Acute stroke therapy

Common Questions and Answers about Acute stroke therapy


Avatar n tn Keep good thoughts. Your Mom has youth, awareness of the left side and family support on her side. I am a speech-language pathologist working in both the acute- rehab and acute settings. A good place to aim for is an acute-rehab facility. If your mom isn't too high level or low level (can't walk on her own, but can handle 3 hours of therapy a day) she may qualify for acute-rehab.
Avatar n tn Dear Kathy, Without a name of the specific drug injected, it is difficult to comment. One approved therapy for acute stroke is thrombolysis. The medication is given intravenously. It helps to establish blood flow to areas of the brain that may be losing oxygen and nutrient supply (ischemic tissue)after a clot has blocked an artery. The therapy is given is the first few hours of the stroke BEFORE the brain tissue has died and the damage is less reversible. ?
Avatar n tn My dad was also 80 when he had his stroke. When he was being discharged from the hospital the doctors recommend acute rehab, but the insurance company denied it. So he was sent to a SNF. He had two weeks of therapy ther and then they said he had reached his full potential. We continued to fight with the insurance company and after 3 months, we were able to get him into an acute rehab facility. The bad thing was that he had sat in the SNF for 3 months getting no therapy.
Avatar n tn Recently a new approach has been used in many hospitals.It is hyperbaric oxygen therapy. You can learn more about this therapy from the following website: I hope I have provided you with sufficient information. In case you need anymore then pls post us. Take care and regards.
Avatar n tn mental imagery, passive movement, mirror-box therapy, thermal therapy. I would say your crucial answer is to completely understand neuroplasticity and find therapists who understand how to do that.
1041487 tn?1256327719 As a speech pathologist that works in neuro-rehab, I am disturbed by your comment of receiving "little or no" therapy. It's difficult to really give you answers, without more information. Often after a 'severe" stroke, when the patient is in the acute stages, they are not able to participate in therapy and may have more medical issues at the time that prohibit therapy. Please provide more information and maybe it can be explained more clearly.
Avatar m tn Care must be taken for repositioning her to avoid bedsores. She would need physical therapy, speech therapy if there is impediment. Her GCS or Glasgow coma scale would guide her further ICU stay and intensive care. Discuss her condition with the intensivist and further care can be decided depending on that. It would not be wise of me to comment further on her prognosis without examining her clinically. Wish her all the best. Take care.
Avatar n tn s condition sounds similar to mine, when he was discharged from acute rehab unit of the hospital. We continued with physical, speech and occupational therapy home visits through a private agency. Are home visits for therapy an option for you? I found that though the scheduling was erratic for these home visits, it gave us both something to work from.
Avatar m tn Witnesses have described "Shak Stroke therapy" as a miracle therapy, In the majority of cases has given full mobility to Stroke survivor Victims, sometimes within minutes even after they have been imobilised for years. Go to You Tube and type in Shak Stroke Therapy and see the speed some people have recovered. in many cases the following has occurred... Limbs have gained full mobility in minutes. speech has vastly improved in minutes. balance back in minutes.
Avatar f tn A CT scan of the head following acute changes in neurological status is only helpful in specific types of strokes where the patient had an acute bleed into the brain. Some call this a hemorrhagic stroke. If she were to have an infarct or bland stroke, a CT scan done early following the stroke will typically be normal. Therefore a positive CT scan of the head is diagnostic, but a negative CT scan DOES NOT rule out a stroke.
Avatar n tn I take a baby aspirin (81 mg) daily to help prevent stroke and heart attack. Is their a significant risk of damaging the stomach or any other part of the GI tract using this much aspirin daily? Dear Jim, Aspirin is a type of non-steroidal anti-inflammatory drug. It works by inhibiting an enzyme called cyclooxygenase, which is important in the formation of prostaglandins. Prostaglandins can have different effects throughout the body.
Avatar n tn We continued to fight their decisions and after about 2 months of fighting, we were able to get him moved to an acute rehab facility where he did 4-5 hours of therapy each day. He was there for 3 weeks, and then able to come home with some help. Is there an acute rehab facility int he area that you could contact? We were able to get someone from the facility to come and evaluate my dad. They agreed that he would benefit from more therapy, so they helped us alot with our fight.
1069105 tn?1256700412 ) In 5/09, while hospitalized due to methyldopa induced cholestasis, she was diagnosed with atrial fibrillation. In 8/09, 14 days into Warfarin therapy, she fell, suffering a skull fracture causing an acute subarachnoid and subdural hemorrhage. She was initially paralyzed on her left side. She recovered almost 90% after 3 weeks. On our request, she was switched from Warfarin to 100mg Aspirin. In 12/09, she had an open cholecystectomy due to acute cholecystitis with pigmented gallstones.
Avatar n tn We tried to get dad into an acute care facility but were told he did not meet minimum requirements. Acute care for rehab centers normally require a minimum of three hours rehab 5-6 days a week. When my dad was tested, he did not consistently respond to commands. I am positive that he could hear, and he responded some days much better than other days. Keep telling your father that you are working on getting him to a higher level of care.
2055880 tn?1330534668 Also, is it legal for them to have him sleep in the hall every night? He gets speech therapy, physical therapy and is bolo fed (liquid in a can). Also, they are listed as a sub-acute facility but Medicare doesn't recognize them as one. What's the deal? How do we find these things out? My husband and I do can't afford an attorney, so do we use what money he has in the bank to use one? Any info would be appreciated it. We live in NJ.
Avatar f tn What has been your experience on going about picking the next facility for stroke survivors? My father-in-law had a stroke on January 31 and will be moved from a long-term acute center to a post-acute facility (since he is having his trach removed today - yay!). But I wanted to know of anyone's experience with research, visiting, choosing, and maybe having to adjust your plan once you got to the facility? I would love the good and bad that you have to offer.
Avatar m tn Stroke can be ischemic or hemorrhagic. Ischemic stroke occurs as a result of blockage to an artery. For this therapy with clot dissolving drugs (thrombolytics), should be initiated early. Aspirin, an anti-thrombotic drug, is given immediately after an ischemic stroke to reduce the likelihood of having another stroke. Some stroke patients do appear to have 100 percent recovery. And many regain a great deal of their abilities.
Avatar f tn In diagnosis, use CT scans and MRI to assess the location and severity of the stroke. In application of acupuncture therapy, it is crucial to determine the gravity of the disease (whether it is an attack on the zang-fu organs or on the meridians and luo-eonnecting channels), the current stage of the disease (onset. acute, recovery, or stroke rehabilitation) and finally the patients individual clinical specifications ( body constitution.tongue diagnosis, pulse diagnosis, etc.).
Avatar f tn How are you? How is your mom? The prognosis following a stroke is related to the severity of the stroke and how much of the brain has been damaged. Some patients return to a near-normal condition with minimal awkwardness or speech defects. Many stroke patients are left with permanent problems such as weakness on one side of the body (hemiplagia), difficulty or the inability to speak (aphasia) , or incontinence of the bowel or bladder.
1069105 tn?1256700412 Mom 72, Singapore. Diagnosed w/ HTN '92. 5/’09, hospitalized due to methyldopa induced cholestasis, diagnosed w/ A fib. 8/’09, 14 days into Warfarin, she fell (cause unknown), suffering a skull fracture causing an acute subarachnoid and subdural hemorrhage. Initially paralyzed left side & recovered almost 90%. On our request, switched to Aspirin. 12/’09, open cholecystectomy due to acute cholecystitis w/ pigmented gallstones. In 5/’10 , she had a minor stroke.
Avatar m tn Areas of diminished blood supply are reported in imaging studies. Therapy is focused on improving the blood supply. Thrombolysis is of net benefit in patients with acute ischaemic stroke, who are younger than 80 years of age and are treated within 4·5 hrs of occurrence of stroke. Plavix is given to prevent clot formation and to improve blood supply to the brain. Any systemic causes like diabetes and hypertension are adequately controlled.
Avatar m tn As he has got a hemorrhagic stroke. Treatment of hemorrhagic stroke focuses on controlling the bleeding and reducing the pressure on the brain. Sometimes surgical interventions may be needed to control the bleeding. If there is no further active bleeding you can be optimistic. Good luck with his therapy. Regards.
1069105 tn?1256700412 ) In 5/09, while hospitalized due to methyldopa induced cholestasis, she was diagnosed with atrial fibrillation. In 8/09, 14 days into Warfarin therapy, she fell, suffering a skull fracture causing an acute subarachnoid and subdural hemorrhage. She was initially paralyzed on her left side. She recovered almost 90% after 3 weeks. On our request, she was switched from Warfarin to 100mg Aspirin. In 12/09, she had an open cholecystectomy due to acute cholecystitis with pigmented gallstones.
Avatar f tn My son who is 38 had a stroke on Sept. 25, 2009. His left leg and left arm is paralyzed. He has been in two different sub-acute rehab facilities since Dec. 2009. The most recent one he has been there since Feb 10, 2010 but they only started the physical therapy on about Mar 7, 2010. The physical therapists and doctors are now telling me he probably won't get any better and we should be getting ready to take him home.
Avatar f tn She also suffered a heart attack as a result of the stroke. The stroke was in her left brain and there was some bleeding. She has lost most of the control on her right side and has no speech. The PCP at the hospital recommended an acute care facility vs. nursing home, but she remains very tired and cannot complete the 3 hours of therapy required a day. May mom is struggling with whether she should take a leave of absence now vs.
Avatar n tn Depending on how an MRI scan is completed it can show both acute and chronic strokes. Radiologists comment on the fact that there is no acute stroke either to indicate that they did special imaging to look for an acute stroke, or because this is a common reason to obtain a MRI of the brain. Chronic strokes can be seen with standard MRI techniques, and therefore the comment normal MRI excludes the presence of chronic strokes.
Avatar n tn HYPERBARIC OXYGEN THERAPY...according to research, they say it has helped alot of stroke patients....Are you aware of this thearpy and do you recommend it for stroke patients...I really would like your opinion on this. Thank you!!