When a patient exhibits signs of a stroke, a first responder is immediately sent to the patient’s bedside, whether in the emergency room or on a nursing floor, to assess the patient. This begins a series of rapid activities, including lab work and CT imaging, to provide our emergency physicians and/or neurologist with the proper diagnostic information to determine which interventions are best based on each individual case. The physicians already on the case may bring other specialists, such as neurosurgeons or neuro-interventionalists, into the case depending on the course of treatment.
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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.
Door: The fourth step in the chain of survival is ‘door’, which refers to the arrival of the patient at the emergency room (ED). Ideally, the stroke team should be in place at the receiving facility prior to the patient’s arrival to ensure prompt assessment and diagnosis. According to recommendations from the National Institute of Neurological Disorders and Stroke, an assessment should be completed by an ER physician within ten minutes of arriving in the ED.

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.


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.
UofL Physicians complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex (including discrimination based on pregnancy, gender identity and sex stereotyping) when providing or administering health-related insurance or other health-related coverage. Click here to view the full nondiscrimination notice.
Elderly care emphasizes the social and personal requirements of senior citizens who need some assistance with daily activities and health care, but who desire to age with dignity. It is an important distinction, in that the design of housing, services, activities, employee training and such should be truly customer-centered. It is also noteworthy that a large amount of global elderly care falls under the unpaid market sector.[1]
NYU Langone’s Comprehensive Stroke Care Center is a leading center of its type in our region and offers a sophisticated rehabilitation program that includes care from a rehabilitation physician (known as a physiatrist), physical therapist, occupational therapist, specialized nurses, speech-language pathologists and psychologists. Other facilities like nursing homes may provide adequate rehabilitation services, but the point here is to maximize recovery.

UofL Physicians complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex (including discrimination based on pregnancy, gender identity and sex stereotyping) when providing or administering health-related insurance or other health-related coverage. Click here to view the full nondiscrimination notice.
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After a stroke, you may need rehabilitation (rehab) to help you recover. Before you are discharged from the hospital, social workers can help you find care services and caregiver support to continue your long-term recovery. It is important to work with your health care team to find out the reasons for your stroke and take steps to prevent another stroke.
When a patient comes into the emergency department at any Forrest Health hospital with the symptoms of an acute ischemic stroke, a computer with an advanced webcam will be brought to the bedside where the clinical team will connect with a neurologist on call at Ochsner.  The neurologist, patient and clinical team can see and speak to each other throughout the consult.  The physician will examine the patient and review the CAT scan of the patient’s head, providing guidance on advanced treatments within minutes.
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.
This app’s tagline at the top of its site is “Each year, you lose over 100 hours to organizing and planning.” If that’s the case, Butleroy will be extremely helpful to anyone needing a personal assistant. It will schedule your appointments in under 30 seconds by finding free time in your schedule, thus giving you even more time to live life. Butleroy is available on Google Play and the iTunes app store, as well as an Amazon Alexa Skill and via Facebook Messenger Chatbot.
This is another app that is very similar to an actual personal assistant. If you’re in need of someone to take notes or to summarize your meetings, this is the app for you. Tetra uses artificial intelligence to take notes and keep your team in sync. Your team members can place conference calls through the app, which will highlight important moments from the call and will send notes to all members upon call completion, allowing everyone to focus on the conversation instead of having to take personal notes. Tetra is available on the iTunes app store.  
Would home-cooked meals, help around the house and rides to the store make all the difference for you or your aging loved one? This most basic (and often most affordable) type of in-home care generally includes light housekeeping, companionship, meal preparation, and help with errands. You can hire help to come on a regular weekly schedule or only as needed. Expect to pay about $15-$40/hour for this type of service, depending where you live.
That’s why it’s important to treat the underlying causes of stroke, including heart disease, high blood pressure, atrial fibrillation (fast, irregular heartbeat), high cholesterol, and diabetes. Your doctor may give you medications or tell you to change your diet, exercise, or adopt other healthy lifestyle habits. Surgery may also be helpful in some cases.
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. 
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.
This voice-controlled assistant has the ability to connect your entire life. You’ll be able to use directives for thousands of smart home features, including lights, switches, TVs, thermostats and more. Check the weather. Hear the latest news. Connect your music and listen to your favorite songs on command. Request an Uber or order pizza. Alexa is available on Amazon devices, like the Fire Tablet/Stick, Echo, and Echo Dot, as well as in apps on Google Play and the iTunes app store.

Recently, as part of the celebration of National Rural Health Day, Bradley County Medical Center announced it has been recognized by The Chartis Center of Rural Health and the National Organization of State Offices of Rural Health (NOSORH) for overall excellence in Outcomes, reflecting top quartile performance among all rural hospitals in the nation.

Compassionate personal care, companionship, meal preparation, light housekeeping, errands, shopping, medication management, and more. Comprehensive assessment, care planning, advocacy, and on-going care management. Ideal support for adult children of aging parents. Assistance with home modification, right-sizing, down-sizing and help moving to another setting.
While there are certainly programs available for use by the elderly in Thailand, questions of equity have risen since their introduction.[32] The rich elderly in Thailand are much more likely to have access to care resources, while the poor elderly are more likely to actually use their acquired health care, as observed in a study by Bhumisuk Khananurak.[32] However, over 96% of the nation has health insurance with varying degrees of care available.[32]

And PAA recognition, they wrote, "was a more robust identifier of hospitals with better performance" than PSC. In fact, they noted, "When performance of PAA-recognized hospitals with PSC certification was compared to PAA recognized hospitals without PSC certification, there were no significant differences (all-or-none summary performance measure adjusted odds ratio 1.02 [0.93-1.14], P=0.5935 for PAA+/PSC+ hospitals with PAA+/PSC- as reference)."
Elaborées au sein d’Abeye, ces lunettes détectent les chutes et envoient un signal à Allianz Assistance, partenaire d’Atol, via une borne connectée. « Il y a 400 000 chutes de seniors par an et 12 000 décès liés. Avec ce premier programme Senior Care, nous avons l’objectif d’améliorer la qualité de vie des seniors fragiles et d’aider au maintien de leur autonomie », a souligné Eric Plat, PDG d’Atol.
"I almost can't express the joy knowing each and every one of you brings me daily. I am overwhelmed with love and gratitude by your acts of kindness and love, not only for my sweet papa, but for all the precious souls you treat with such dignity. You are all truly an answer to prayer .. And I will always hold everyone there in my heart ... Long after that sweet man leaves us. I love you!"
D’après François René Germain, Directeur de la Direction Accessibilité du Groupe : « La gestion et prévention des risques de la personne tout comme la gestion domotique du domicile, sont au cœur du dispositif que nous avons mis sur pied. Nous avons de fait construit un écosystème complet permettant d’enregistrer, via des algorithmes auto-apprenants, l’activité normale d’une personne à son domicile, puis permettant de comparer les flux enregistrés par les capteurs, à la situation initiale : des capteurs d’ouverture de porte, de mouvement, mais aussi liés à la nutrition, au sommeil ou à l’hydratation. ».
Mayo Clinic's world-renowned stroke teams include doctors trained in blood vessel and brain conditions (cerebrovascular neurologists), brain blood vessel imaging (endovascular surgical neuroradiologists), blood vessel brain surgery (vascular neurosurgeons), physical medicine and rehabilitation (physiatrists), emergency medicine, and other subspecialists who work together to provide exactly the care you need.
This app is an easy-to-use voice-activated assistant that offers many of the same features listed in the apps above. Lyra offers the added feature of continuing the same conversation across multiple devices like smartphones, tablets, and computers by logging in to keep everything connected. Its creator claims you can speak to Lyra in any dialect, as it is “capable of understanding multiple languages, context, and intent.” Lyra is available on Google Play and the iTunes app store.  
If you're seeking your doctor's advice during a scheduled appointment, your doctor will evaluate your risk factors for stroke and heart disease. Your discussion will focus on avoiding these risk factors, such as not smoking or using illegal drugs. Your doctor also will discuss lifestyle strategies or medications to control high blood pressure, cholesterol and other stroke risk factors.
Stryker is committed to the highest standards of ethical and lawful conduct. Our collaboration with Healthcare Professionals meets the standards established by applicable laws, the AdvaMed Code of Ethics, MedTech Europe Code of Business Practice, and other industry codes of ethics around the world. We believe that operating in accordance with the highest ethical standards protects and benefits our patients, customers and employees.
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Simply stated, at Stryker we put quality first in everything we do. Throughout all aspects of our company, we continually enhance our quality systems to develop, produce and market solutions that meet regulatory requirements and—most important—the needs of our customers around the world. From process improvement to product development, we never compromise quality.
If you have red eyes or itchy ears, this section of our Personal Care Products category likely has just what you need to solve this problem. Everything relating to the eyes and ears is contained in these subsections, including contact lens solution, glasses cleaning wipes, anti-aging eye creams, ear cleaners, ear wax removal kits, hearing aid batteries and earplugs are included.
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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