About this box: Heads up– this box falls firmly into the “adults only” category! Unbound is self described as “a rebellious, feminist brand focused on making sexual pleasure accessible to all.” Each themed quarterly box contains essentials & consumables such as wipes and personal lubricants– but also toys and accessories for you to enjoy. Packaged discreetly for your privacy.
Stroke is an emergency "brain attack", cutting off vital blood flow and oxygen to the brain. Ischemic stroke occurs when arteries are blocked by blood clots or by the gradual build-up of plaque and other fatty deposits. About 87% of all strokes are ischemic. Hemorrhagic stroke occurs when a blood vessel in the brain breaks, leaking blood into the brain. Hemorrhagic strokes account for 13% of all strokes.
Considered to be one of the best stroke rehabilitation centers in America, the Rehabilitation Institute of Chicago, also known as RIC, takes care of more patients who have suffered from strokes than most other hospitals in the entire country. The medical staff includes specialists in physical medicine and rehabilitative techniques who are renowned for their expertise. Some of the finest speech language pathologists will guide your loved one in relearning how to speak or swallow if necessary. RIC also offers some innovative technologies that are hard to find at other stroke centers. The robot-assisted walking therapy is one of these cutting-edge technologies; it uses robotic devices that are attached to the patient, helping him move his legs in a natural manner. Physical therapy is complemented by patient training, education, and support groups to maximize the treatment’s effectiveness.
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.
We are not anti-facility. We just know that most seniors want to stay in their homes for as long as possible. Many times this can be until they pass away. We also know that moving a senior to a facility is usually the final move and the most difficult one because everything changes–their surroundings, their neighbors, their church house and they have to leave many precious memories behind. It’s got to be the toughest move we ever make in life. That’s why we do what we do.
Team approach. Mayo Clinic doctors trained in blood vessel and brain conditions (cerebrovascular neurologists), blood vessel conditions and imaging (endovascular surgical neuroradiologists), blood vessel conditions and brain surgery (vascular neurosurgeons), physical medicine and rehabilitation (physiatrists), emergency medicine and other areas work together to promptly diagnose and treat people who have had strokes, and to prevent strokes in people who are at risk of strokes.
We are not anti-facility. We just know that most seniors want to stay in their homes for as long as possible. Many times this can be until they pass away. We also know that moving a senior to a facility is usually the final move and the most difficult one because everything changes–their surroundings, their neighbors, their church house and they have to leave many precious memories behind. It’s got to be the toughest move we ever make in life. That’s why we do what we do.

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.


Under its eleventh Five-Year plan, the Indian government has made many strides similar to that of Nepal. Article 41 of the Indian Constitution states that elderly citizens will be guaranteed Social Security support for health care and welfare.[35] A section of the 1973 Criminal Procedure Code, alluding to its traditional background, mandates that children support their parents if they no longer can themselves.[35] NGOs, however, are prevalent in Indian elderly care, providing homes and volunteer care, but governmental policies and organizations are accessible.[35]
Team approach. Mayo Clinic doctors trained in blood vessel and brain conditions (cerebrovascular neurologists), blood vessel conditions and imaging (endovascular surgical neuroradiologists), blood vessel conditions and brain surgery (vascular neurosurgeons), physical medicine and rehabilitation (physiatrists), emergency medicine and other areas work together to promptly diagnose and treat people who have had strokes, and to prevent strokes in people who are at risk of strokes.
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.
The American Heart Association/American Stroke Association strives to ensure that everyone who has heart disease or a stroke receives treatment at a hospital with the resources necessary to correctly make time-critical decisions. This recognition demonstrates Marshall Medical's high commitment to following the procedures outlined in a national program known as “Get With The Guidelines-Stroke," proven to improve patient outcomes. 
On average, someone suffers from a stroke every 40 seconds and someone dies from a stroke every 4 minutes. In all, 795,000 people suffer a new or recurrent stroke each year. The statistics are staggering, and make it clear why quick diagnosis and treatment is so important if you think you may be having a stroke. At MountainView Regional Medical Center, we know that a stroke can happen at any time. We’re ready all the time — 24 hours a day to provide vital, immediate attention.
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.
Physician assistants (PA) typically obtain medical histories, perform examinations and procedures, order treatments, diagnose diseases, prescribe medication, order and interpret diagnostic tests, refer patients to specialists as required, and first or second-assist in surgery. Their education includes a bachelor’s degree, extensive clinical training from an accredited PA program and they must obtain a license to practice as a physician assistant.
This app comes equipped with a calendar, to-do list, and notes built in, so you don’t have to jump between these separate apps on your device. It will connect the things you use most in life, like utilities, service providers, banks, and social networks, and then it will automatically tell you what you need to do. In that sense, it’s very similar to an actual personal assistant, who might be tasked with managing your schedule and keeping things running on time. 24me is available on Google Play and the iTunes app store.
Sunrise Senior Living received the highest numerical score in the J.D. Power 2018 Senior Living Satisfaction Study, based on 2,539 total responses among 7 senior living communities measuring experiences and perceptions of residents/family members/friends, surveyed October-December 2017. Your experiences may vary. Award applicable to United States only. Visit jdpower.com
U Care is yet another innovation in quality stroke care by the staff at the UofL Hospital, the first hospital designated as a comprehensive stroke center in Kentucky by the Joint Commission. In addition, UofL Hospital once again has been awarded the top level of distinction by the American Heart Association/American Stroke Association with the Get With The Guidelines® Target:  Stroke Elite Plus, Gold Plus award. The award recognizes the hospital’s success in providing the most appropriate stroke treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. Hospitals must achieve 85 percent or higher adherence to all Get With The Guidelines-Stroke achievement indicators for two or more consecutive 12-month periods and achieve 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures to receive the Gold Plus Quality Achievement Award.
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.
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.
Considered to be one of the best stroke rehabilitation centers in America, the Rehabilitation Institute of Chicago, also known as RIC, takes care of more patients who have suffered from strokes than most other hospitals in the entire country. The medical staff includes specialists in physical medicine and rehabilitative techniques who are renowned for their expertise. Some of the finest speech language pathologists will guide your loved one in relearning how to speak or swallow if necessary. RIC also offers some innovative technologies that are hard to find at other stroke centers. The robot-assisted walking therapy is one of these cutting-edge technologies; it uses robotic devices that are attached to the patient, helping him move his legs in a natural manner. Physical therapy is complemented by patient training, education, and support groups to maximize the treatment’s effectiveness.

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]


On both occasions I used their service, the caregivers either left minimal or no notes while visiting my elderly parents (no eating, sleeping or bathroom data). After the first visit, I contacted a supervisor at Around the Clock and asked specifically that the caregivers leave notes on eating, sleeping patterns, etc. Instead of improving, on the 2nd visit I only received notes from 1 of 3 caregivers...I paid for 16 hours of caregiving for people who may or may not have even showed up for all I know. Their medical staff is also hit and miss. On my father's post-hospital rehab, one of the 3 nurses missed appts at the house repeatedly...only making 1 of 5 scheduled appointments. After this, I contacted Around the Clock and asked them to send out a more reliable nurse. In the 5 weeks that have passed since, we have received 1 visit from a nurse...nobody makes their scheduled appointments. Is this the care you want for your elderly parents??
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