Around the clock care is ideal for someone coming home from the hospital after surgery, suffering from a debilitating condition such as a stroke, or someone with Alzheimer’s or other dementia-related conditions and is at risk when left alone unattended. Around-the-clock care is also a good option for family caregivers who need a break or will be away on vacation. Some families even opt for around-the-clock care to ensure their loved one has someone to assist them with the activities of everyday life, to escort them to appointments and outings and to provide care and support as required.
After adjusting for patient and hospital characteristics, PAA+/PSC+, PAA+/PSC-, and PAA-/PSC+ hospitals had 3.15 (95% confidence intervals 2.86-3.47); 3.23 (2.93-3.56), and 1.72 (1.47-2.00) higher odds of adhering to stroke care guidelines, respectively, than hospitals that had neither recognition, wrote Gregg C. Fonarow, MD, of the University of California Los Angeles, and his co-authors in the Oct. 15 issue of the Journal of the American Heart Association.
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.
“At UofL Hospital, we continually strive for excellence in the acute treatment of stroke patients,” said Kerri Remmel, M.D., Ph.D., medical director of the UofL Hospital Stroke Center and chair of the UofL Department of Neurology. “U Care adds the vital step of thoroughly programmed follow-up with stroke patients to ensure they continue recovery, avoid unnecessary readmission to the hospital and prevent a second stroke.”
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.
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Round the clock care provided a young female home health aide "APPLE". on her first day she appeared very caring and offered to adjust all my sister-in-laws medication. She stated that she was trained in medication, and gave us her phone number to keep us posted. On the third day she was texting myself and my wife all day while we were working. When i returned home i checked the medication as i always do, and noticed that 60 controlled pain medication was missing. When i called her to let her know she was terrified stating that her finger prints were all over every bottle but she didn't take them. When i called to complain they Round the Clock staff were rude and dismissing. I asked to speak to a supervisor they never returned my call. When i called back they just asked if i wanted someone else to come into my home, when i stated no, they became aggressively rude. I will never allow any home health agency into my home. They have ruined the experience for me. Unprofessional, and criminal rating for Round the clock.

Little Company of Mary Hospital and Health Care Centers (LCMH) has received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Silver Plus Quality Achievement Award. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. LCMH…


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With one simple call, we can direct consumers to a wide range of services available in the North Shore and Cape Ann area. If you need more information, or wish to make a referral, or refer yourself for assistance, contact us. SeniorCare and its programs are funded, in whole or in part, by contract or grants with the Massachusetts Executive Office of Elder Affairs, the Older Americans Act, local funds, foundations, and private contributions, which may be tax deductible.           

Hemorrhagic strokes occur when an artery inside the brain ruptures or when an aneurysm at the base of the brain bursts. Twenty percent of all strokes suffered are hemorrhagic strokes. Symptoms more specific to this type of stroke include headache, nausea and vomiting, neck stiffness, seizures, sudden changes in mental state and lethargy. Hemorrhagic strokes usually occur in the daytime and during physical activity. The symptoms typically begin very suddenly and evolve over several hours.


According to the National Stroke Association, strokes are the fourth leading cause of death in the United States. Even if an individual survives a stroke, it can lead to permanent impairment. Depending on the extent of damage to the brain, a stroke may leave a person with deficits such as vision loss, memory problems and/or paralysis or weakness on one side of the body.
With a long history of providing stroke rehabilitation to its patients, Craig Hospital can fulfill any type of health care need that your loved one might have. Maintaining a close relationship with numerous trauma centers, this facility offers great health care support to stroke patients. With extensive experience in treating both adolescent and adult patients, the doctors at Craig Hospital take part in interdisciplinary teams that help treat each stage of stroke damage. The care units offer two therapy gyms, a supervised activity room, and special rooms designed for individual therapy. Most patients begin treatment in the West Unit, and as they progress with rehabilitation and recovery, they can move to the East Unit. The various therapy classes at Craig Hospital include a skills class, a fit class, a speech group, and educational programs.
Most stroke survivors receive treatment in a rehabilitation program. Your doctor will recommend the most rigorous therapy program you can handle based on your age, overall health and degree of disability from your stroke. Your doctor will take into consideration your lifestyle, interests and priorities, and the availability of family members or other caregivers.
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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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