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.

Removing the clot with a stent retriever. Doctors may use a catheter to maneuver a device into the blocked blood vessel in your brain and trap and remove the clot. This procedure is particularly beneficial for people with large clots that can't be completely dissolved with tPA, though this procedure is often performed in combination with intravenous tPA.


Therapy designed to improve mobility in elderly patients is usually built around diagnosing and treating specific impairments, such as reduced strength or poor balance. It is appropriate to compare older adults seeking to improve their mobility to athletes seeking to improve their split times. People in both groups perform best when they measure their progress and work toward specific goals related to strength, aerobic capacity, and other physical qualities. Someone attempting to improve an older adult’s mobility must decide what impairments to focus on, and in many cases, there is little scientific evidence to justify any of the options. Today, many caregivers choose to focus on leg strength and balance. New research suggests that limb velocity and core strength may also be important factors in mobility.[44] Assistive technology and advancements in the field are further giving elders greater freedom and mobility.[45] Several platforms use Artificial Intelligence to now suggest assistive devices to the elder for a better match[46].

Drug/Device: Drug administration, if appropriate, is the next link in the chain of survival. If the patient is a candidate for fibrinolytic therapy, the window of opportunity for administration is narrow. According to the American Heart Association guidelines, fibrinolytic therapy should be administered within three hours of the onset of symptoms. If the patient is not a candidate for drug therapy they may qualify for Endovascular therapy to remove the clot mechanically rather than with fibrinolytics.

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)."
U Care was developed in partnership with Lacuna Health, a subsidiary of Kindred Healthcare, to follow up with patients after they leave the hospital. Registered nurses with U Care reach out to patients by phone on a regular schedule to monitor the patients’ recovery progress, check their medications, ensure they have made appropriate follow-up appointments and answer any questions or health concerns that arise. The nurses have access to the patients’ health records and can escalate any concerns to hospital staff or physicians if a patient requires further clarification or intervention. The program pilot, which began in June, will follow 250 stroke patients for 45 days after discharge, whether they went home or to a rehab facility for recovery.
You’re probably familiar with Siri, or at least the concept of it. Apple introduced this voice-activated feature in 2011, and they’ve been adding features ever since. Siri will answer your questions and give you sports updates. She’ll give you reminders and set alarms or timers while you’re cooking. Send texts and place calls or FaceTime just by using your voice. Siri makes it easy for you to life your life hands-free. It’s available on all Apple devices, including iPhone, iPad, Mac, Apple Watch, Apple TV, and HomePod.
Established in 1990, Around The Clock Care is a professional home care company providing quality in-home non-medical services to the people in the community who are dependent due to a medical illness or an accident. With our extensive experience, we provide the finest care to our customers to enable them to maintain their quality of life. Whether you are looking for companionship, light housekeeping or need a medication reminder service, we have you covered.
A distinction is generally made between medical and non-medical care, the latter not being provided by medical professionals and much less likely to be covered by insurance or public funds. In the US, 67% of the one million or so residents in assisted living facilities pay for care out of their own funds.[38] The rest get help from family and friends and from state agencies. Medicare does not pay unless skilled-nursing care is needed and given in certified skilled nursing facilities or by a skilled nursing agency in the home. Assisted living facilities usually do not meet Medicare's requirements. However, Medicare pays for some skilled care if the elderly person meets the requirements for the Medicare home health benefit. [39]
continuous, uninterrupted - continuing in time or space without interruption; "a continuous rearrangement of electrons in the solar atoms results in the emission of light"- James Jeans; "a continuous bout of illness lasting six months"; "lived in continuous fear"; "a continuous row of warehouses"; "a continuous line has no gaps or breaks in it"; "moving midweek holidays to the nearest Monday or Friday allows uninterrupted work weeks"
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