All patients exhibiting symptoms of stroke are triaged as a patient for Stroke Alert. When this determination is made, numerous things will begin to happen quickly. The team of nurses, emergency physicians, neurologists, radiologists, critical care doctors, surgeons and others can make treatment determinations within 60 minutes of symptom presentation.
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Outcomes for individuals with stroke have improved significantly due to the implementation of Acute Stroke System of Care. The community is better equipped to recognize stroke as a “brain attack,” and there is greater awareness of the importance of medical care within one hour of symptom onset. Likewise, EMS systems have been enhanced to transport individuals to regional stroke care centers that are equipped to administer fibrinolytics.
For over 25 years we have been dedicated to providing In-Home Care for the disabled and elderly population. Around The Clock Care is dedicated to providing each and every client with a high quality of life. Our professional staff assesses the needs of each client to ensure our services meets their needs while maximizing their physical and mental potential. Around The Clock Care is here to assist you or loved one age in place and maintain that independence in the home as long as possible.
To determine the most appropriate treatment for your stroke, your emergency team needs to evaluate the type of stroke you're having and the areas of your brain affected by the stroke. They also need to rule out other possible causes of your symptoms, such as a brain tumor or a drug reaction. Your doctor may use several tests to determine your risk of stroke, including:
When a weakened blood vessel ruptures and spills blood into brain tissue, it’s called a hemorrhagic stroke. The most common cause for the rupture is uncontrolled hypertension (high blood pressure). There are two other types of weakened blood vessels that can also cause hemorrhagic stroke: aneurysms (swellings within vessels) and arteriovenous malformations or AVMs (abnormal tangles of blood vessels).
If you're seeking your doctor's advice during a scheduled appointment, your doctor will evaluate your risk factors for stroke and heart disease. Your discussion will focus on avoiding these risk factors, such as not smoking or using illegal drugs. Your doctor also will discuss lifestyle strategies or medications to control high blood pressure, cholesterol and other stroke risk factors.
Stroke patients at any hospital within the Forrest Health network now have immediate access to highly specialized neurologists as the result of a partnership between Forrest Health and Ochsner Clinic Foundation in New Orleans. Through the Telestroke network, emergency department physicians have the ability to consult immediately with Ochsner neurologists 24 hours a day, 7 days a week, 365 days a year using telemedicine equipment to determine the best treatment options for stroke patients.
You may have a transesophageal echocardiogram. In this test, your doctor inserts a flexible tube with a small device (transducer) attached into your throat and down into the tube that connects the back of your mouth to your stomach (esophagus). Because your esophagus is directly behind your heart, a transesophageal echocardiogram can create clear, detailed ultrasound images of your heart and any blood clots.
After a stroke, Allen Witcher required complex surgery, followed by months of physical therapy and rehabilitation. Thanks to that comprehensive treatment, Allen now relishes each new day he has to enjoy. Married for 54 years, Allen and Betsy Witcher like being active together. They particularly enjoy ballroom dancing and going for daily walks. But it [...]
The GWTG-Stroke program is a voluntary program created by the American Heart Association and made available to all hospitals in the U.S. in 2003. To receive a PAA from the program, participating hospitals must meet each of seven individual performances measures -- such as prescription of anti-thrombotic medication within 48 hours of admission -- in 85% of hospitalizations for at least 1 year.
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.
tPA improves the chances of recovering from a stroke. Studies show that patients with ischemic strokes who receive tPA are more likely to recover fully or have less disability than patients who do not receive the drug.2,3 Patients treated with tPA are also less likely to need long-term care in a nursing home.4 Unfortunately, many stroke victims don’t get to the hospital in time for tPA treatment. This is why it’s so important to recognize the signs and symptoms of stroke right away and call 9-1-1.
Our award-winning team specializes in assisting seniors in their homes by providing caregivers you can trust. Some seniors just need a few hours a week and others need a lot more. We do it all and tailor our services to meet the unique needs of each of our clients. We also provide peace of mind to their family members. We believe that there’s no better place to be than in the comfort of your own home.
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.
Fast recognition and treatment can not only make the difference between life and death, but it can also decrease long-term disabilities. To develop a streamlined response to potential stroke patients, the American Heart Association developed the Stroke Chain of Survival. The chain involves eight links or steps to be taken by patients, family members, prehospital and emergency room personnel in caring for stroke patients.
Alzheimer’s In-Home Care is a comprehensive service designed especially for our clients who have been diagnosed with Alzheimer’s disease. As one of the most common causes of dementia, Alzheimer’s disease causes confusion and impaired thought and speech. Unlike dementia, Alzheimer’s disease is specifically diagnosed by physicians after running blood tests, brain scans and additional specialized testing.
Conemaugh Health System and all associated facilities and its affiliates comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Conemaugh Health System and its affiliates do not discriminate against any person on the basis of color, race, gender, age, religion, national origin, ethnicity, culture, language, disability, genetic information, gender identity or expression, socioeconomic status, sexual orientation, veteran’s status or any other basis protected by applicable federal, state or local law, in admission, treatment, visitation, or participation in our programs, services, and activities or employment.
“Mechanical thrombectomy is a treatment used to remove a large blood clot from inside a blood vessel in a patient’s brain,” explains Dr John Thornton. “Before this was developed, Irish patients were receiving clot-busting drugs to help dissolve the clot instead of pulling the clot out but what became evident was that these drugs didn’t work as well when there was a large blockage in the brain. Thrombectomy provides the greatest chance of patient recovery from large blockages which cause the most devastating strokes.”
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Dispatch: The second step in the chain of survival is ‘dispatch’, which involves activating emergency medical services. In most cases, this involves calling 911. Medical dispatch should be thoroughly trained to identify a possible stroke patient so that the appropriate level of EMS services can be dispatched to the patient. Simply stated, the faster EMS can be dispatched, the quicker lifesaving treatment can be delivered.
^ 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.
Our 24.7 Premium Home Health Care Service provides a safe alternative to institutional living. We provide the exact combination of in-home care you need, up to 24 hours a day, for needs such as medical monitoring, assistance with personal care and chores, care for people with dementia such as Alzheimer’s, and temporary care while recovering from illness, injury or surgery.