Estimating Your Risk of Heart Attack and Stroke: There’s an App For That

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The Skeptical Cardiologist

I’ve been meaning to blog on the new ACC/AHA (ACC=American College of Cardiology, AHA=American Heart Association) guidelines for treatment of high cholesterol but have been waiting for the initial controversy to die down and to get more experience with using them.  One of the areas of controversy has been the ASCVD (atherosclerotic cardiovascular disease) risk estimator. These guidelines attempt to look at risk of both stroke and heart attack (the components of atherosclerotic cardiovascular disease) and what published scientific research tells us works to reduce that risk.

They differ substantially from previous guidelines recommendations and suggest treatment with statin drugs(no other cholesterol lowering agents) for the following groups

1. Diabetics

2. Patients with known clinical ASCVD  (this includes stroke/TIA, heart attack, and peripheral arterial disease)

3. LDL or bad cholesterol over 190

4. Individuals without ASCVD whose 10 year risk of developing ASCVD (heart attack or stroke) is > 7.5%

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‘It’s in your head but it won’t come out’: Aphasia patients describe what it’s like to talk

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Global News

HALIFAX – Speaking has been a struggle for Ginny Doucet ever since her stroke seven years ago, which then lead to aphasia.

“I still…lots of things I can’t talk,” she said, speaking slowly. “It’s in your head but it won’t come out.”

Doucet spent three weeks in hospital after her stroke, then three months at the Nova Scotia Rehab Centre.

“I couldn’t talk,” she said. “Nothing at first but with some help, I got better.”

Aphasia, a language communication disorder, affects an individual’s ability to read, speak, write and comprehend.

It is often caused by strokes but is also triggered by head injuries, brain tumours and other neurological conditions.

The senior worked in a bank for 30 years but her aphasia has now made it difficult for her to count money. She continues to work with a speech therapist.

Doucet’s speech has been improving, however, thanks in part…

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Aphasia : A Language Disorder after a Stroke

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Easy English Lessons

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What is Aphasia?

Aphasia often arises as a result of damage to Broca’s area or Wernicke’s area.

Aphasia is a language disorder that results from damage to portions of the brain that are responsible for language. For most people, these are parts of the left side (hemisphere) of the brain. Aphasia usually occurs suddenly, often as the result of a stroke or head injury, but it may also develop slowly, as in the case of a brain tumor. The disorder impairs both the expression and understanding of language as well as reading and writing. Aphasia may co-occur with speech disorders such as dysarthria or apraxia of speech, which also result from brain damage.

Who has aphasia?
Anyone can acquire aphasia, but most people who have aphasia are in their middle to late years. Men and women are equally affected. It is estimated that approximately 80,000 individuals acquire aphasia each year…

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A Speech Evaluation as Experienced from the Other Side of My Desk

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Ginger's Grocery

aphasia1

We wait in the lobby for about 10 minutes, my son, his wife and I. “David.” His name is “David.” I can’t consistently recall his name, but I always know who he is, that he is my son, and that I love him. Hopefully he knows that. His wife – I cannot for the life of me remember her name. Anyway, David, his wife and I wait in the lobby, and then a woman walks in. She has on a name badge, and I know, even before we make eye contact, that she is here for me.

“Mrs. Stewart?” she says in a voice that is too cheerful to be used in a hospital.

“Morning,” I answer.

The woman starts talking. Loudly. Quickly. Or maybe she isn’t so loud. Maybe it is the stroke – the way it has changed the way I perceive things. Everyone talks so fast now…

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Free Adult Speech Therapy Goal Lists

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Ozark Speech Pathologist

goallists

As clinicians, we are all aware that in order to best meet our client’s needs then goals must be individualized according to each patient’s motivation, interests, strengths and weaknesses. With that being said, however, sometimes a goal list is useful in providing a framework for an objective.  I think of pre-set goals as the ‘bare bones’ or foundation by which I design functional goals from.  Here are some lists I’ve found online or through different employers that I found helpful.

DOWNLOAD GOAL BANK #1 HERE

goalsbank1

DOWNLOAD GOAL BANK #2 HERE

goalbank2

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