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.
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]
Thailand has observed global patterns of an enlarging elderly class: as fertility control is encouraged and medical advances are made, births shrink and people live longer.[5] The Thai government is noticing and concerned about this trend, but tends to let families care for their elderly members rather than create extraneous policies for them.[31] As of 2011, there are only 25 state-sponsored homes for the elderly, with no more than a few thousand members of each home.[31] Such programs are largely run by volunteers and are services tend to be limited, considering there is not always a guarantee care will be available. Private care is tough to follow, often based on assumptions. Because children are less likely to care for their parents, private caretakers are in demand.[31] Volunteer NGOs are available but in very limited quantities.[31]
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Outcomes for individuals with stroke have improved significantly due to the implementation of Acute Stroke System of Care. The community is better equipped to recognize stroke as a “brain attack,” and there is greater awareness of the importance of medical care within one hour of symptom onset. Likewise, EMS systems have been enhanced to transport individuals to regional stroke care centers that are equipped to administer fibrinolytics.

“We are currently negotiating funding with the HSE, to further develop the service so that it’s rapidly available to everybody,” says Thornton. “We began the service without any additional funding or new structures in place. There are charities such as the Irish Heart Foundation that are currently in the process of reviewing guidelines to publish a formal protocol for patients and doctors on how to approach and deal with a large-vessel stroke. But we need the HSE to formally recognise the importance of medical thrombectomy and to support urgent development of the service because it is essential that stroke patients in Ireland are getting the best standard of care possible.”


“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.
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.

Posterior stroke: This type of stroke affects the back area of the brain, which includes the brain stem (controls breathing, blood pressure, and heart rhythm), the cerebellum (controls balance and coordination), and the occipital lobes (controls vision). Patients might experience any of the following ataxia, double vision, problems seeing to the left or right, or vertigo.


Before the inspection, we reviewed the information we held about the service. This included the previous inspection report and notifications since the last inspection. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

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