India's cultural view of elderly care is similar to that of Nepal's. Parents are typically cared for by their children into old age, most commonly by their sons.[33] In these countries, elderly citizens, especially men, are viewed in very high regard. Traditional values demand honor and respect for older, wiser people.[34] India is facing the same problem as many developing nations in that its elderly population is increasing tremendously, with a current estimate of 90 million over the age of 60.[35] Using data on health and living conditions from the India's 60th National Sample Survey, a study found that almost a quarter of the elderly reported poor health. Reports of poor health were clustered among the poor, single, lower-educated and economically inactive groups.[36]
^ 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.
The patient recovered from the stroke with limited damage resulting in a limp and nerve damage in one hand, but he is able to walk 2-3 miles several times a week. He attributes his successful outcome to having received tPA through access to the teleneurology system. He is thankful to the emergency physician, Dr. Gregory Driskell, for the critical care he received. 
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.
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.
“At UofL Hospital, we continually strive for excellence in the acute treatment of stroke patients,” said Dr. Kerri Remmel, 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.”

From companionship to nursing, we can assist with daily living activities such as bathing and dressing, meal prep and housekeeping to nursing services including providing medication, wound care and serious injury care. Whether you need support in the morning to get out of bed and start your day, or assistance in the evening to prepare a meal and take medication, or help in the middle of the night, our caregivers can be by your side around-the-clock.

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. 
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.
The form of care provided for older adults varies greatly among countries and is changing rapidly.[2] Even within the same country, regional differences exist with respect to the care for older adults.[3] However, it has been observed globally, older people consume the most health expenditures out of any other age group,[4] observation that shows comprehensive eldercare may be very similar. One must also account for an increasingly large proportion older people worldwide, especially in developing nations, as continued pressure is put on limiting fertility and decreasing family size.[5]
Thank you for assisting our son get his life back under control. When he came out of the hospital I didn't know what to do with him. Your personal interest and that of all the staff and residents at Best Personal Care made him welcome and gave him structure and community he didn't have living on his own. Unlike other places our son has been, I have heard practically no complaints from him about the staff, the food or the other residents.
(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.
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.
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.
Before the inspection, we reviewed the information we held about the service. This included the previous inspection report and notifications since the last inspection. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
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