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Rehabilitation Of The Older A... Health Article

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Summary

Because only thrombolytics have been demonstrated to be effective in minimizing brain damage and maximizing functional outcome, intensive rehabilitation remains the most significant means by which stroke survivors may recover. Previously, the rehabilitation approach to the older stroke patient was supportive and focused on prevention of complications while spontaneous recovery occurs. Now, even these older stroke patients are undergoing relatively aggressive rehabilitation with good outcomes in morbidity, mortality, and function. In addition, the quality of life of these individuals is significantly improved. The recently published National Service Framework for Older People specifically highlights the importance of preventing age discrimination, encouraging respect and dignity, and promoting general health and well-being to ensure a well-coordinated approach to providing services that address conditions that are significant for older people. The Stroke Treatment and Ongoing Prevention Act is currently in the approval process with the 109th Congress, which will provide resources to improve stroke education, research, and patient care. In the meantime, it is important for clinicians to understand the current state of stroke rehabilitation so they can continue to provide quality care and improve outcomes.

Acknowledgments

The author acknowledges the assistance of Richard L. Harvey, MD, and the staff at the Rehabilitation Institute of Chicago for their support in preparation of this article.

Stroke
From MDConsult Clinical Topic Tour , a patient information series

Cerebrovascular Events
From Primary Care: A Collaborative Practice , a medical textbook

Management of Stroke
From The Foundation Years , a professional medical journal