviews with stroke survivors exploring activity during non-therapy time. Transcripts were coded and analysed using a hybrid approach of inductive and deductive thematic analysis, guided by a published boredom framework.

Results

Analysis of 58 interviews of 36 males and 22 females, median age 70 years, revealed four main themes: (i) Resting during non-therapy time is valued, (ii) Managing “wasted” time, (iii) Meaningful environments support autonomy and restore a sense of normality, and (iv) Wired to be social. Whilst limited therapy, social opportunities and having “nothing to do” were common experiences, those individuals who felt in control and responsible for driving their own stroke recovery tended to report less boredom during their rehabilitation stay.

Conclusion

Creating rehabilitation environments that support autonomy, socialisation and opportunities to participate in activity are clear targets to reduce boredom during non-therapy time, increase meaningful engagement and possibly improve rehabilitation outcomes post-stroke.

IMPLICATIONS FOR REHABILITATION

  • Stroke survivors with a low sense of autonomy are at greater risk of boredom and may benefit from person-centred strategies to support participation in meaningful activities during non-therapy time whilst undertaking inpatient rehabilitation.

  • Review and reduction of paternalistic practices within traditional models of care, to increase patient autonomy, may empower stroke survivors to drive their own activity and reduce boredom.

  • The redesign and reorganisation of rehabilitation environments to increase opportunities for socialisation and access to nature and the outdoors may reduce boredom during inpatient rehabilitation.

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