Nurse Next Door’s around-the-clock care gives you on-going companionship and support every day and every evening. Whether it’s 3 in the afternoon, or 3 in the middle of the night, our comprehensive health services program will support you with compassionate and attentive assistance any time you need it. From providing medication in the evening, to assisting you with getting dressed in the morning, we will ensure you have around-the-clock home care for situations that may require close monitoring. Rest easy knowing you will always have someone by your side to attend to your needs if and when necessary.
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.
Armistead has been like my “right hand.” I can’t say enough positive things about them. I have found that they have always had someone available when we’ve needed their assistance. And the best part is, my aunt really enjoys them; she always looks forward to the staff coming in and they have become like “family” to her as well as to the rest of us. They have never let us down!
Both of my sons go to this daycare and love it! My youngest spent his baby days with miss jean and ...still seeks her out for cuddles. He is now in the preschool program and loves miss taylor as well. He can’t wait to go downstairs every day for “school”. He loves singing songs, doing circle time and many other activities. My oldest went through the preschool program and is now in the pre-k program. He is 4 and can read, write, do basic math and many other things. His favorite thing to do at school is the science experiments and all the field trips. Of course he refers to miss Andrea as one of his best friends lol. We couldn’t be happier we made the choice to come here. See More
The Ninth Five-Year Plan included policies in an attempt to care for the elderly left without children as caretakers.[30] A Senior Health Facilities Fund has been established in each district.[30] The Senior Citizens Health Facilities Program Implementation Guideline, 2061BS provides medical facilities to the elderly, and to those that are poverty stricken, free medicine and health care in all districts.[30] In its yearly budget, the government has planned to fund free health care to all heart and kidney patients older than 75.[30] Unfortunately, many of these plans are overly ambitious, which has been recognized by the Nepali government.[30] Nepal is a developing nation and may not be able to fund all of these programs after the development of an Old Age Allowance, or OAA. OAA provides a monthly stipend to all citizens over 70 and widows over 60.[30]

Impaired mobility is a major health concern for older adults, affecting 50% of people over 85 and at least a quarter of those over 75. As adults lose the ability to walk, to climb stairs, and to rise from a chair, they become completely disabled. The problem cannot be ignored because people over 65 constitute the fastest growing segment of the U.S. population.
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When a patient exhibits signs of a stroke, a first responder is immediately sent to the patient’s bedside, whether in the emergency room or on a nursing floor, to assess the patient. This begins a series of rapid activities, including lab work and CT imaging, to provide our emergency physicians and/or neurologist with the proper diagnostic information to determine which interventions are best based on each individual case. The physicians already on the case may bring other specialists, such as neurosurgeons or neuro-interventionalists, into the case depending on the course of treatment.
Door: The fourth step in the chain of survival is ‘door’, which refers to the arrival of the patient at the emergency room (ED). Ideally, the stroke team should be in place at the receiving facility prior to the patient’s arrival to ensure prompt assessment and diagnosis. According to recommendations from the National Institute of Neurological Disorders and Stroke, an assessment should be completed by an ER physician within ten minutes of arriving in the ED.
Computerized tomography (CT) scan. A CT scan uses a series of X-rays to create a detailed image of your brain. A CT scan can show a hemorrhage, tumor, stroke and other conditions. Doctors may inject a dye into your bloodstream to view your blood vessels in your neck and brain in greater detail (computerized tomography angiography). There are different types of CT scans that your doctor may use depending on your situation.
After a stroke, you may need rehabilitation (rehab) to help you recover. Before you are discharged from the hospital, social workers can help you find care services and caregiver support to continue your long-term recovery. It is important to work with your health care team to find out the reasons for your stroke and take steps to prevent another stroke.
When a patient comes to the hospital with stroke symptoms, it’s crucial to make a proper diagnosis quickly in order to begin treatment to minimize the effects of a stroke. Florida Hospital Ocala formerly Munroe Regional Medical Center's stroke care team delivers potentially life-saving care for ischemic and hemorrhagic strokes and can perform various treatment options.

Due to health and economic benefits, the life expectancy in Nepal jumped from 27 years in 1951 to 65 in 2008.[30] Most elderly Nepali citizens, roughly 85%, live in rural areas.[30] Because of this, there is a significant lack of government sponsored programs or homes for the elderly. Traditionally, parents live with their children, and today, it is estimated that 90% of the elderly do live in the homes of their family.[30] This number is changing as more children leave home for work or school, leading to loneliness and mental problems in Nepali elderly.[30]

Sunrise Senior Living received the highest numerical score in the J.D. Power 2018 Senior Living Satisfaction Study, based on 2,539 total responses among 7 senior living communities measuring experiences and perceptions of residents/family members/friends, surveyed October-December 2017. Your experiences may vary. Award applicable to United States only. Visit jdpower.com
Intravenous injection of tissue plasminogen activator (tPA). This injection of recombinant tissue plasminogen activator (tPA), also called alteplase, is considered the gold standard treatment for ischemic stroke. An injection of tPA is usually given through a vein in the arm. This potent clot-busting drug ideally is given within three hours. In some instances, tPA can be given up to 4.5 hours after stroke symptoms begin.
Aiken Regional Medical Centers is dedicated to improving the quality of stroke care. We're proud to receive the Get With The Guidelines® Silver Plus Achievement Award for having reached an aggressive goal of treating patients with 85 percent or higher compliance to core standard levels of care as outlined by the American Heart Association/American Stroke Association® for one calendar year. In addition, we demonstrated 75 percent compliance to seven out of ten stroke quality measures during the 12-month period.
I have been very happy with the Around-the-Clock companion care we have for my mother. The office is friendly and competent. The care companions are kind, caring, hard-working and easy to communicate with. They have always been on time. My mother has enjoyed their care and company. My family and I are grateful for this help. It is costly but the peace of mind we have is worth it.
According to the National Stroke Association, strokes are the fourth leading cause of death in the United States. Even if an individual survives a stroke, it can lead to permanent impairment. Depending on the extent of damage to the brain, a stroke may leave a person with deficits such as vision loss, memory problems and/or paralysis or weakness on one side of the body.
“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, MD, MBA, CEO of Lacuna Health.
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.

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.
Cerebral angiogram. In this test, your doctor inserts a thin, flexible tube (catheter) through a small incision, usually in your groin, and guides it through your major arteries and into your carotid or vertebral artery. Then your doctor injects a dye into your blood vessels to make them visible under X-ray imaging. This procedure gives a detailed view of arteries in your brain and neck.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
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