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Total 31 results found since Jan 2013.

IJERPH, Vol. 16, Pages 196: Adherence to Treatment in Stroke Patients
Conclusions: The perception of medication necessity and the doctor–patient communication are manageable factors associated with compliance in treating patients who have suffered stroke. In addition, rehabilitation and return to work programs should consider these factors when providing support to those persons.
Source: International Journal of Environmental Research and Public Health - January 11, 2019 Category: Environmental Health Authors: Emmanouela Cheiloudaki Evangelos C. Alexopoulos Tags: Article Source Type: research

"Living in a foreign country": experiences of staff-patient communication in inpatient stroke settings for people with post-stroke aphasia and those supporting them.
CONCLUSIONS: Communication was viewed as important but challenging by all three groups. To maximise staff-patient interactions in the future, attention needs to be paid to: the psychosocial needs of stroke survivors and their carers, ongoing staff training and support for the healthcare professionals supporting them, and the provision of an aphasia-friendly and a communicatively stimulating ward environment. Implications for Rehabilitation Effective staff-patient communication is viewed as fundamental to stroke rehabilitation but challenging by patients with aphasia, their carers and the healthcare professionals supporting...
Source: Disability and Rehabilitation - September 27, 2018 Category: Rehabilitation Authors: Clancy L, Povey R, Rodham K Tags: Disabil Rehabil Source Type: research

The controversy over statins has revealed something: the nocebo effect is real | Ann Robinson
Just as placebos can have a positive effect, expectation of side-effects can have a negative one. That ’s why proper doctor-patient communication is so vitalStatins are back in the news;a new study shows that media-fuelled controversy among health experts has dented public confidence in the cholesterol-lowering drugs that prevent 80,000 heart attacks and strokes every year in the UK. The benefits far outweigh the harm from rare side-effects, according to a review of the evidence in the Lancet medical journal. But200,000 people stopped taking their statins in 2013 following six months of “disputed research and tendentio...
Source: Guardian Unlimited Science - May 3, 2017 Category: Science Authors: Ann Robinson Tags: Placebo effect Statins Health Society NHS Heart attack Stroke Doctors UK news Science Source Type: news

Patient, Doctor, and the Data: Emergence of the Third Player
Amith Vikramr The conventional model of medicine had only two players. The doctor alone had access to all medical information and his encounter with the patient was the only way to obtain health-related information. The dawn of the information age led to a change in the dynamics in this relationship. A consumerist model of healthcare has emerged where doctors partner with patients in managing the patient’s illness. The advances in systems biology, big data and consumer health care electronics will add patient data as a new element to the patient-physician interface. In the next decade, individual patients will generate ...
Source: Society for Participatory Medicine - December 6, 2016 Category: Journals (General) Authors: Nanette Mattox Tags: Newsletter e-patient movement empowered patient Moral Injury participatory medicine Patient Participation Source Type: news

The American Heart Association's New Institute for  Precision Cardiovascular Medicine.
The American Heart Association's New Institute for Precision Cardiovascular Medicine. Circulation. 2016 Nov 22;: Authors: Houser SR Abstract "One size does not fit all." These 6 simple words represent the fundamental concept driving an unprecedented initiative of the American Heart Association, the Institute for Precision Cardiovascular Medicine. In the field of heart disease and stroke research, we have seen enormous knowledge advances in recent decades, all of which have led to breakthroughs in our ability to treat and prevent these illnesses. We celebrate these advances because they are allowing u...
Source: Circulation - November 21, 2016 Category: Cardiology Authors: Houser SR Tags: Circulation Source Type: research

External Validation of the ASTRAL and DRAGON Scores for Prediction of Functional Outcome in Stroke
The ability to predict outcomes after acute stroke facilitates treatment and eases communication with patients. Acute Stroke Registry and Analysis of Lausanne (ASTRAL) was developed for use in acute ischemic stroke patients and does not require imaging. The other score is designed for stroke patients that have been treated with intravenous tissue-type plasminogen activator (tPA) includes dense middle cerebral artery sign, prestroke modifed Rankin Scale score [mRS], age, glucose, onset to treatment, National Institutes of Health Stroke Scale [NIHSS] score (DRAGON).
Source: The Journal of Emergency Medicine - September 30, 2016 Category: Emergency Medicine Authors: Nigel S. George Tags: Abstract Source Type: research

Addressing Disparities in Stroke Prevention for Atrial Fibrillation: Educational Opportunities
This study identified barriers to optimal stroke prevention to develop a framework for clinician education. A comprehensive educational needs assessment was developed focusing on clinicians within the Stroke Belt. The mixed qualitative-quantitative approach included regional surveys and one-on-one clinician interviews. Identified contributors to disparities included implicit racial biases, lack of awareness of racial disparities in AF stroke risk, and lack of effective multicultural awareness and training. Additional barriers affecting disparities included patient medical mistrust and clinician-patient communication challe...
Source: American Journal of Medical Quality - June 30, 2016 Category: Health Management Authors: Karcher, R., Berman, A. E., Gross, H., Hess, D. C., Jauch, E. C., Viser, P. E., Solenski, N. J., Wolf, A. M. D. Tags: Articles Source Type: research

The lack of documentation of preferences in a cohort of adults who died after ischemic stroke
Conclusions: Documented discussions about limitations on life-sustaining interventions during hospitalization were low, even though this cohort died within 30 days poststroke. Improving the documentation of preferences may be difficult given the 2015 Centers for Medicare and Medicaid 30-day stroke mortality hospital performance measure that is unadjusted for patient preferences regarding life-sustaining interventions.
Source: Neurology - May 29, 2016 Category: Neurology Authors: Robinson, M. T., Vickrey, B. G., Holloway, R. G., Chong, K., Williams, L. S., Brook, R. H., Leng, M., Parikh, P., Zingmond, D. S. Tags: Outcome research, Quality of life, Infarction, Palliative care ARTICLE Source Type: research

Impact of a Pilot Intervention to Increase Physician –Patient Communication About Stroke Risk in Indonesia
10.1080/10410236.2015.1082456 Pamela A. Williams
Source: Health Communication - April 6, 2016 Category: Health Management Authors: Pamela A. Williams Yayi S. Prabandari Chelsea Burfeind R. Craig Lefebvre Kenneth A. LaBresh Source Type: research

Group therapy as a social context for aphasia recovery: a pilot, observational study in an acute rehabilitation hospital.
CONCLUSION: In the aphasia group treatment described in this study, participants initiated more communication, with greater diversity of expressive modalities and more varied communicative purposes. Participants in group therapy also showed an increased tendency to communicate for the purpose of social closeness. These findings suggest that there are important differences in the communication of patients participating in group vs. individual speech therapy for treatment of acute, severe non-fluent aphasia. PMID: 27077989 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 15, 2016 Category: Neurology Authors: Fama ME, Baron CR, Hatfield B, Turkeltaub PE Tags: Top Stroke Rehabil Source Type: research

Development of a computerised decision aid for thrombolysis in acute stroke care
Conclusions: Our structured development process led to the development of a gamma prototype computerised decision aid. Initial evaluation has demonstrated reasonable acceptability of COMPASS amongst patients, relatives and clinicians. The impact of COMPASS on clinical outcomes requires wider prospective evaluation in clinical settings.
Source: Epidemiologic Perspectives and Innovations - February 7, 2015 Category: Epidemiology Authors: Darren FlynnDaniel J NesbittGary A FordPeter McMeekinHelen RodgersChristopher PriceChristian KrayRichard G Thomson Source Type: research

Accessibility, usability, and usefulness of a Web-based clinical decision support tool to enhance provider-patient communication around Self-management TO Prevent (STOP) Stroke
This article reports redesign strategies identified to create a Web-based user-interface for the Self-management TO Prevent (STOP) Stroke Tool. Members of a Stroke Quality Improvement Network (N = 12) viewed a visualization video of a proposed prototype and provided feedback on implementation barriers/facilitators. Stroke-care providers (N = 10) tested the Web-based prototype in think-aloud sessions of simulated clinic visits. Participants’ dialogues were coded into themes. Access to comprehensive information and the automated features/systematized processes were the primary accessibility and usability facilitator th...
Source: Health Informatics Journal - November 19, 2014 Category: Information Technology Authors: Anderson, J. A., Godwin, K. M., Saleem, J. J., Russell, S., Robinson, J. J., Kimmel, B. Tags: Articles Source Type: research

Ensuring medication adherence with direct oral anticoagulant drugs: Lessons from adherence with vitamin K antagonists (VKAs)
Abstract: Medication adherence (taking drugs properly) is uncommon among patients on warfarin. Poor adherence to warfarin leads to an increase in adverse medical events, including stroke in atrial fibrillation (AF). Factors related to patients, physicians and the health system account for poor adherence. Direct oral anticoagulants (DOACs) are easier to use than warfarin, with fewer drug and food interactions and no need for routine blood monitoring. A proper use of DOACs may reduce the risk of stroke in AF. However, in clinical settings where no laboratory monitoring is needed, a poor medication adherence is common and may...
Source: Thrombosis Research - February 12, 2014 Category: Hematology Authors: Alessandro Di Minno, Gaia Spadarella, Antonella Tufano, Domenico Prisco, Giovanni Di Minno Tags: Mini-Reviews Source Type: research