Stroke is an emergency "brain attack", cutting off vital blood flow and oxygen to the brain. Ischemic stroke occurs when arteries are blocked by blood clots or by the gradual build-up of plaque and other fatty deposits. About 87% of all strokes are ischemic. Hemorrhagic stroke occurs when a blood vessel in the brain breaks, leaking blood into the brain. Hemorrhagic strokes account for 13% of all strokes.
Needs differ at different times in our lives. Sometimes all we need is a little extra help to be able to remain at home. An accident, surgery or an illness may cause us to require assistance with recovery. Whether your need is intermittent or continuous our team is available an hour a day to 24 hour care. Around The Clock Care wants to help you age in place in the comforts of your own home.

Team approach. Mayo Clinic doctors trained in blood vessel and brain conditions (cerebrovascular neurologists), blood vessel conditions and imaging (endovascular surgical neuroradiologists), blood vessel conditions and brain surgery (vascular neurosurgeons), physical medicine and rehabilitation (physiatrists), emergency medicine and other areas work together to promptly diagnose and treat people who have had strokes, and to prevent strokes in people who are at risk of strokes.

Nurse Next Door’s around-the-clock care gives you on-going companionship and support every day and every evening. Whether it’s 3 in the afternoon, or 3 in the middle of the night, our comprehensive health services program will support you with compassionate and attentive assistance any time you need it. From providing medication in the evening, to assisting you with getting dressed in the morning, we will ensure you have around-the-clock home care for situations that may require close monitoring. Rest easy knowing you will always have someone by your side to attend to your needs if and when necessary.
One relatively new service in the United States that can help keep older people in their homes longer is respite care.[18] This type of care allows caregivers the opportunity to go on vacation or a business trip and know that their family member has good quality temporary care, for without this help the elder might have to move permanently to an outside facility. Another unique type of care cropping in U.S. hospitals is called acute care of elder units, or ACE units, which provide "a homelike setting" within a medical center specifically for older adults.[19]
Delivery:  Delivery is the prompt transport of the patient to a hospital, preferably a stroke center. Emergency medical personnel should be trained in performing a rapid assessment of the patient’s condition. If a stroke is suspected, the patient should be transported to an appropriate receiving hospital as soon as possible. A medical history and baseline mental status should be documented. The time since onset of symptoms should also be noted and is referred to as ‘time zero’, or the last time the patient was seen to be normal. Emergency medical workers need to provide pre-arrival information to the receiving facility so that the ED can prepare for the arrival of a potential stroke patient.
If your stroke affected the right side of your brain, your movement and sensation on the left side of your body may be affected. If your stroke damaged the brain tissue on the left side of your brain, your movement and sensation on the right side of your body may be affected. Brain damage to the left side of your brain may cause speech and language disorders.
Best Personal Care is a wonderful facility. I put my father at this facility 10 months ago. The staff at Best Personal Care communicated consistently and helped my father to become independent again. They made sure that he took all his meds and took him to his doctor appointments. They also were very helpful in making sure that he had continuous activities to help keep his mind occupied. I highly recommend Best Personal Care. Arnie and Anglelina are very caring people. My father has been to many other facilities that were not near as proactive with his care. Best Personal Care lives up to their name and made a big difference in helping my father to get better and be able to live independently again.
When someone is having symptoms of a stroke – slurred speech, sudden leg or arm weakness, facial drooping, loss of balance or visual changes – getting them to the hospital quickly can mean the difference between recovery and permanent disability. One of the best treatments for ischemic stroke is treatment with the clot-busting drug, intravenous tissue plasminogen activator, or IV tPA. If given in the first three hours after the start of stroke symptoms, IV tPA has been shown to significantly reduce the effects of stroke and lessen the chance of permanent disability. UofL Hospital Stroke Center staff strive to deliver IV tPA to appropriate patients within 45 minutes to one hour from the time they arrive at the hospital.
“Mechanical thrombectomy is a treatment used to remove a large blood clot from inside a blood vessel in a patient’s brain,” explains Dr John Thornton. “Before this was developed, Irish patients were receiving clot-busting drugs to help dissolve the clot instead of pulling the clot out but what became evident was that these drugs didn’t work as well when there was a large blockage in the brain. Thrombectomy provides the greatest chance of patient recovery from large blockages which cause the most devastating strokes.”
In most western countries, care facilities for older adults are residential family care homes, freestanding assisted living facilities, nursing homes, and continuing care retirement communities (CCRCs).[8] A family care home is a residential home with support and supervisory personnel by an agency, organization, or individual that provides room and board, personal care and habilitation services in a family environment for at least two and no more than six persons.[9]
Innovative programs. Doctors at Mayo Clinic's campuses in Arizona, Florida and Minnesota use stroke telemedicine to evaluate people who have had acute strokes at remote sites and provide treatment recommendations to doctors at other sites. Doctors communicate using digital video cameras, internet telecommunications, robots and other technology. Doctors at Mayo Clinic's Minnesota campus offer brain rehabilitation to people who have had strokes.
Before the inspection, we reviewed the information we held about the service. This included the previous inspection report and notifications since the last inspection. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
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