Microsoft calls Cortana a “digital agent.” It’s designed to learn from your commands to personalize your experience as you use it. You can type your queries, or talk to Cortana by saying “Hey Cortana!” It’s very similar to the Apple and Android options but is quickly gaining steam on Siri. Track packages, manager your calendar, or just chit chat with the virtual assistant. Cortana is available on Microsoft devices, including Windows phones and operating systems, as well as in apps on Google Play and the iTunes app store.

Stroke patients who are taken to the hospital in an ambulance may get diagnosed and treated more quickly than people who do not arrive in an ambulance.1 This is because emergency treatment starts on the way to the hospital. The emergency workers may take you to a specialized stroke centerExternal to ensure that you receive the quickest possible diagnosis and treatment. The emergency workers will also collect valuable information that guides treatment and alert hospital medical staff before you arrive at the emergency room, giving them time to prepare.
Data: Data collection is a vital component of the chain of survival. Data collection includes results from laboratory tests and both a physical and a neurological exam. A 12-lead electrocardiogram is recommended to rule out cardiac arrhythmias. In addition, a CT scan is an essential piece of the puzzle and is needed for an accurate diagnosis. A CT scan should ideally be performed within 25 minutes of arrival in the emergency room. Data collected is also needed to rule out conditions which may mimic a stroke, such as a brain tumor, drug overdose or hypoglycemia.
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.

Medford – The Stroke Support Group offers emotional, educational and social support for stroke survivors as well as their family members and caregivers. Individuals are encouraged to attend to receive encouragement from others coping with similar issues. The group meets the third Tuesday of the month (except on holidays) at 1 pm. Meetings are held in the Community Education Room at Aspirus Medford Hospital. For more information, call Aspirus Medford Hospital at 715-748-8100.
On both occasions I used their service, the caregivers either left minimal or no notes while visiting my elderly parents (no eating, sleeping or bathroom data). After the first visit, I contacted a supervisor at Around the Clock and asked specifically that the caregivers leave notes on eating, sleeping patterns, etc. Instead of improving, on the 2nd visit I only received notes from 1 of 3 caregivers...I paid for 16 hours of caregiving for people who may or may not have even showed up for all I know. Their medical staff is also hit and miss. On my father's post-hospital rehab, one of the 3 nurses missed appts at the house repeatedly...only making 1 of 5 scheduled appointments. After this, I contacted Around the Clock and asked them to send out a more reliable nurse. In the 5 weeks that have passed since, we have received 1 visit from a nurse...nobody makes their scheduled appointments. Is this the care you want for your elderly parents??
Le fait que nos programmes de formations soient faits sur mesure, de qualité et personnalisés. Nous recourons à une pédagogie active et ludique pour les mises en situations et exercices avec le simulateur du Grand Âge pour un ressenti et une réflexion unique sur la situation de handicap et de vieillissement. Nos formations sont en phase avec la réalité du terrain et nos formateurs interviennent quotidiennement auprès des Seniors (EHPAD, Services à Domicile …).

^ 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.


Magnetic resonance imaging (MRI). An MRI uses powerful radio waves and magnets to create a detailed view of your brain. An MRI can detect brain tissue damaged by an ischemic stroke and brain hemorrhages. Your doctor may inject a dye into a blood vessel to view the arteries and veins and highlight blood flow (magnetic resonance angiography, or magnetic resonance venography).

The patient recovered from the stroke with limited damage resulting in a limp and nerve damage in one hand, but he is able to walk 2-3 miles several times a week. He attributes his successful outcome to having received tPA through access to the teleneurology system. He is thankful to the emergency physician, Dr. Gregory Driskell, for the critical care he received. 
Legal incapacity is an invasive and sometimes, difficult legal procedure. It requires that a person file a petition with the local courts, stating the elderly person lacks the capacity to carry out activities that include making medical decisions, voting, making gifts, seeking public benefits, marrying, managing property and financial affairs, choosing where to live and who they socialize with. Most states' laws require that two doctors or other health professionals to provide reports as evidence of such incompetence and the person to be represented by an attorney. Only then can the individual's legal rights be removed, and legal supervision by a guardian or conservator be initiated. The legal guardian or conservator is the person to whom the court delegates the responsibility of acting on the incapacitated person's behalf and must report regularly his or her activities to the court.
Disclaimer: We DO NOT check license status for facilities and DO NOT ensure each property is classified as an "assisted living" facility. We try to list all senior living companies in a given area, some might not be licensed as assisted living. We strongly urge every consumer to conduct due diligence on facilities they are considering. This includes but is not limited to verifying the license status of a facility, researching inspection reports and complaints and visiting facilities in person.
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.
Geriatric care managers (GCMs) are usually social workers, psychologists, nurses, gerontologists or others with training and experience in various aspects of elder care. Geriatric care managers not only assess a senior’s needs, they can also handle crises (such as an emergency hospitalization), help place the senior in a residential care community, help resolve family conflicts, locate community resources or fill in for family caregivers at doctor’s appointments, among other services.

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Leaving the home you’ve known is difficult. No matter what any place tells you, nothing will be able to replace the memories you’ve built. At Andrews, we believe that your best, most fulfilling life is ahead of you. Our senior living facilities allow you to spend your golden years in a modern facility that gives you independence when you want it, and help when you need it. Make great memories with friends and families. Finally, this is your time. Enjoy it!
We are able to provide assistance in the home, independent living, assisted living, skilled nursing, and hospital setting. Our skilled and qualified caregivers are able to provide for all your home care needs as long as it does not require the assistance of an LVN or RN. Our care staff is able to assist with bathing, dressing, personal hygiene, transfers, toileting, meal preparation, medication reminders, shopping, transportation, housekeeping, companionship, hospital sittings, care for bedbound and terminally ill, and much more. All care staff are insured, bonded, FBI background checked, TB tested, and registered with the state of California. Care staff are careful screened and receive extensive training once they are hired.
Products and tools designed to keep your mouth clean or take care of teeth, dentures, gums and the tongue are included in this section. This means everything from electric toothbrushes to denture cleaner and mouthwash are found in this section. Pain relief and treatment for oral health ailments such as canker sores are also found in the Oral Care section of our Personal Care Products department. We include oral hygiene items for both adults and children in this section.
And PAA recognition, they wrote, "was a more robust identifier of hospitals with better performance" than PSC. In fact, they noted, "When performance of PAA-recognized hospitals with PSC certification was compared to PAA recognized hospitals without PSC certification, there were no significant differences (all-or-none summary performance measure adjusted odds ratio 1.02 [0.93-1.14], P=0.5935 for PAA+/PSC+ hospitals with PAA+/PSC- as reference)."
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. 
Mayo Clinic in Rochester, Minn., ranks No. 1 for neurology and neurosurgery in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Phoenix/Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for neurology and neurosurgery by U.S. News & World Report. Mayo Clinic also ranks among the Best Children's Hospitals for neurology and neurosurgery.
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.
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Another top facility that you may want to consider is the University of Washington Stroke Center, which deals with diagnosis and post-stroke patient care. Certified by The Joint Commission as a primary stroke center, this facility is involved in innovative research of new medications as well as various procedures or surgeries that can help prevent or treat stroke. The medical services offered by the UW Medicine Stroke Center include emergency services, acute stroke teams, and neuroimaging, neurosurgical, and neuroradiology services. Health care professionals are continually upgrading their education so they can provide the best support and care. These medical services are available at any time of the day, ensuring that stroke victims are stabilized and can begin recovery as soon as possible after a stroke.
Magnetic resonance imaging (MRI). An MRI uses powerful radio waves and magnets to create a detailed view of your brain. An MRI can detect brain tissue damaged by an ischemic stroke and brain hemorrhages. Your doctor may inject a dye into a blood vessel to view the arteries and veins and highlight blood flow (magnetic resonance angiography, or magnetic resonance venography).
Removing the clot with a stent retriever. Doctors may use a catheter to maneuver a device into the blocked blood vessel in your brain and trap and remove the clot. This procedure is particularly beneficial for people with large clots that can't be completely dissolved with tPA, though this procedure is often performed in combination with intravenous tPA.
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Stryker is committed to the highest standards of ethical and lawful conduct. Our collaboration with Healthcare Professionals meets the standards established by applicable laws, the AdvaMed Code of Ethics, MedTech Europe Code of Business Practice, and other industry codes of ethics around the world. We believe that operating in accordance with the highest ethical standards protects and benefits our patients, customers and employees.
“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.
Mercy Hospital of Buffalo is the only hospital in Buffalo certified as an Advanced Comprehensive Stroke Center by the Joint Commission and American Heart Association/American Stroke Association, the highest stroke designation available in the nation. At Mercy Hospital of Buffalo, our physicians and staff with specialty training in the treatment of stroke are dedicated to treating the people in our region. Our Joint Commission certification as an Advanced Comprehensive Stroke Center means that our patients receive:
SeniorCare Inc. was founded in 1972, and has evolved into a multi-faceted non-profit organization that now provides consumers with a one stop portal for elder and disability services and information.  We provide assistance through many avenues: Meals on Wheels, the Massachusetts Home Care program, and other supportive services.  We also have evidence-based wellness programs and volunteer services.
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Innovative programs. Doctors at Mayo Clinic's campuses in Arizona, Florida and Minnesota use stroke telemedicine to evaluate people who have had acute strokes at remote sites and provide treatment recommendations to doctors at other sites. Doctors communicate using digital video cameras, internet telecommunications, robots and other technology. Doctors at Mayo Clinic's Minnesota campus offer brain rehabilitation to people who have had strokes.
With a long history of providing stroke rehabilitation to its patients, Craig Hospital can fulfill any type of health care need that your loved one might have. Maintaining a close relationship with numerous trauma centers, this facility offers great health care support to stroke patients. With extensive experience in treating both adolescent and adult patients, the doctors at Craig Hospital take part in interdisciplinary teams that help treat each stage of stroke damage. The care units offer two therapy gyms, a supervised activity room, and special rooms designed for individual therapy. Most patients begin treatment in the West Unit, and as they progress with rehabilitation and recovery, they can move to the East Unit. The various therapy classes at Craig Hospital include a skills class, a fit class, a speech group, and educational programs.
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]

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.
Under its eleventh Five-Year plan, the Indian government has made many strides similar to that of Nepal. Article 41 of the Indian Constitution states that elderly citizens will be guaranteed Social Security support for health care and welfare.[35] A section of the 1973 Criminal Procedure Code, alluding to its traditional background, mandates that children support their parents if they no longer can themselves.[35] NGOs, however, are prevalent in Indian elderly care, providing homes and volunteer care, but governmental policies and organizations are accessible.[35]
At MedPage Today, we are committed to ensuring that individuals with disabilities can access all of the content offered by MedPage Today through our website and other properties. If you are having trouble accessing www.medpagetoday.com, MedPageToday's mobile apps, please email legal@ziffdavis.com for assistance. Please put "ADA Inquiry" in the subject line of your email.
Mayo Clinic's world-renowned stroke teams include doctors trained in blood vessel and brain conditions (cerebrovascular neurologists), brain blood vessel imaging (endovascular surgical neuroradiologists), blood vessel brain surgery (vascular neurosurgeons), physical medicine and rehabilitation (physiatrists), emergency medicine, and other subspecialists who work together to provide exactly the care you need.
Medications delivered directly to the brain. Doctors may insert a long, thin tube (catheter) through an artery in your groin and thread it to your brain to deliver tPA directly into the area where the stroke is occurring. This is called intra-arterial thrombolysis. The time window for this treatment is somewhat longer than for intravenous tPA, but is still limited.
Best Personal Care Facility is a 48-bed assisted living community located in Houston, TX. Communities this size typically offer shared and private suites, assisted living and memory care services, and a resident enrichment program. Seniorly estimates the costs to be $3,772 per month which is around 1% under the average of $3,825 in Houston. This community has not been reviewed yet. Please help families by submitting a review below.
Mayo Clinic's world-renowned stroke teams include doctors trained in blood vessel and brain conditions (cerebrovascular neurologists), brain blood vessel imaging (endovascular surgical neuroradiologists), blood vessel brain surgery (vascular neurosurgeons), physical medicine and rehabilitation (physiatrists), emergency medicine, and other subspecialists who work together to provide exactly the care you need.
The form of care provided for older adults varies greatly among countries and is changing rapidly.[2] Even within the same country, regional differences exist with respect to the care for older adults.[3] However, it has been observed globally, older people consume the most health expenditures out of any other age group,[4] observation that shows comprehensive eldercare may be very similar. One must also account for an increasingly large proportion older people worldwide, especially in developing nations, as continued pressure is put on limiting fertility and decreasing family size.[5]
Legal incapacity is an invasive and sometimes, difficult legal procedure. It requires that a person file a petition with the local courts, stating the elderly person lacks the capacity to carry out activities that include making medical decisions, voting, making gifts, seeking public benefits, marrying, managing property and financial affairs, choosing where to live and who they socialize with. Most states' laws require that two doctors or other health professionals to provide reports as evidence of such incompetence and the person to be represented by an attorney. Only then can the individual's legal rights be removed, and legal supervision by a guardian or conservator be initiated. The legal guardian or conservator is the person to whom the court delegates the responsibility of acting on the incapacitated person's behalf and must report regularly his or her activities to the court.
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The quality of our care is a reflection of our Attendant Caregivers.  We closely evaluate and carefully select individuals who must successfully complete a criminal background check and multiple reference checks.
They are highly qualified individuals who are insured and who are provided with specialized training using the highly regarded American Red Cross Family Caregiving Program.  The strength of the American Red Cross training program lies not only in their expert content, but also in the way this content is delivered.
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