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.
Armistead Senior Care provides compassionate in-home care and services as people age in Vermont and New Hampshire.  Established in 1999 and locally owned, Armistead Senior Care supports the independence and quality of life of older adults, people with disabilities and anyone recuperating from an illness. We do this by providing an individualized plan of care, thoughtful caregiver/client matching, and superior care management.
All patients exhibiting symptoms of stroke are triaged as a patient for Stroke Alert. When this determination is made, numerous things will begin to happen quickly. The team of nurses, emergency physicians, neurologists, radiologists, critical care doctors, surgeons and others can make treatment determinations within 60 minutes of symptom presentation.
With one simple call, we can direct consumers to a wide range of services available in the North Shore and Cape Ann area. If you need more information, or wish to make a referral, or refer yourself for assistance, contact us. SeniorCare and its programs are funded, in whole or in part, by contract or grants with the Massachusetts Executive Office of Elder Affairs, the Older Americans Act, local funds, foundations, and private contributions, which may be tax deductible.           
Geriatric care managers (GCMs) are usually social workers, psychologists, nurses, gerontologists or others with training and experience in various aspects of elder care. Geriatric care managers not only assess a senior’s needs, they can also handle crises (such as an emergency hospitalization), help place the senior in a residential care community, help resolve family conflicts, locate community resources or fill in for family caregivers at doctor’s appointments, among other services.
Senior Care a été créé par Céline BOUCHER-MARTIN en 2010 dans  l'intention de mettre en place un travail en amont de la personne âgée, en dispensant des formations de qualité par des formateurs de terrain auprès de tous les professionnels de santé  dans les domaines public, Privé ou associatif (Direction, Médecin, Infirmière, Aide-soignante, Psychologue, Psychomotricien, ASV, ASH, AVF, Secrétaire, …) formations orientées dans un but commun: "Améliorer la qualité de vie et le prendre soin de la personne âgée en perfectionnant les pratiques professionnelles". Senior care fonctionne avec 3 salariés et une quinzaine d’intervenants extérieurs. Nos formations se font sur site  sur l’ensemble de la France et en Corse et dans nos deux antennes de formations sur Mouans-Sartoux et Cannes.
Traditionally, care for older adults has been the responsibility of family members and was provided within the extended family home.[6] Increasingly in modern societies, care is now being provided by state or charitable institutions.[6] The reasons for this change include decreasing family size, greater life expectancy, the geographical dispersion of families, and the tendency for women to be educated and work outside the home.[6] Although the changes have affected European and North American countries first, they are now increasingly affecting Asian countries as well.[7]
English, አማርኛ, العربية, বাংলা, ျမန္မာဘာသာ, tsalagi gawonihisdi, 繁體中文, Chahta, Oroomiffa, Nederlands, Français, Kreyòl Ayisyen, Deutsch, ગુજરાતી, हिंदी, Hmoob, Igbo asusu, Ilokano, Italiano, 日本語, 한국어, Ɓàsɔ́ɔ̀‑wùɖù‑po‑nyɔ̀, ພາສາລາວ, Kajin Ṃajōḷ, ខ្មែរ, Diné Bizaad, नेपाली, Deitsch, فارسی, Polski, Português, ਪੰਜਾਬੀ, Română, Русский, Gagana fa'a Sāmoa, Srpsko‑hrvatski, Español, ܣܘܼܪܸܬ݂, Tagalog, ภาษาไทย, Türkçe, Українська, اُردُو, Tiếng Việt, èdè Yorùbá

Local Wellness: Residents living at Best Personal Care Facility can enjoy easy access to 20 nearby beauty salons like European Wax Center. There area also 20 spas within a 8 mile radius of the community. For those residents that are a bit more active and enjoy staying in shape, 24 Hour Fitness is located just 3 miles. There are also 20 other gyms nearby including 24 Hour Fitness - Meyerland Plaza.


Dispatch: The second step in the chain of survival is ‘dispatch’, which involves activating emergency medical services. In most cases, this involves calling 911. Medical dispatch should be thoroughly trained to identify a possible stroke patient so that the appropriate level of EMS services can be dispatched to the patient.  Simply stated, the faster EMS can be dispatched, the quicker lifesaving treatment can be delivered.
About This Box: Kali wraps its natural, organic, chemical-free tampons and pads in sleek, chic millennial-pink packages– but it’s not just another pretty subscription box. They also offer panty liners made just for thongs, refreshing “wipettes,” and pampering products like toners, scrubs, and bath salts (sign up for one of their “Luxury” subscriptions to nab a combination of goodies in one convenient box). They also donate $1 per box to Girl Up, an organization promoting the health, safety, education, and leadership of adolescent girls in developing countries around the world. Check out our Kali Reviews to learn more.
This voice-controlled assistant has the ability to connect your entire life. You’ll be able to use directives for thousands of smart home features, including lights, switches, TVs, thermostats and more. Check the weather. Hear the latest news. Connect your music and listen to your favorite songs on command. Request an Uber or order pizza. Alexa is available on Amazon devices, like the Fire Tablet/Stick, Echo, and Echo Dot, as well as in apps on Google Play and the iTunes app store.
U Care was developed in partnership with Lacuna Health, a subsidiary of Kindred Healthcare, to follow up with patients after they leave the hospital. Registered nurses with U Care reach out to patients by phone on a regular schedule to monitor the patients’ recovery progress, check their medications, ensure they have made appropriate follow-up appointments and answer any questions or health concerns that arise. The nurses have access to the patients’ health records and can escalate any concerns to hospital staff or physicians if a patient requires further clarification or intervention. The program pilot, which began in June, will follow 250 stroke patients for 45 days after discharge, whether they went home or to a rehab facility for recovery.
Microsoft calls Cortana a “digital agent.” It’s designed to learn from your commands to personalize your experience as you use it. You can type your queries, or talk to Cortana by saying “Hey Cortana!” It’s very similar to the Apple and Android options but is quickly gaining steam on Siri. Track packages, manager your calendar, or just chit chat with the virtual assistant. Cortana is available on Microsoft devices, including Windows phones and operating systems, as well as in apps on Google Play and the iTunes app store.
Disposition: Disposition is the last link in the chain of survival. This step in stroke care focuses on the continuing care of the stroke patient. It is recommended that patients be admitted to an intensive care unit or stroke unit within three hours of arrival in the ED. Continued monitoring of a stroke patient includes frequent assessment of neurological status and monitoring of glucose levels and vitals, as well as prevention of complications. Determining the cause of the stroke is also part of disposition.
In the United States, most of the large multi-facility providers are publicly owned and managed as for-profit businesses.[10] There are exceptions; the largest operator in the US is the Evangelical Lutheran Good Samaritan Society, a not-for-profit organization that manages 6,531 beds in 22 states, according to a 1995 study by the American Health Care Association.[14]
A less restrictive alternative to legal incapacity is the use of "advance directives," powers of attorney, trusts, living wills and healthcare directives. The person who has such documents in place should have prepared them with their attorney when that person had capacity. Then, if the time comes that the person lacks capacity to carry out the tasks laid out in the documents, the person they named (their agent) can step in to make decisions on their behalf. The agent has a duty to act as that person would have done so and to act in their best interest.
Nurse practitioners (NP) are advanced practice registered nurses that manage acute and chronic medical conditions, both physical and mental, through history and physical exam and the ordering of diagnostic tests and medical treatments. NPs are qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications, and make referrals for a wide range of acute and chronic medical conditions within their scope of practice. Their education includes a Bachelor of Science in Nursing (BSN) or other undergraduate degree, and requires a license as a registered nurse (RN) and experience as an RN in a health care setting. They must graduate from an accredited graduate (MSN) or doctoral (DNP) program and achieve a board certification.

For medical help such as changing dressings, providing post-surgical rehabilitation, overseeing medications, aiding with physical therapy, or helping with mobility devices, you'll want home health care provided by caregiver who's gone through training and is being supervised by a nurse. (Keep in mind that licensing and certification requirements vary by state; you'll want to ask lots of questions about your caregiver's qualifications.)
“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, M.D., M.B.A., C.E.O. of Lacuna Health.
Another top facility that you may want to consider is the University of Washington Stroke Center, which deals with diagnosis and post-stroke patient care. Certified by The Joint Commission as a primary stroke center, this facility is involved in innovative research of new medications as well as various procedures or surgeries that can help prevent or treat stroke. The medical services offered by the UW Medicine Stroke Center include emergency services, acute stroke teams, and neuroimaging, neurosurgical, and neuroradiology services. Health care professionals are continually upgrading their education so they can provide the best support and care. These medical services are available at any time of the day, ensuring that stroke victims are stabilized and can begin recovery as soon as possible after a stroke.

If you're seeking your doctor's advice during a scheduled appointment, your doctor will evaluate your risk factors for stroke and heart disease. Your discussion will focus on avoiding these risk factors, such as not smoking or using illegal drugs. Your doctor also will discuss lifestyle strategies or medications to control high blood pressure, cholesterol and other stroke risk factors.
Our devoted staff work closely with our residents and their families to further enhance their independent lifestyle and offer personalized care. From the chef-prepared entrees that grace your plate each day, to our full calendar of exciting events, Voorhees Senior Living is all about choice, and it’s all about you. Our residents recovering from surgery, illness, or injury can receive the therapy they need, in the comfort of their own home, right here at Voorhees. Our therapy staff specializes in rehabilitation for seniors and we are proud to help residents maximize their independence in our fully accredited outpatient clinic. We provide onsite rehabilitation services for physical therapy, occupational therapy, speech therapy, as well as our Five Points Fitness Program.
About This Box: It shouldn’t be surprising that Dollar Shave Club appears at the top of this list: it may be the most widely-known and popular subscription service, ever. Haven’t tried it yet? This razor and grooming supply subscription service is known for their high-quality products at affordable prices. You can choose the frequency of your deliveries, choose exactly which items you want to get, and cancel at any time. They’ve been adding a lot more than just razors in recent months, so you can stock nearly your whole bathroom with this subscription: you can also get shower products, hair care, toothpaste– even butt wipes (yes, really). Read our Dollar Shave Club Reviews to learn more.

When first started with ATC, it was great. They really was nice and offered variety of clients and places. They do pay mileage, but as my time working there I noticed that the business part really needed more structure. Like in the office and schedules. Payroll/payday was never accurate, mileage would be missing and schedule would not be available until last minute. ATC needs more structure and better office management along with communication skills.
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