It’s very common to have a negative attitude after a serious illness, and some patients experience depression after a stroke — sometimes weeks or months later. However, it is absolutely critical to keep a realistic or positive attitude during rehabilitation to maximize results. Psychologists, psychiatrists and other therapists, who are part of your care team, may recommend therapy and/or medication.
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Disposition: Disposition is the last link in the chain of survival. This step in stroke care focuses on the continuing care of the stroke patient. It is recommended that patients be admitted to an intensive care unit or stroke unit within three hours of arrival in the ED. Continued monitoring of a stroke patient includes frequent assessment of neurological status and monitoring of glucose levels and vitals, as well as prevention of complications. Determining the cause of the stroke is also part of disposition.

For medical help such as changing dressings, providing post-surgical rehabilitation, overseeing medications, aiding with physical therapy, or helping with mobility devices, you'll want home health care provided by caregiver who's gone through training and is being supervised by a nurse. (Keep in mind that licensing and certification requirements vary by state; you'll want to ask lots of questions about your caregiver's qualifications.)


“If a patient does experience the symptoms of a stroke, it is vital to receive appropriate clinical assessment and scanning in hospital early to confirm it is a blockage of a blood vessel. Patients are then referred to our interventional lab in Beaumont Hospital, the main route to thrombectomy. We will do an endovascular procedure, puncturing the artery and groin to pass a tube in the blood vessels up to the neck and head. Through the tube, we place a stent retriever, which pulls the blood clot out, restoring blood flow to the brain tissue.
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.
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“We are thrilled to support the University of Louisville Hospital – Comprehensive Stroke Center’s U Care program with our RN-led clinical AfterCare model. Patients and their caregivers need more resources and ongoing support when managing the transition from a hospitalization to another setting or home. We look forward to implementing this model and future programs to help UofL Hospital provide a differentiated patient experience for the communities it serves,” said Brian Holzer, M.D., M.B.A., C.E.O. of Lacuna Health.

Nurse Next Door’s around-the-clock care gives you on-going companionship and support every day and every evening. Whether it’s 3 in the afternoon, or 3 in the middle of the night, our comprehensive health services program will support you with compassionate and attentive assistance any time you need it. From providing medication in the evening, to assisting you with getting dressed in the morning, we will ensure you have around-the-clock home care for situations that may require close monitoring. Rest easy knowing you will always have someone by your side to attend to your needs if and when necessary.
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.
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.
Population ageing is a challenge across the world, and China is no exception. Due to the one-child policy, rural/urban migration and other social changes, the traditional long-term care (LTC) for the elderly which was through direct family care in the past will no longer suffice. Barely existent now, both institutional and community-based services are expanding to meet the growing need. China is still at an earlier stage in economic development and will be challenged to build these services and train staff.[37]

According to the American Heart Association/American Stroke Association’s website, numerous published studies demonstrate the Get With The Guidelines®- Stroke program’s success in improving patient outcomes. Since it started in 2003, more than 2,000 hospitals have entered more than 5 million patient records into the Get With The Guidelines®- Stroke database. 
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.
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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.
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