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 family is one of the most important providers for the elderly. In fact, the majority of caregivers for the elderly are often members of their own family, most often a daughter or a granddaughter. Family and friends can provide a home (i.e. have elderly relatives live with them), help with money and meet social needs by visiting, taking them out on trips, etc.
Lors de cette présentation, la présidente de la région Bourgogne-Franche-Comté s’est félicitée de l’implantation d’Atol à Beaune depuis plus de 10 ans et de ses capacités d’innovation : « nous sommes mobilisés pour mettre en place un écosystème numérique et industriel en Bourgogne-Franche-Comté et nous sommes à vos côtés pour poursuivre votre investissement dans la R&D ».
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]

Marshall Medical’s Stroke Network team includes the physicians and staff of the ED who are the first line of treatment once a patient enters the ED with stroke symptoms.  Alongside them are Stroke Coordinator Ken Atchison, and Quality Data Analyst-RN Allison Trammell who work to promote the evidence-based guidelines and assist the ED to ensure they are familiar with any new updates. This team’s effort in promoting evidence-based guidelines and providing the very best treatment possible to patients coming in to the ED is worthy of recognition.
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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.
“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.”
Ischemic strokes are the most common. They occur when an artery is blocked and blood flow to the brain is stopped. Caused by build-ups of fatty deposits on the inside of an artery wall which then becomes completely clogged. Ischemic strokes account for eighty percent of all strokes suffered. Some ischemic strokes are preceded by stroke-like symptoms called transient ischemic attacks (TIAs). These may occur months before the stroke. The loss of vision in a TIA may be described as a feeling that a shade is being pulled down over your eyes. The symptoms are usually temporary and improve within 10 to 20 minutes.
A less restrictive alternative to legal incapacity is the use of "advance directives," powers of attorney, trusts, living wills and healthcare directives. The person who has such documents in place should have prepared them with their attorney when that person had capacity. Then, if the time comes that the person lacks capacity to carry out the tasks laid out in the documents, the person they named (their agent) can step in to make decisions on their behalf. The agent has a duty to act as that person would have done so and to act in their best interest.
Decision: A ‘decision’ regarding the type of treatment needed is the next step in caring for a patient with a stroke. Information, such as the type of stroke which has occurred and the time from onset of symptoms, is considered before a treatment decision is made. The severity of the stroke may also play a role in deciding what the most appropriate treatment will be. The patient and family members should also be informed of the risks and benefits of treatment options.
Angelina and Arnie, I wanted you to know that I will be forever indebted to you for all the things you’ve done for my Michael the past 8-9 years. There is absolutely no doubt in my mind that you watched over him when I could not , that you’ve always provided excellent medical care , always provided a good quality life for Michael and that you genuinely care about him. I know the only reason he is alive today is because of your care and your kindness.
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.
One relatively new service in the United States that can help keep older people in their homes longer is respite care.[18] This type of care allows caregivers the opportunity to go on vacation or a business trip and know that their family member has good quality temporary care, for without this help the elder might have to move permanently to an outside facility. Another unique type of care cropping in U.S. hospitals is called acute care of elder units, or ACE units, which provide "a homelike setting" within a medical center specifically for older adults.[19]
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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