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rehabilitasi pasien direkomendasikan atas rumah jompo untuk rehabilitasi stroke---T-REC semarang--komunitas reptil-semarang--KSE-komunitas satwa eksotik--berita artikel terkait tentang rumah jompo dan stroke

rehabilitasi pasien direkomendasikan atas rumah jompo untuk rehabilitasi stroke

Date:
May 4, 2016
Source:
American Heart Association
Summary:
pedoman baru telah dirilis pada rehabilitasi stroke
 orang dewasa untuk intensif , perawatan multidisiplin . Sebelum meninggalkan rumah sakit , pasien dan perawat harus menerima program tpencegahan formal untuk mencegah kecelakaan di rumah . Bila mungkin , rehabilitasi awal harus dilakukan di fasilitas rehabilitasi rawat inap bukan sebuah panti jompo .
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For the first time, guidelines have been developed by the American Heart Association/American Stroke Association for rehabilitation after a stroke.
 Untuk pertama kalinya , pedoman telah dikembangkan oleh American Heart Association / American Stroke Association untuk rehabilitasi setelah stroke .

"Previous guidelines have focused on the medical issues involved in the initial management of stroke, but many people survive a stroke with some level of disability. There is increasing evidence that rehabilitation can have a big impact on the survivors' quality of life, so the time is right to review the evidence in this complex field and highlight effective and important aspects of rehabilitation," said Carolee J. Winstein, Ph.D., P.T., lead author of the new scientific statement published in the American Heart Association journal Stroke.
" Pedoman sebelumnya telah difokuskan pada masalah medis yang terlibat dalam pengelolaan awal stroke, tetapi banyak orang bertahan hidup dari stroke dengan beberapa tingkat kecacatan . Ada semakin banyak bukti bahwa rehabilitasi dapat memiliki dampak besar pada kualitas yang selamat ' dari kehidupan, sehingga waktu yang tepat untuk meninjau bukti di lapangan kompleks ini dan menyoroti aspek efektif dan penting dari rehabilitasi , " kata Carolee J. Winstein , Ph.D. , PT , penulis utama laporan ilmiah  yang baru  diterbitkan dalam American Heart Association jurnal Stroke .

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In-patient rehab recommended over nursing homes for stroke rehab

Date:
May 4, 2016
Source:
American Heart Association
Summary:
New guidelines have been released on adult stroke rehabilitation calling for intensive, multidisciplinary treatment. Before leaving the hospital, patients and caregivers should receive a formal falls-prevention program to prevent accidents at home. Whenever possible, initial rehabilitation should take place in an inpatient rehabilitation facility rather than a nursing home.
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For the first time, guidelines have been developed by the American Heart Association/American Stroke Association for rehabilitation after a stroke.
"Previous guidelines have focused on the medical issues involved in the initial management of stroke, but many people survive a stroke with some level of disability. There is increasing evidence that rehabilitation can have a big impact on the survivors' quality of life, so the time is right to review the evidence in this complex field and highlight effective and important aspects of rehabilitation," said Carolee J. Winstein, Ph.D., P.T., lead author of the new scientific statement published in the American Heart Association journal Stroke.
Whenever possible, the American Stroke Association strongly recommends that stroke patients be treated at an in-patient rehabilitation facility rather than a skilled nursing facility. While in an in-patient rehabilitation facility, a patient participates in at least three hours of rehabilitation a day from physical therapists, occupational therapists, and speech therapists. Nurses are continuously available and doctors typically visit daily. An in-patient rehabilitation facility may be a free-standing facility or a separate unit of a hospital.
"If the hospital suggests sending your loved one to a skilled nursing facility after a stroke, advocate for the patient to go to an in-patient rehabilitation facility instead -- unless there is a good reason not to -- such as being medically unable to participate in rehab. There is considerable evidence that patients benefit from the team approach in a facility that understands the importance of rehabilitation during the early period after a stroke," said Winstein, who is a professor of biokinesiology and physical therapy at the University of Southern California in Los Angeles, California.
Caregivers should also insist that a stroke survivor not be discharged from the hospital until they have participated in a structured program on preventing falls. This includes education about changes to make the home safer (such as removing throw rugs and improving lighting), minimizing the fall risk resulting from the side effects of medication, and safely using assistive devices such as wheelchairs, walkers and canes.
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Pengasuh juga harus bersikeras bahwa penderita stroke tidak keluar dari rumah sakit sampai mereka telah berpartisipasi dalam program terstruktur pada mencegah jatuh . Ini termasuk pendidikan tentang perubahan untuk membuat rumah yang lebih aman ( seperti karpet dan meningkatkan pencahayaan ) , meminimalkan risiko jatuh akibat efek samping dari obat-obatan , dan aman menggunakan alat bantu seperti kursi roda, alat bantu berjalan  dan tongkat .

"This recommendation will probably change medical practice. Even the top stroke centers may not have a formal falls-prevention program, but it is very important because a high percentage of patients end up falling after a stroke," Winstein said.
Other recommendations include:
  • Intense mobility-task training after stroke for all survivors with walking limitations to relearn activities such as climbing stairs.
  • Individually tailored exercise program so survivors can safely continue to improve their cardiovascular fitness through the proper exercise and physical activity after formal rehabilitation is complete.
  • An enriched environment (which might include a computer, books, music and virtual reality games) to increase engagement and cognitive activities during rehabilitation. There is not yet enough research to determine whether specific promising new techniques, such as activity monitors and virtual reality games, are effective at helping patients.
  • Speech therapy for those with difficulty speaking following a stroke.
  • Eye exercises for survivors with difficulty focusing on near objects.
  • Balance training program for survivors with poor balance, or who are at risk for falls.
"For a person to fulfill their full potential after stroke, there needs to be a coordinated effort and ongoing communication between a team of professionals as well as the patient, family and caregivers," Winstein said.
The new scientific statement is the eighth set of stroke guidelines from the American Stroke Association, completing the association's recommendations for the continuum of care for stroke patients and their families.

Story Source:
The above post is reprinted from materials provided byAmerican Heart AssociationNote: Materials may be edited for content and length.

Journal Reference:
1.      Carolee J. Winstein et al. Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke AssociationStroke, May 2016 DOI: 10.1161/STR.0000000000000098

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