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.
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Suffering from a stroke can lead to a wide range of serious and possibly life-threatening repercussions, so if anyone in your family is affected by this condition, you should take immediate action. With only a small percentage of patients ever fully recovering from a stroke, rehabilitative measures have become an important step in post-stroke patient care. The success of these measures depends to a large extent on the experience and training of the medical team, so you may want to consider one or more of the following elite stroke rehabilitation centers.

Our residents receive personal care and service based on their individual needs and preferences. Regardless of your length of stay, our team of health care professionals will work with you to develop a specific plan of care designed to meet and exceed your recovery goals. We accomplish this by consulting with you and your physician to determine your needs for nursing care and/or rehabilitative services.
When a patient comes to the hospital with stroke symptoms, it’s crucial to make a proper diagnosis quickly in order to begin treatment to minimize the effects of a stroke. Florida Hospital Ocala formerly Munroe Regional Medical Center's stroke care team delivers potentially life-saving care for ischemic and hemorrhagic strokes and can perform various treatment options.

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.

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.

Blood tests. You may have several blood tests, which tell your care team how fast your blood clots, whether your blood sugar is abnormally high or low, whether critical blood chemicals are out of balance, or whether you may have an infection. Managing your blood's clotting time and levels of sugar and other key chemicals will be part of your stroke care.
However, elderly care is focused on satisfying the expectations of two tiers of customers: the resident customer and the purchasing customer, who are often not identical, since relatives or public authorities, rather than the resident, may be providing the cost of care. If residents are confused or have communication difficulties, it may be very difficult for relatives or other concerned parties to be sure of the standard of care being given, and the possibility of elder abuse is a continuing source of concern. The Adult Protective Services Agency, a component of the human service agency in most states, is typically responsible for investigating reports of domestic elder abuse and providing families with help and guidance. Other professionals who may be able to help include doctors or nurses, police officers, lawyers, and social workers.[41]
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After you’re treated for stroke, you may be screened for atrial fibrillation (AFib)—a heart rhythm disorder that, untreated, causes an estimated 15 percent of strokes. Because an irregular heartbeat may not appear for weeks, your Cone Health doctors may recommend placing an implantable loop recorder—a small device that can monitor your heart for up to three years, giving us a better chance of uncovering your AFib and helping you prevent subsequent strokes. Cone Health is a leader and early adapter of this technology for stroke prevention.
Due to health and economic benefits, the life expectancy in Nepal jumped from 27 years in 1951 to 65 in 2008.[30] Most elderly Nepali citizens, roughly 85%, live in rural areas.[30] Because of this, there is a significant lack of government sponsored programs or homes for the elderly. Traditionally, parents live with their children, and today, it is estimated that 90% of the elderly do live in the homes of their family.[30] This number is changing as more children leave home for work or school, leading to loneliness and mental problems in Nepali elderly.[30]
If you think you are having a stroke, call 911 so an ambulance can quickly get to the hospital. When talking to 911, an emergency medical service or the hospital, be sure to use the word “stroke” in order to possibly speed up a diagnosis. Every minute counts when treating a stroke, raising the number of brain cells that can be saved and chances for recovery.
Recently, as part of the celebration of National Rural Health Day, Bradley County Medical Center announced it has been recognized by The Chartis Center of Rural Health and the National Organization of State Offices of Rural Health (NOSORH) for overall excellence in Outcomes, reflecting top quartile performance among all rural hospitals in the nation.

The overall goal of stroke care is to minimize brain injury and optimize the individual’s recovery. Preferential transport to stroke-capable centers has been shown to improve outcomes. Stroke centers are equipped with resources often not available at smaller community hospitals. The presence of specialists, including neurologists and stroke care specialists, multidisciplinary teams experienced in stroke care, advanced imaging modalities, and other therapeutic options make transport to stroke centers the most suitable option. The goal of the stroke team, emergency physician, or other experts should be to assess the individual with suspected stroke within ten minutes.


After you’re treated for stroke, you may be screened for atrial fibrillation (AFib)—a heart rhythm disorder that, untreated, causes an estimated 15 percent of strokes. Because an irregular heartbeat may not appear for weeks, your Cone Health doctors may recommend placing an implantable loop recorder—a small device that can monitor your heart for up to three years, giving us a better chance of uncovering your AFib and helping you prevent subsequent strokes. Cone Health is a leader and early adapter of this technology for stroke prevention.
Innovative programs. Doctors at Mayo Clinic's campuses in Arizona, Florida and Minnesota use stroke telemedicine to evaluate people who have had acute strokes at remote sites and provide treatment recommendations to doctors at other sites. Doctors communicate using digital video cameras, internet telecommunications, robots and other technology. Doctors at Mayo Clinic's Minnesota campus offer brain rehabilitation to people who have had strokes.
Companion helpers are hands off, non-medical helpers that help those in need by assisting with activities of daily living (ADLs) in order to continue living life from the comfort of home. Companion help can include meal preparation, assistance with light housekeeping, laundry, accompaniment to outings and appointments, socialization, medication reminders and assistance with morning and bedtime routine. The specific needs are set up between you and the individual that you choose to hire after evaluating resumes and other materials.
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