After adjusting for patient and hospital characteristics, PAA+/PSC+, PAA+/PSC-, and PAA-/PSC+ hospitals had 3.15 (95% confidence intervals 2.86-3.47); 3.23 (2.93-3.56), and 1.72 (1.47-2.00) higher odds of adhering to stroke care guidelines, respectively, than hospitals that had neither recognition, wrote Gregg C. Fonarow, MD, of the University of California Los Angeles, and his co-authors in the Oct. 15 issue of the Journal of the American Heart Association.
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Legal incapacity is an invasive and sometimes, difficult legal procedure. It requires that a person file a petition with the local courts, stating the elderly person lacks the capacity to carry out activities that include making medical decisions, voting, making gifts, seeking public benefits, marrying, managing property and financial affairs, choosing where to live and who they socialize with. Most states' laws require that two doctors or other health professionals to provide reports as evidence of such incompetence and the person to be represented by an attorney. Only then can the individual's legal rights be removed, and legal supervision by a guardian or conservator be initiated. The legal guardian or conservator is the person to whom the court delegates the responsibility of acting on the incapacitated person's behalf and must report regularly his or her activities to the court.

India's cultural view of elderly care is similar to that of Nepal's. Parents are typically cared for by their children into old age, most commonly by their sons.[33] In these countries, elderly citizens, especially men, are viewed in very high regard. Traditional values demand honor and respect for older, wiser people.[34] India is facing the same problem as many developing nations in that its elderly population is increasing tremendously, with a current estimate of 90 million over the age of 60.[35] Using data on health and living conditions from the India's 60th National Sample Survey, a study found that almost a quarter of the elderly reported poor health. Reports of poor health were clustered among the poor, single, lower-educated and economically inactive groups.[36]

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“If a patient does experience the symptoms of a stroke, it is vital to receive appropriate clinical assessment and scanning in hospital early to confirm it is a blockage of a blood vessel. Patients are then referred to our interventional lab in Beaumont Hospital, the main route to thrombectomy. We will do an endovascular procedure, puncturing the artery and groin to pass a tube in the blood vessels up to the neck and head. Through the tube, we place a stent retriever, which pulls the blood clot out, restoring blood flow to the brain tissue.
Marshall Medical’s Stroke Network team includes the physicians and staff of the ED who are the first line of treatment once a patient enters the ED with stroke symptoms.  Alongside them are Stroke Coordinator Ken Atchison, and Quality Data Analyst-RN Allison Trammell who work to promote the evidence-based guidelines and assist the ED to ensure they are familiar with any new updates. This team’s effort in promoting evidence-based guidelines and providing the very best treatment possible to patients coming in to the ED is worthy of recognition.
Information about long-term care options in the United States can be found by contacting the local Area Agency on Aging[20] or elder referral agencies such as Silver Living or A Place for Mom. Furthermore, the U.S. government recommends evaluation of health care facilities through websites using data collected from sources such as Medicare records.[21]
Another top facility that you may want to consider is the University of Washington Stroke Center, which deals with diagnosis and post-stroke patient care. Certified by The Joint Commission as a primary stroke center, this facility is involved in innovative research of new medications as well as various procedures or surgeries that can help prevent or treat stroke. The medical services offered by the UW Medicine Stroke Center include emergency services, acute stroke teams, and neuroimaging, neurosurgical, and neuroradiology services. Health care professionals are continually upgrading their education so they can provide the best support and care. These medical services are available at any time of the day, ensuring that stroke victims are stabilized and can begin recovery as soon as possible after a stroke.
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Round the clock care provided a young female home health aide "APPLE". on her first day she appeared very caring and offered to adjust all my sister-in-laws medication. She stated that she was trained in medication, and gave us her phone number to keep us posted. On the third day she was texting myself and my wife all day while we were working. When i returned home i checked the medication as i always do, and noticed that 60 controlled pain medication was missing. When i called her to let her know she was terrified stating that her finger prints were all over every bottle but she didn't take them. When i called to complain they Round the Clock staff were rude and dismissing. I asked to speak to a supervisor they never returned my call. When i called back they just asked if i wanted someone else to come into my home, when i stated no, they became aggressively rude. I will never allow any home health agency into my home. They have ruined the experience for me. Unprofessional, and criminal rating for Round the clock.
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