Carolyn S Gerber | Search PubMed

PubMedDate not supplied

Stroke: historical perspectives.

The author gives a historical account of stroke, the devastating statistics that still plague Americans, what the future holds, the current research, and possible areas for improvement and growth. Now with specialized imaging, diffusion-weighted and perfusion-weighted magnetic resonance imagings may become the technique to rapidly diagnose brain attack. The cutting edge technology now involves balloons, coils, stents, angioplasty, and thrombolytics to save an ischemic penumbra. Of course, the overall goals remain early detection, intervention, and treatment, which today are individualized to each patient; community education of brain attack and what it looks like; and that time is brain survival. Therefore, a brain attack is a true 911 emergency.

Brain Ischemia↗

PubMedDate not supplied

Understanding and managing coma stimulation: are we doing everything we can?

The incidence of people surviving with traumatic brain injury is rising at a remarkable pace. Unfortunately, patients also experience some form of coma and significant deficits (ie, cognitive, functional, etc). The focus is shifting from saving these patients to trying to figure out what else can be done for them? In the past, patients were medically maintained, stabilized, and then sent to rehabilitation centers for coma stimulation, in the hope of waking up their reticular activating system. Today, healthcare professionals are being encouraged to research and explore the possibility of implementing structured coma stimulation programs as early as 72 hours postinjury in the intensive care unit. Starting early is of paramount importance to a patient's survival, quality of life, and overall long-term prognosis. The goal of this article is to educate healthcare professionals (in the hospital setting) about managing and implementing structured sensory stimulation sessions.

Activities of Daily Living↗