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Evidence based practice for nurses quizlet flashcards
Implications of evidence-based practice for nursing
Evidence based practice for nurses quizlet flashcards
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PICOT is a series of questions used to assess and formulate a plan of care for a patient. There are many assessments used to create an individualized plan of care for a patient. “PICOT” is one evidenced based practice that has been proven effective. The “P” stands for Population/Patient problem, “I “ refers to Intervention or Variable of Interest, “C” is used to for Comparison, “O” is the Outcome, and “T” stands for Time (Koshar, 2013, figure 1). I currently work at St. Joseph Hospital of Orange, my area of care is Behavioral Health, While on a shift, I utilize evidenced based practice daily although I have never attempted to use the PICOT template. The population of patients that I would like to see change the most is the chemically dependent individuals. I look forward to researching, discussing, and implementing PICOT into my nursing practice to enhance patient care and avoid reoccurring relapse.
PICOT is an acronym for a step-by-step process that is used by nurses as a framework, and a guide to develop clinical questions that enhance a patient’s personalized plan of treatment. If PICOT is properly utilized by a nurse, he/she will find that it is a simple and effective way to deliver appropriate care to a patient seeking improvement health or well-being. According to an article, titled Guide to Nursing Research (2014), “PICOT helps the clinician in finding the information needed to answer questions and decrease uncertainty” (Young, table 5). The framework for PICOT provides questions in the sequential order of the acronym. P – is used to identify the patient/population of interest and the problem the individual is currently facing. I – is the intervention used to recognize what will be done for this patient to solve the immed...
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...aling with the aspect of chemical dependency. I have recognized that the main focus of this type of patient is not only medical care, but also the psychosocial aspect of the patient that is in acute crisis. If this type of patient receives medical and emotional therapeutic care, the goal is more attainable.
I will bring PICOT into my nursing practice, I find the template of questions a good guide. I am assigned five to six patients for primary care every day that I am on a shift. I can utilize PICOT on my admissions, as I am responsible for formulating a valid plan of care for the patient being admitted. As for other patients that have already completed initial admission, a plan of care is in place. Considering each shift must assess if that plan of care could improve, changes are encouraged assuming the change will enhance the patient’s health while on the unit.
This essay will demonstrate an understanding of the clinical reasoning cycle which describes the procedure by which nurses gather prompts, process the data, come to an understanding of a patient’s problem, design and implement interventions, assess results, and reflect on and learn from the process (Hoffman, 2007; Kraischsk & Anthony, 2001; Laurie et al., 2001). The clinical reasoning cycle consists of five main stages, it comprises of; considering the persons condition, collecting indications and data, processing the information, recognizing problems/issues and detailing the assessment (Levett-Jones 2013). Throughout this essay these five main parts of the clinical reasoning cycle will be discussed and put into context. The first step of
Outpatient rehab centers are on the rise because it is what most people with drug and alcohol problems are attending. The one problem with outpatient facilities is that they create the likelihood of dual relationships. A dual relationship is a situation where a counselor (usually in recovery) and client have more than one type of relationship. A good example of this is the counselor -- client relationship and the relationship they might possess in A.A. The difficult part for the drug therapist is knowing which hat to wear and
McGovern, M. P., PhD, & Carroll, K. M., PhD. (2003). Evidence- base Practices for Substance Use Disorders. Psychiatric Clinics of North America. Retrieved from http://www.dartmouth.edu/~dcare/pdfs/fp/McGovernMark-Evidence-BasedPractices.pdf
Indeed, that correctional counselors and custodial staff need to work together in collaboration to improve on the treatment and management of offenders. For example, they should work together so as to eliminate impediments arising from the conflicting assertions on the advocacy for the treatment and rehabilitation and maintenance of order and security so that the offenders are able to cooperate in correctional treatment without any fear that treatment induced statements may incriminate him/her. This collaboration should be done in a way that ensures offenders are assisted to cope, learn and reform their behaviors so that they can enhance security (McElreath et al.,
The term ‘dual diagnosis’ refers to people who suffer from grave mental illness and have problems with drugs or alcohol to the extent that their mental and physical health is affected. The condition of substance misuse disorder does not entail that there is dependence or an addition rather it defines a spot where the person’s use of drugs or alcohol has become problematic and it impairs the person’s tone of spirit and their ability to work as part of a community. Some reasons that people who are mentally ill drink and get hold of drugs include they are self-medicating, to normalize entry into social groups, to run away or to disengage because their spirit is difficult so they why would rather be “numb” than deal with their troubles. In this paper I will cover the following topics substance abuse’s role in offending behaviors, challenges for both client and clinician’s perspective, interventions and techniques that can be used with this population and some research findings.
The adaptation that occurs in the majority of the illness narratives is physical, social and mental. Garcia professes that most heroin addicts are “sentenced to detoxification [as] the first official step in a longer process of drug recovery” (2010, 2). Despite the diversity of these individuals’ personal histories, they are repressed from their distinct experiences, that most likely have contributed to their addiction, and forced to comply to similar legal rulings headed by a dominant class. The “Twelve Step Model” defines the length of the recovery process, thus the heroin addicts are required to leave their place of residence and attend Nuevo Dia for a time period that is based on this norm. In the social context, patients are assigned to new living arrangements in the detox center, hence being in the presence of other addicts who are also on the road to recovery. This social environment is not very beneficial for those who are adamant to get clean; the presence of patients in the same clinic, who are in worse conditions, is a “reminder of [their] needs” to revert back to drug use (Garcia 2010, 67). The vicious cycle of recovery and relapse is an outcome of the clinic’s social circumstances, which gives the chronology of addiction a valid stance in society. Incidentally, the mental aspect of conformity is
Therefore, when I work with substance abusers I will show empathy, encourage and validate their successes and their feelings about any failures. In addiction, I will help the person learn from their failures and normalize the situation. Furthermore, I would attempt to ensure that the person had several coping strategies in place, to help when he or she finds themselves in a difficult situation. Moreover, I intend to ensure the client has all the tools he or she needs to succeed while getting to the root of their problem through counseling.
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
The harm reduction model the most prevalent ideology within the large spectrum of substance control methods, it is defined by the Centre for Mental Health and Addiction as any program or policy designed to reduce drug-related harm without requiring the cessation of drug use. In essence instead of adhering to the conventional eradication style practices aforementioned, this style focuses on helping the offender cope with their mental illness. This not only can encourage offenders to take active participation within their treatment, but makes them the directors of their own rehabilitation using their own will power to gauge treatment. Although the harm reduct...
... The focus of the psychosocial interventions should be aimed at doing what is beneficial for the client’s physical health, mental health, and safety all at once.
Information about the neurological development informs how a drug addict who uses heroin repeatedly, alter the neurological circuitry for dopamine which triggers pleasure. According to the chronicity model, changes in the dopamine system which develops various emotions such as feelings of pain, depression, and desire for more of the drug. Garcia explains that although she doesn’t deal with the brain, she is interested in how the scientific understanding of addiction is perceived and personal experiences of heroin addicts. She explains that she works for community- based treatment programs that adopted the “chronic illness-care model”. She explains that she anticipates for the heroin addicts to complete the program successfully, but is fully aware that most of not able and will return. The Neuvo Dia’s executive director explains that she would like for the recovery to be a onetime thing, but understands that it’s not. Garcia explains the different problems of chronicity and how it affects the addicts. She explains that there were extremely high rates of relapse at the clinic during the year she worked as an attendant. During her shifts, she observed different
Therapy has long been thought of as taboo. In this paper, I will discuss the major forms of therapy and their characteristics along with the strategies that are also used. This essay will also cover examples of each disorder and show which therapeutic method is best used in caring for individual(s).
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
As the client attempts to cope with the circumstance, various aspects of his life may be affected. In some way, the coping response of an individual to a health-related concern may be related to his Quality of Life