Informing better care for post-stroke fatigue

 

Big fucking whoopee.

 

  You delivered NOTHING that gets survivors recovered! 'Care' doesn't deliver recovery you blithering idiots! There is NO leadership anywhere in stroke. How many funerals need to occur before we get great stroke leadership?

Neils Bohr who famously said science progresses one funeral at a time. 

Hope you enjoy NOT RECOVERING from your stroke when you become the 1 in 4 per WHO that has a stroke.  Everyone at this is TOTALLY FUCKING INCOMPETENT!

'Care' NOT RECOVERY! I'd have you all fired!

Informing better care for post-stroke fatigue

 Post-stroke fatigue causes persistent feeling of exhaustion, lack of energy or aversion to physical and mental activities, that does not get better with rest. It is a common condition affecting up to 70 per cent of stroke survivors.  A new paper from Sunnybrook, published in the Canadian Medical Association Journal, highlights key factors about post-stroke fatigue, how it is screened and treated.  

“Post-stroke fatigue is an incredibly common condition and can have significant impact on someone’s quality of life after experiencing a stroke,” explains Dr. Mark Boulos, Stroke and Sleep Neurologist in the Hurvitz Brain Sciences Program and Senior Author of the paper. “There are many different causes of post-stroke fatigue, which is why comprehensive, multidisciplinary care plays an important role in treating it.” The paper identifies five considerations for the management of post-stroke fatigue, helping inform and empower both clinicians and patients alike: Post-stroke fatigue is common, debilitating and underrecognized. 

Systematic screening during routine follow-up after stroke identifies post-stroke fatigue. 

Reversible contributors to post-stroke fatigue should be identified and addressed. 

Multidisciplinary nonpharmacological care is the cornerstone of treatment. 

Pharmacological options for treatment are limited. Risk factors for post-stroke fatigue can include depression, sleep disorders like sleep apnea, dehydration, nutrition, pain and medications. By managing reversible lifestyle and risk factors can help improve the effects of post-stroke fatigue.   “Counselling patients and caregivers about post-stroke fatigue plays a crucial role in recovery,” adds Dr. Boulos, who is also the Medical Director of the North & East GTA Stroke Network and Medical Director of the Sleep Laboratory apart of the Yuval & Lori Barzakay Brain Health Clinic, which works to diagnose and treat patients with complex sleep disorders. “There are many simple practices patients can add into their daily routine to help overcome post-stroke fatigue.”  Proper sleep hygiene, energy conservation, delegating and prioritizing activities and mindfulness practices can all support physical and mental recovery. The paper identifies that medications do not play a significant role in the treatment of post-stroke fatigue, highlighting the importance of holistic treatment and care.   Managing stroke and post-stroke fatigue treatment takes a village. Support from physicians, allied health professionals and loved ones, all play a key role in a patient’s recovery journey.