These documents have been provided to the American Heart Association by the below hospitals as examples of stroke best practices.  These documents are available only to give you an idea of how some hospitals might use discharge stroke best practices. By including this document on its Web site, the American Heart Association does not represent that these documents are complete, accurate or efficacious, or that it follows all of the American Heart Association guidelines for secondary and primary prevention of cardiovascular events or stroke. Hospitals should design their own stroke best practices based on their own procedures and professional experience.

Do you need someone to help you with meal preparation and house cleaning day to day? Your around-the-clock care team and caregiver will take over any tasks that need handling and accompany you on your favorite daily outings such as walking your dog or going grocery shopping. No matter the situation or occasion, you will always have someone readily available to provide assistance and companionship to you all day, every day.
Geriatric care managers (GCMs) are usually social workers, psychologists, nurses, gerontologists or others with training and experience in various aspects of elder care. Geriatric care managers not only assess a senior’s needs, they can also handle crises (such as an emergency hospitalization), help place the senior in a residential care community, help resolve family conflicts, locate community resources or fill in for family caregivers at doctor’s appointments, among other services.
Medication reminders, disorientation assistance, and personal care services such as toileting, bathing, and entering and exiting beds and other places of rest are included in our home health care services at all times of the day or night.  If a client wakes suddenly and is completely disoriented, our care aides are trained to calm your loved one and help him or her back to rest. 
Aged care in Australia is designed to make sure that every Australian can contribute as much as possible toward their cost of care, depending on their individual income and assets.[24] That means that residents pay only what they can afford, and the Commonwealth government pays what they cannot. An Australian statutory authority, the Productivity Commission, conducted a review of aged care commencing in 2010 and reporting in 2011. The review concluded that approximately 80% of care for older Australians is informal care provided by family, friends and neighbours. Around a million people received government-subsidised aged care services, most of these receiving low-level community care support, with 160 000 people in permanent residential care. Expenditure on aged care by all governments in 2009-10 was approximately $11 billion.[25]
Data: Data collection is a vital component of the chain of survival. Data collection includes results from laboratory tests and both a physical and a neurological exam. A 12-lead electrocardiogram is recommended to rule out cardiac arrhythmias. In addition, a CT scan is an essential piece of the puzzle and is needed for an accurate diagnosis. A CT scan should ideally be performed within 25 minutes of arrival in the emergency room. Data collected is also needed to rule out conditions which may mimic a stroke, such as a brain tumor, drug overdose or hypoglycemia.
Baldwin, Bethel Park, Bloomfield, Belle Vernon, Bentleyville, Bon Air, Brentwood, Brookline, Carrick, Castle Shannon, Charleroi, Clairton, Donora, Downtown Pittsburgh, Dravosburg, Duquesne, Duquesne Heights, East Liberty, Elizabeth, Elizabeth Township, Elrama, Etna, Finleyville, Friendship, Garfield, Glassport, Glen Hazel, Greenfield, Hays, Hazelwood, Highland Park, Homestead, Homewood, Jefferson Hills, Jefferson, Knoxville, Lawrenceville, Larimer, Library, Lincoln Place, McKeesport, Millvale, Monessen, Monongahela, Morningside, Mount Lebanon, Mount Washington, Munhall, New Eagle, Oakland, Overbrook, Penn Hills, Pleasant Hills, Point Breeze, Polish Hill, Scott Township, Shadyside, Smithton, South Park, Southside, Squirell Hill, Stanton Heights, Strip District, Swissvale, West Elizabeth, West Homestead, West Mifflin, West Newton, Wilkinsburg, Whitehall, PA
Traditionally, care for older adults has been the responsibility of family members and was provided within the extended family home.[6] Increasingly in modern societies, care is now being provided by state or charitable institutions.[6] The reasons for this change include decreasing family size, greater life expectancy, the geographical dispersion of families, and the tendency for women to be educated and work outside the home.[6] Although the changes have affected European and North American countries first, they are now increasingly affecting Asian countries as well.[7]
^ Donald R Hoover; Stephen Crystal; Rizie Kumar; Usha Sambamoorthi; Joel C Cantor (December 1, 2002). "Medical Expenditures during the Last Year of Life: Findings from the 1992–1996 Medicare Current Beneficiary Survey". Health Service Research. 37 (6): 1625–1642. doi:10.1111/1475-6773.01113. PMC 1464043. PMID 12546289. Last-year-of-life expenses constituted 22 percent of all medical, 26 percent of Medicare, 18 percent of all non-Medicare expenditures, and 25 percent of Medicaid expenditures.
Promoting independence in self-care can provide older adults with the capability to maintain independence longer and can leave them with a sense of achievement when they complete a task unaided. Older adults that require assistance with activities of daily living are at a greater risk of losing their independence with self-care tasks as dependent personal behaviours are often met with reinforcement from caregivers.[42] It is important for caregivers to ensure that measures are put into place to preserve and promote function rather than contribute to a decline in status in an older adult that has physical limitations. Caregivers need to be conscious of actions and behaviors that cause older adults to become dependent on them and need to allow older patients to maintain as much independence as possible. Providing information to the older patient on why it is important to perform self-care may allow them to see the benefit in performing self-care independently. If the older adult is able to complete self-care activities on their own, or even if they need supervision, encourage them in their efforts as maintaining independence can provide them with a sense of accomplishment and the ability to maintain independence longer.[43]
(which was his same attitude in regards to the other facilities) almost a year later, he now considers Best Personal Care his home away from home! The staff is professional and genuine whose main focus is the client's well being. They are efficient in communicating with us while taking the necessary measures to establishing and adjusting our son's curriculum as he thrives.. We highly recommend BPCF to anyone faced with the difficult decision to place a loved one in someone else's care. Thank you Arnie and Angelina for all you do for our son. He is happy and making great strides and we finally have peace of mind.
Is an Assisted Living Facility serving the Mental Health Community for the last 15 years. We specialize in Residents with Mental Disorders and Adults with Special Needs. All our Residents are referred to us by the Mental Health Communities from Texas and throughout the US because of our excellent reputation. Our Clients ages range from 18 to 85. Intergenerational Therapy, our Young Clients keeps our Senior Clients young at heart and gives them emotional and mental stimulation. Our Young Clients learns compassion, respect for the elderly and life skills from our Senior Clients.
“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.
Thailand has observed global patterns of an enlarging elderly class: as fertility control is encouraged and medical advances are made, births shrink and people live longer.[5] The Thai government is noticing and concerned about this trend, but tends to let families care for their elderly members rather than create extraneous policies for them.[31] As of 2011, there are only 25 state-sponsored homes for the elderly, with no more than a few thousand members of each home.[31] Such programs are largely run by volunteers and are services tend to be limited, considering there is not always a guarantee care will be available. Private care is tough to follow, often based on assumptions. Because children are less likely to care for their parents, private caretakers are in demand.[31] Volunteer NGOs are available but in very limited quantities.[31]
Having all this expertise in a single place, focused on you, means that you're not just getting one opinion. Your care is discussed among the team, your test results are available quickly, appointments are scheduled in coordination, and the most highly specialized stroke experts in the world are all working together for you. What might take months to accomplish elsewhere can typically be done in a matter of days at Mayo Clinic.

Google is known for its accessibility, and its assistant is available across a number of products. Get it on your phone, speaker, watch, laptop, TV, or in your car. It connects to frequently used products like Netflix, YouTube, and Spotify. You can tell your Roomba where to clean by using Google Assistant, and it’ll connect to smart home devices like a Nest thermostat. Google Assistant is available on Google Home, as well as apps on Google Play and the iTunes app store.

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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