Welcome!

This blog is part of my personal site, also called Presence of Mind; it serves to allow me to express thoughts and ideas on all sorts of things, like what's currently in my thinking, what i am doing, what has annoyed me or made me happy.

This is my Presence of Mind

Friday 14 January 2011

Follow-up stroke care 'lacking'

The follow-up care given to stroke patients in England once they leave hospital is often lacking and needs immediate improvement, regulators say. This in a BBC article this week.

Interesting news this: it seems though to have taken those who make the decisions about these things years to come to the same conclusion that we, as those who live with the effects of stroke every day, both sufferers and carers, already knew. Targeted rehabilitation surely cannot be that difficult to manage: each person has different needs, because no two strokes are the same. However there are marked similarities in most stroke effects that simply need a pro active approach from the health professionals to enable best use of resources and to achieve the best results for the individual.

Manage the stroke effects by simply creating an individual plan for each patient and ensure that the required treatment/rehabilitation is delivered within a sensible timeframe. Work with the patient to understand what they would like to achieve; don't leave them out of the loop. If the patient has an input they also have more reason to co operate with the care and treatment because they have been involved in the choices. Just because you are trained doesnt mean you always know best! Include the carers and family in those choices too because they too are affected on many levels by the effects of stroke.

Sunday 9 January 2011

2011..

I looked at the site here and realised that it is a place I should come to more often. I am always bemoaning things that happen and I never record them, so I think perhaps I should start doing that here.

New Years seem to come round far too fast these days: that of course is a function of getting older. So, as i move into middle age i will continue to write, and share my thoughts on these pages.

Of late there has been one great moment for me: England retianed the Ashes in Australia, and went on to win the series 3-1. This hasn't happened for some 24 years so it's a triumph for the guys who are fast becoming the best in the world, and have most assuredly knocked the Australians off that posuition. For those who are not cricket fans it will mean nothing, but for those who follow the game there is more meaning to the Ashes than to any other sporting trophy in cricket: ask any player who has played for England or Australia, they will always say "The Ashes" are the pinnacle of their cricket career.

I still travel to London daily for work, and yet again the fares have increased: South Eastern , our franchisee here in Kent has been allowed to increase their fares more than any other train operator because they run the HS1 High Speed service. That's all very well, but while there are definite benefits, for me there are none. I have a colleague at work who lives in Ashford, and can now travel in on the train in under 40 minutes! Now that is great. My journey, which is slightly longer still takes nearly 2 hours, and there is no High Speed service from my station. Even if I go to where i can get an HS1 train the journey is some 1 hour and 20 minutes; hardly worth the extra few hundred pounds they charge.

Recently we had some snow: not much but any excuse and the train companies had 2 days when virtually no services ran into London. One of the most annoying things is the lack of communication. In this age of internet, and smartphones and computers, surely a massive organisation like South Eastern could find a way to tell the poor commuters waiting on freezing platforms that the train they were expecting has already been cancelled !