About 700,000 Americans Suffer a Stroke Annually - 400,000 Being First Strokes - Read More inside Stroke and Cardiac Rehabilitation.DUBLIN, Ireland -- Research and Markets (http://www.researchandmarkets.com/reports/c40677) has announced the addition of Stroke and Cardiac Rehabilitation to their offering. Stroke Rehabilitation Comprehensive Medical Rehabilitation Hospitals/Units (CMRH/U) are licensed and certified facilities that primarily provide special rehabilitative health care services rather than general medical and surgical services. Rehabilitative therapy focuses on restoring physical function and abilities lost due to an acute condition. At the onset of therapy, it is assumed there is a reasonable expectation of either a complete or partial restoration of premorbid premorbid /pre·mor·bid/ (-mor´bid) occurring before development of disease. pre·mor·bid adj. Preceding the occurrence of disease. function. About 700,000 Americans suffer a stroke annually - 400,000 are first strokes. At least 3 million Americans have varying degrees of disability secondary to a stroke. Men are affected more often than women and African-Americans more often than Caucasians. Men have 4X the rate of stroke due to carotid artery stenosis Carotid arterial stenosis is a narrowing of the lumen of the carotid artery, usually by atheroma (a fatty lump or plaque causingatherosclerosis). Atheroma's may cause transient ischemic attacks (TIAs) and cerebrovascular accidents (CVAs) as it obstructs the bloodstream to the brain. as women. Ischemic Ischemic An inadequate supply of blood to a part of the body, caused by partial or total blockage of an artery. Mentioned in: Antiangiogenic Therapy, Subarachnoid Hemorrhage, Ventricular Fibrillation ischemic brain infarction accounts for about 75% of strokes while intracerebral in·tra·cer·e·bral adj. Existing within the cerebrum. or subarachnoid hemorrhage leads to another 15%. 10% are of other or unknown causation. Stroke frequency increases after age 55, doubling during each succeeding decade. Modifiable risk factors for stroke prevention include hypertension, diabetes mellitus, cigarette smoking, atrial fibrillation, left ventricular hypertrophy left ventricular hypertrophy Cardiology Enlargement of the left ventricle often linked to the prolonged hemodynamic stress of CHF, characterized by myocardial cell hypertrophy, ↑ left ventricular wall thickness, ↓ ventricular compliance, ↑ , transient ischemic attacks, high serum cholesterol, coronary heart disease coronary heart disease: see coronary artery disease. coronary heart disease or ischemic heart disease Progressive reduction of blood supply to the heart muscle due to narrowing or blocking of a coronary artery (see atherosclerosis). , congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time. , cocaine use, obesity and heavy alcohol consumption. Stroke mortality ranges from 17 to 34% during the first 30 days, and from 25 to 40% during the first year following an acute stroke. Most patients present with some degree of hemiparesis hemiparesis /hemi·pa·re·sis/ (-pah-re´sis) paresis affecting one side of the body. hem·i·pa·re·sis n. Slight paralysis or weakness affecting one side of the body. transiently. Acute neurologic impairments often improve or resolve spontaneously. Persisting disabilities lead to partial or total dependence in activities of daily living (ADL) in 25 to 50 % of stroke survivors. This report is a Stroke and cardiac rehab clinical review criteria guidelines for ambulatory care, inpatient admission, continued stay and discharge; plus clinical care and prevention guidelines, resources and related web sites. Updated Annually. Guidelines are an expected part of medical practice in today's society. However, guidelines cannot be blindly accepted or considered inviolate. If that were to be the case, they would cease to be guidelines and would become "standards" or even "mandates". Guidelines and their application must be directed primarily toward the well-being of the patient. The term "cost-effectiveness" should refer to efficiency with regard to time, safety, and utilization of resources for patient care, and should NOT be used as a means to maximize profit or for any other purpose that does not have the patient as the primary concern. Sample Includes:- 1. Assessment and stabilization 2. Medical management 3. Rehabilitation referrals for the appropriate level of care necessary to address the treatment requirements of a specific individual. 4. Rehabilitation management plan with well-defined explicit goals, measurement of progress at predetermined pre·de·ter·mine v. pre·de·ter·mined, pre·de·ter·min·ing, pre·de·ter·mines v.tr. 1. To determine, decide, or establish in advance: intervals, an adjustment of the plan or goals as appropriate to the individual's progress in rehabilitation and development of a realistic prognosis. 5. Reintegration reintegration /re·in·te·gra·tion/ (-in-te-gra´shun) 1. biological integration after a state of disruption. 2. restoration of harmonious mental function after disintegration of the personality in mental illness. of the affected patient into the community at or as close to the previous functional and residential setting as is practical. For more information visit http://www.researchandmarkets.com/reports/c40677 |
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