Intravenous injection of tissue plasminogen activator (tPA). This injection of recombinant tissue plasminogen activator (tPA), also called alteplase, is considered the gold standard treatment for ischemic stroke. An injection of tPA is usually given through a vein in the arm. This potent clot-busting drug ideally is given within three hours. In some instances, tPA can be given up to 4.5 hours after stroke symptoms begin.
A local example of the life-saving stroke care making a difference was a man who came to Marshall North ER in June with weakness and impaired speech. Tests showed the patient to be a candidate for teleneurology and possible tPA – a clot busting medication. Through the teleneurology system – which links rural hospitals with a neurologist at Huntsville Hospital using a computer monitor – the medical team determined tPA should be administered. The patient received the drug and, after close monitoring, was transferred to Huntsville Hospital.
From companionship to nursing, we can assist with daily living activities such as bathing and dressing, meal prep and housekeeping to nursing services including providing medication, wound care and serious injury care. Whether you need support in the morning to get out of bed and start your day, or assistance in the evening to prepare a meal and take medication, or help in the middle of the night, our caregivers can be by your side around-the-clock.
In the United States, most of the large multi-facility providers are publicly owned and managed as for-profit businesses.[10] There are exceptions; the largest operator in the US is the Evangelical Lutheran Good Samaritan Society, a not-for-profit organization that manages 6,531 beds in 22 states, according to a 1995 study by the American Health Care Association.[14]
From shower gel and bar soap to moisturizing lotions and creams, the bath and body category includes all the items you need to take care of your skin and external body surfaces. Hair removal, sun protection, lotions for the hands and feet, body powders and antiperspirants are all included in this broad personal care category. This section gives you what you need for your daily cleanliness routine and allows for some indulgences with bath soaks and specially scented lotions for personal pampering. Find convenient makeup remover wipes, facial toners, acne-fighting body washes, exfoliating scrubs and more in this section.
Given the choice, most older adults would prefer to continue to live in their homes (aging in place).[15] Many elderly people gradually lose functioning ability and require either additional assistance in the home or a move to an eldercare facility.[15] The adult children of these elders often face a difficult challenge in helping their parents make the right choices.[16] Assisted living is one option for the elderly who need assistance with everyday tasks. It costs less than nursing home care but is still considered expensive for most people.[17] Home care services may allow seniors to live in their own home for a longer period of time.
The family is one of the most important providers for the elderly. In fact, the majority of caregivers for the elderly are often members of their own family, most often a daughter or a granddaughter. Family and friends can provide a home (i.e. have elderly relatives live with them), help with money and meet social needs by visiting, taking them out on trips, etc.

Stroke patients at any hospital within the Forrest Health network now have immediate access to highly specialized neurologists as the result of a partnership between Forrest Health and Ochsner Clinic Foundation in New Orleans. Through the Telestroke network, emergency department physicians have the ability to consult immediately with Ochsner neurologists 24 hours a day, 7 days a week, 365 days a year using telemedicine equipment to determine the best treatment options for stroke patients.  
Mayo Clinic provides easy access to its stroke rehabilitation services by working with numerous insurance companies, and in most cases, doesn’t require a referral from a physician. Once you’ve made an appointment, your loved one will be evaluated by doctors with extensive training in neurology, emergency medicine, rehabilitation, and other specialties. Doctors from the Mayo Clinic treat approximately 15,000 people who have suffered from stroke or similar conditions each year, so you can count on their expertise. For diagnostic purposes, Mayo Clinic uses advanced technology and imaging tests. One special type of diagnosis used at this facility is stroke telemedicine, or telestroke. Used only by doctors with advanced training and involving video cameras, the Internet, and advanced robotic equipment, telestroke is used to evaluate patients who have suffered from acute strokes.
Love means wanting the best for somebody. At Andrews Senior Care, we know that when you’re trying to care for your aging parents and loved ones, you’re not fully able to enjoy the time you have with them. The most caring thing you can do is to trust their care to highly-rated professionals who believe that potential only grows with age. At Andrews Senior Care, we take care of needs, so your loved ones can do what they want. Enjoy your time with your parents, knowing they’re in the best hands.
The Institute for Rehabilitation and Research offers an elite center for stroke rehabilitation that combines medical and nursing care with counseling and support, not only for your loved one but also for you and your family. All patient rooms include modern equipment that is specifically designed to offer comfort and functionality. Your friend or family member can benefit from individual or group therapy sessions, physical and occupational therapy, speech therapy, and periodical evaluations from highly trained specialists. Patients can also take part in occupational therapy, a form of therapy that helps patients regain skills and functions necessary in getting them back to work. Each type of therapy is individualized to fit the needs of the patient. One important service offered by TIRR is an outpatient rehabilitation program that will help your loved one continue recovery after leaving the facility.
SeniorCare Inc. was founded in 1972, and has evolved into a multi-faceted non-profit organization that now provides consumers with a one stop portal for elder and disability services and information.  We provide assistance through many avenues: Meals on Wheels, the Massachusetts Home Care program, and other supportive services.  We also have evidence-based wellness programs and volunteer services.

Providing a comprehensive, best in class portfolio of educational programs and interactive engagements that improve technical and clinical skills, stroke team dynamics and patient pathways is an integral component to our commitment in advancing Complete Stroke Care. Stryker supports providers in the stroke care continuum seeking high-quality, high-impact education to aid in their pursuit of superior outcomes.
According to the American Heart Association/American Stroke Association’s website, numerous published studies demonstrate the Get With The Guidelines®- Stroke program’s success in improving patient outcomes. Since it started in 2003, more than 2,000 hospitals have entered more than 5 million patient records into the Get With The Guidelines®- Stroke database. 

Fast recognition and treatment can not only make the difference between life and death, but it can also decrease long-term disabilities. To develop a streamlined response to potential stroke patients, the American Heart Association developed the Stroke Chain of Survival. The chain involves eight links or steps to be taken by patients, family members, prehospital and emergency room personnel in caring for stroke patients.
I go to an assigned clients house. I begin the day by making breakfast and starting laundry, after breakfast I wash the dishes. I usually sit with the client for awhile after that set up medicine and remind them to take it then ask what the plan for the day is. Go to grocery or run errands for the client if needed, I hang up laundry , vacuum, clean bathroom and take out trash. Every client has different needs. My days aren't the same all the time.
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