Summaries
Mom does not want to be at Levinsgarden
Press Release
Unfortunately, stroke remains a leading cause of long-term disability in the United States.1 Consequently, stroke survivors are often deconditioned and predisposed to a sedentary lifestyle that limits performance of activities of daily living, increases the risk for falls, and may contribute to a heightened risk for recurrent stroke and cardiovascular disease. Clearly, stroke survivors can benefit from counseling on participation in physical activity and exercise training. However, most healthcare professionals have limited experience and guidance in exercise programming for this diverse and escalating patient population. This scientific statement is intended to help bridge the current knowledge gap.
Detrimental effects of oral infections on general health have been known for almost 3000 years. Modern studies, however, have cast new light on the pathogenic mechanisms by which oral infections appear to link with morbidity and mortality. In particular, among the elderly, poor dental health seems to associate with all-cause mortality. This review aims to provide an overview of present knowledge of these issues, starting from dental bacteraemia, oral mucosal infections and problems of drug resistance and, briefly, discussing what is known about the link between oral health and some systemic diseases such as atherosclerosis and type-2 diabetes. The main conclusions are that scientific evidence is still weak on these interactions and that the elderly should be better taken into account when planning future studies. Functions of the body differ in the frail and diseased from those of the young. Consequently, novel prevention and treatment strategies should be developed and properly tested for combating oral infections in elderly populations. Specific suggestions for further research are outlined.
Chapter 4
Ida had TIA’s before the stroke
What is TIA? Symptoms and causes
TIA - Transient Ischaemic Attack - is a rapidly transient temporary lack of oxygen in one of the brain's blood vessels. In Sweden, around 12 000 people suffer a TIA every year. However, there may be many more, as not everyone probably seeks treatment for TIA.
TIA is caused by a small clot that dissolves after a short time. Symptoms usually resolve quickly, within minutes/hours, but can also take up to 24 hours.
TIAs cause stroke symptoms, most commonly:
Paralysis, weakness, clumsiness or loss of sensation in the arm, leg or both
Slanting of one side at the mouth
Speech or language difficulties
Loss of vision in one eye or half of the field of vision.
Go to hospital immediately if you get any of these symptoms!
In the National Guidelines for Stroke Care of the National Board of Health and Welfare, both stroke and TIA have the highest priority = priority 1.
Research has shown that TIAs are much more serious than previously thought - one in ten people who have a TIA will have a stroke within two days. About one in four people who have a stroke have had one or more TIAs before. This is why it is important to go to the nearest emergency hospital even if the symptoms have gone away.
Assessment and treatment can reduce the risk of stroke. It is estimated that with good treatment of acute TIA, several hundred strokes can be prevented each year - in Sweden alone!
Chapter 7
Early Discharge of Ida from ICU Östersund
Chapter 8
Main Issue: Ida needs stroke rehabilitation
Ida wishes to go to stroke rehabilitation
Chapter 9.3.
List of Ida’s friends who were not allowed to visit her
Letter from Elliott Donnelley
September 10, 2012
Date: Mon, Sep 10, 2012
When I visited Calle and his mother in Gaddede from August 13-17th I found his mother to be alert active and, although unable to form words due to her stroke, very responsive and willing and eager to engage n physical activity. She was very aware of what was going on and understood what people said to her as well as followed all of the conversations around her. I also noticed first hand how the staff at the facility were less than responsive to her needs.
Contratry to the local Nursing staff’s allegations, Calle was very respectful, loving and caring of his mother and was kind and respectful to the facility’s staff.
During my visit two residents of Gaddede approached us and told a similar story of neglect by the local nursing facility. The mother of the woman we spoke with had not been cared for properly and developed an infection which led to her legs being amputated. When she complained the head nurse apparently threatened her and her mother. When she filed a formal complaint with the local authorities, the nurse was outwardly more responsive but the course of care materially did not change. The residents were nervous about sharing the story with us and were afraid to go on the record as they feared retaliation.
Chapter 9.8.
Issues with Drugs
Guidance from United Healthcare
Zopiclone / Imovane
Chapter 9.16
Refusal of the ambulance and care home to take Ida to the hospital even though she shows clear stroke symptoms April 28, 2016
Chapter 9.20
An American Heart Association Scientific Statement From the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council
…Both coronary artery disease (CAD) and ischemic stroke share links to many of the same predisposing, potentially modifiable risk factors (hypertension, abnormal blood lipids and lipoproteins, cigarette smoking, physical inactivity, obesity, and diabetes mellitus), which highlights the prominent role lifestyle plays in the origin of stroke and cardiovascular disease. (5,7,8) Modification of multiple risk factors through a combination of comprehensive lifestyle interventions and appropriate pharmacological therapy is now recognized as the cornerstone of initiatives aimed at the prevention of recurrent stroke and acute cardiac events in stroke survivors.(5,9)
Several important factors underscore the potential value of exercise training and physical activity in stroke survivors. Previous studies have demonstrated the trainability of stroke survivors and documented beneficial physiological, psychological, sensorimotor, strength, endurance, and functional effects of various types of exercise.(10–23). Moreover, data from studies involving stroke and able-bodied subjects have documented the beneficial impact of regular physical activity on multiple cardiovascular disease risk factors and provided evidence that such benefits are likely to translate into a reduced risk for mortality from stroke and cardiac events.(24–28) Although they require additional validation by randomized clinical trials and other appropriately designed studies, these observations make recommendations for stroke survivors to participate in regular physical activity highly compelling at the present time. …
Chapter 13.2.
UN Charter of Human Rights
January 28, 2015
Events inconsistent with Ida Johansson’s rights – recorded by Simal Saujani who recently visited Gäddede from Toronto, Canada.
These events have been described to me by Ida Johansson’s son, Calle Johansson. There is some form of documentation, whether personal notes, emails, etc. to confirm these details. These notes cover as much information as we could document since the time that the abuse began, as well as a few key events from my own observations from the week I recently spent in Gäddede in early January 2015.
There are six basic principles contributing to her extreme and horrible circumstance:
A) Loss of personal freedom (choice/movement) (article no. 1, 3, 9, 13)
B) Cruel treatment (article no. 5)
C) Loss of right to self determination (article no. 6, 7)
D) Unfair trial (article no. 8, 10)
E) Freedom of expression, opinion, association (article no. 19, 20)
F) Unprovided medical/social care (article no. 21.2, 22, 25)
Chapter 15.2.
Incident Log of Ida Johansson
by Maeve Hunter
