Social Integration of Stroke Patients through the Multiplayer Rehabilitation Gaming System

2014 ◽  
pp. 100-114 ◽  
Author(s):  
Martina Maier ◽  
Belén Rubio Ballester ◽  
Esther Duarte ◽  
Armin Duff ◽  
Paul F. M. J. Verschure
Keyword(s):  
Social Integration ◽  
Stroke Patients

Abstract T MP69: Do Neighborhood Characteristics Elevate Post-Stroke Mortality?

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Theresa Osypuk ◽  
J. Robin Moon ◽  
Amy Ehntholt ◽  
M Maria Glymour
Keyword(s):  
General Population ◽  
Social Integration ◽  
Stroke Care ◽  
Racial Composition ◽  
Stroke Survivors ◽  
Stroke Mortality ◽  
Neighborhood Characteristics ◽  
Stroke Patients ◽  
Post Stroke ◽  
White Neighborhoods

Background: Neighborhood context predicts long-term mortality of both stroke patients and stroke-free general community populations. If the association of neighborhood characteristics and mortality is stronger among stroke survivors than in the general population, it would implicate stroke-care-specific mechanisms. We hypothesized that neighborhood risk factors predict post-stroke mortality, and that these associations are stronger than in stroke free populations. Methods: Health and Retirement Study participants age 50+ free of stroke at baseline (n=15,974) were followed up to 12 years for incident stroke (1,809 events) and mortality (5,578 Deaths). We compared mortality hazard ratios associated with both objective neighborhood measures (census tract poverty, racial composition, residential stability, and foreign born) and self-reported neighborhood social integration (social ties and informal socializing), among stroke-free and post-stroke individuals, using covariate adjusted Cox models. Results: Stroke predicted elevated mortality (HR= 1.98; 95% CI: 1.85, 2.13), as did residence in census tracts in the highest quartile of % non-white (HR= 1.12; 1.22, 1.04). Percent non-white was more strongly related to mortality among stroke patients (HR= 1.32; 1.52, 1.14) than among stroke-free individuals (HR= 1.08; 1.00, 1.18; p for interaction=.013). Low neighborhood social integration also significantly predicted mortality, but the relative effects were similar for stroke survivors and stroke-free individuals. Conclusions: In this large cohort, neighborhood racial composition and social integration predicted survival. Neighborhood racial composition had larger effects on post-stroke survival than on survival in the general population. Post-stroke care available to residents of non-white neighborhoods may be less effective than care available to residents of predominantly white neighborhoods.

Translation Research for the Rehabilitation of Left Spatial Neglect and Associated Disorders of Attention in Stroke Patients

2008 ◽  
Vol 18 (2) ◽  
pp. 55-65 ◽  
Author(s):  
Nkiruka Arene ◽  
Argye E. Hillis
Keyword(s):  
Theoretical Basis ◽  
Attention Bias ◽  
Spatial Neglect ◽  
Clinical Use ◽  
Stroke Patients ◽  
Translation Research ◽  
Unilateral Neglect ◽  
Assessment And Treatment ◽  
Sound Theoretical Basis ◽  
Review Current

Abstract The syndrome of unilateral neglect, typified by a lateralized attention bias and neglect of contralateral space, is an important cause of morbidity and disability after a stroke. In this review, we discuss the challenges that face researchers attempting to elucidate the mechanisms and effectiveness of rehabilitation treatments. The neglect syndrome is a heterogeneous disorder, and it is not clear which of its symptoms cause ongoing disability. We review current methods of neglect assessment and propose logical approaches to selecting treatments, while acknowledging that further study is still needed before some of these approaches can be translated into routine clinical use. We conclude with systems-level suggestions for hypothesis development that would hopefully form a sound theoretical basis for future approaches to the assessment and treatment of neglect.

Telemedicine Consult Aids Stroke Patients

2009 ◽  
Vol 2 (4) ◽  
pp. 1-11
Author(s):  
DOUG BRUNK
Keyword(s):  
Stroke Patients

No Worries Over Warfarin Use in Stroke Patients

2012 ◽  
Vol 5 (7) ◽  
pp. 12
Author(s):  
HEIDI SPLETE
Keyword(s):  
Stroke Patients

The role of nursing in the rehabilitation of acute stroke patients: Toward a unified theoretical perspective

Pflege ◽  
1999 ◽  
Vol 12 (1) ◽  
pp. 21-27
Author(s):  
Marit Kirkevold
Keyword(s):  
Acute Stroke ◽  
Theoretical Perspective ◽  
Stroke Patients ◽  
Role Of Nursing ◽  
Rolle Der Pflegenden

Eine Übersicht der bestehenden Literatur weist auf Unsicherheiten bezüglich der spezifischen Rolle der Pflegenden in der Rehabilitation von Hirnschlagpatientinnen und -patienten hin. Es existieren zwei unterschiedliche Begrifflichkeiten für die Rolle der Pflegenden, keine davon bezieht sich auf spezifische Rehabilitationsziele oder Patientenergebnisse. Ein anfänglicher theoretischer Beitrag der Rolle der Pflege in der Genesung vom Hirnschlag wird als Struktur unterbreitet, um die therapeutischen Aspekte der Pflege im Koordinieren, Erhalten und Üben zu vereinen. Bestehende Literatur untermauert diesen Beitrag. Weitere Forschung ist jedoch notwendig, um den spezifischen Inhalt und Fokus der Pflege in der Genesung bei Hirnschlag zu entwickeln.

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