December 4, 2023


Healthy Always

Empowering Stroke Survivors: Interview with Kirsten Carroll, Normal Supervisor at Kandu Well being

6 min read

Kandu Health, a digital well being firm primarily based in California, has developed a platform to help stroke survivors with aftercare. Healthcare for stroke sufferers is primarily centered on acute care to restrict the harm attributable to the stroke. Nonetheless, the corporate has recognized that stroke survivors are often underserved after hospital discharge, and in lots of instances are left to deal with the psychological and bodily fallout of the stroke with minimal help.

The e-health platform developed by Kandu Well being connects stroke survivors with specialists who present them, and their caregivers, with personalised steerage, schooling, and different sources to help in enabling them to adapt to their new circumstances and make constructive modifications. One other side of this system is to attach stroke survivors with one another in order that they’ll help each other with encouragement and recommendation.

See a video of some alumni from this system discussing their experiences:

Medgadget had the chance to talk with Kandu Well being’s Normal Supervisor Kirsten Carroll concerning the know-how and idea.  

Conn Hastings, Medgadget: Please give us an summary of the impression {that a} stroke can have for survivors.

Kirsten Carroll, Kandu Well being: As many issues as your mind does – these are the ways in which a stroke can have an effect on you. Shifting, feeling, discovering the best phrases to go along with your ideas, storing reminiscences, seeing, paying consideration, and processing feelings; all of those are issues that may be impacted by a stroke. The expertise for a lot of stroke survivors is one wherein they don’t truly know all of the methods they’ve been affected for weeks or months, after they go away the hospital, and no person can inform them for sure what is going to get higher or worse throughout their restoration.

Stroke is usually a traumatic expertise, and one which profoundly challenges an individual’s id, and their feeling of company over their very own life and well being. Many stroke survivors expertise isolation, despair, and anxiousness. These challenges are often compounded by the necessity to handle quite a lot of widespread underlying well being situations, together with hypertension, diabetes, and power kidney illness, all whereas experiencing excessive post-stroke fatigue.

There are 20 million folks within the U.S. residing with the impacts of stroke, together with eight million stroke survivors and 12 million care companions and relations. They’re the consultants on residing life after stroke, and have an unlimited quantity of information and neighborhood to share with one another.

Medgadget: How are such sufferers supplied with aftercare at current? How is that this suboptimal?

Kirsten Carroll: Traditionally, stroke care has centered on acute intervention to revive blood circulate within the hours after stroke onset and reduce the harm to the mind. Observe-up care is basically centered on stopping one other stroke. Although some stroke survivors obtain stroke rehabilitation that may facilitate some degree of restoration, the bulk don’t. There may be nearly no give attention to schooling and help for survivors residing with the lasting, typically everlasting impacts of stroke.

Stroke survivors have instructed us that whereas they could be delivered to a hospital by helicopter with groups mobilized to urgently take care of them, they go away quietly by way of the again door, with little consideration or fanfare. Whereas remedy on the acute degree is swift and arranged, there’s no singular entity devoted to serving to survivors navigate life after stroke. Analysis signifies that within the first three months after a stroke, the typical survivor wants almost 50 hours per week of casual care. In that very same timeframe, 1 in 4 stroke survivors is readmitted to the hospital, most frequently because of infections precipitated or exacerbated by their stroke-induced impairments. By one-year post-stroke, that readmission quantity has grown to almost 50%, with 20% of survivors being readmitted a number of occasions.

Stroke is a inhabitants well being problem affecting almost 10% of Medicare enrollees and a rising proportion of youthful folks. Publish-acute medical care within the first 12 months after stroke prices over $20 billion yearly in the US, greater than double the price of acute stroke hospitalization. Stroke survivors want and deserve schooling, communities, therapies, and help which are designed for and with them to handle the distinctive challenges they face in managing their well being and their lives after stroke.

Medgadget: Please give us an summary of Kandu Well being and the providers it gives.

Kirsten Carroll: At Kandu Well being, we goal to empower stroke survivors to take cost of their restoration and obtain the best high quality of life doable. By doing so, we hope to considerably scale back post-acute problems and readmissions among the many populations we serve.

The Kandu program combines know-how with human care, offering tech-enabled healthcare providers by way of which Kandu Navigators ship schooling, sources and steerage tailor-made to every stroke survivor and their care accomplice as they alter to life after leaving the hospital. Kandu Navigators are licensed professionals, most frequently with backgrounds in occupational remedy or medical social work, and experience in stroke restoration.

The Kandu program is designed to enrich and combine with the present providers that hospitals and outpatient suppliers already make out there to stroke survivors. This system is most frequently delivered in partnership with hospitals, whose groups introduce Kandu to sufferers earlier than discharge. Every enrollee receives 12 weeks of personalised, 1:1 help as they return to their communities and set up their absolute best trajectory for restoration.

The connection begins with a telephone dialog with a Kandu Navigator, wherein they discover the well being challenges, residing scenario, and objectives of the stroke survivor. That dialog continues all through the following 90 days because the Navigator has common check-ins and supplies every enrollee with weekly schooling, sources, and counsel by way of the Kandu App, tailor-made to their particular person wants and priorities. Enrollees can even select to take part in ambassador-facilitated Kandu help teams – small, constant teams of survivors and care companions that message and meet in safe, non-public Kandu communities. As soon as stroke survivors end the 90-day program, they keep entry to the Kandu sources, help instruments and affected person neighborhood boards.

Medgadget: What impressed this know-how? How did the concept come about?

Kirsten Carroll: Kandu Well being is a digital well being firm designed for and with folks recovering from stroke. Survivors and their care companions regularly advise on each the wants and the options being developed. The Kandu program is meant to handle important gaps in stroke care by offering personalised help to stroke survivors as they transition again dwelling from the hospital. The big unmet want in stroke restoration and post-acute care impressed our platform and continues to encourage our work to ship personalised help to stroke survivors.

Kandu was based inside Crucial Care, a medical know-how firm centered on growing linked improvements to raise take care of folks affected by stroke and vascular illnesses.

Medgadget: The place is the system at present out there? How has it been acquired to this point?

Kirsten Carroll: The Kandu Well being program is nearing completion of its pilot with our first hospital companions and can proceed offering service within the higher Los Angeles and South New Jersey areas.

Though it’s early information with small numbers, Kandu’s enrollment charges, engagement, and outcomes have exceeded expectations to this point. Kandu graduates have uniformly endorsed this system, noting the numerous impression it has had on their well being, company, and high quality of life.

Kandu’s Hospital companions acknowledge that there are vital gaps within the care offered to stroke survivors, particularly after these sufferers return dwelling to proceed their restoration. Their partnership with Kandu is a sign of their dedication to medical excellence, and accountability to the populations they’re serving past hospital discharge.

There may be large pleasure across the medical proof we’re beginning to acquire, and we stay up for presenting proof of Kandu’s impression at a number of scientific conferences within the coming 12 months. Most significantly, we’re seeing survivors’ pleasure about participation within the Kandu program and witnessing constructive modifications of their high quality of life as they regain their company and enhance their independence. We stay up for asserting business partnerships in expanded geographies within the close to future.

Medgadget: Do you’ve any plans to increase this kind of service for different well being points? The place do you see this kind of linked well being answer going sooner or later?

Kirsten Carroll: At the moment, we’re centered on constructing consciousness, scaling the platform, and rising adoption of the Kandu platform for stroke survivors. Sooner or later, we hope that our coordinated, community-centered method to post-acute care might be utilized to different situations and illness states.

Hyperlink: Kandu Health homepage…