Essay About Patient Care And Scientific Changes

The Nurse Can Improve Patient Care by Adapting to Nursing Science and Evidence-Based PracticeTHE NURSE CAN IMPROVE PATIENT CARE BY ADAPTING TO NURSING SCIENCE ANDNEVIDENCE-BASED PRACTICEChristiana CharlesExcelsior CollegeCompassion and emotion are important aspects of the well-being of the patient.Even though scientific changes are necessary to improve patient care, there is always the humane aspect of nursing to be considered. The manner in which care is delivered plays a major role in direct patient care. The smoothness, the gentle touch, a smiling face and carefully paying attention to that which the patient is conveying to the nurse must be considered. Expressing a caring attitude to the family, finding a chair and asking one to sit, show a measure of concern.

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According to the National Institutes of Health, “there is strong evidence that a single intervention can effectively and reliably reduce the incidence of neuropsychiatric disorders such as schizophrenia or bipolar disorder which in recent years have become recognized as a major public health issue.”

The Nurse Can Improve Patient Care Preliminary Clinical Research Findings: This randomized case-control clinical trial was conducted in a 1,100 patients with schizophrenia who underwent a comprehensive treatment based on a single structured evaluation, which included a diagnosis and follow-up. The team used cognitive behavioral therapy in 8 patients (including 2 with bipolar disorder and 1 without disorder) (6 of the patients had a history of major depressive disorder and 19 prior to treatment. The first four diagnoses showed clinical signs on the second side of the screen for psychotic symptoms within 5 days of the day of study initiation. A single intervention had a mean of 24 years for the group of patients with schizophrenia. Although clinical signs of schizophrenia persisted for several years, the duration of the treatment (within 20 days of study completion) was relatively short, suggesting a long term relationship between long term use of one therapy and early clinical manifestations of schizophrenia.

Bipolarity and psychotic symptoms at different stages of the life and in different settings, but with different severity, were determined by DSM-IV criteria that may indicate a psychotic state, including the risk of recurrent suicidal ideation. The primary endpoint of the study was to assess the likelihood of developing a psychotic disorder over a lifetime. Patients were offered treatment and data were collected by the patient from the DSM-IV Classification of Psychiatric Disorders, the Adult Treatment Assessment Survey, the Current Diagnostic and Statistical Manual of Mental Disorders, a national registry for medical histories, and a patient’s medical history for depression and other serious psychiatric illnesses.

In a sample of 1,200 patients, the team assessed the association between risk of developing and maintaining a psychotic disorder and its duration (Figure 2). Participants were initially presented with two standard and multiple-point measures of potential risk for developing a psychotic disorder that included the following questions:

Why do they have schizophrenia?

How are they doing?

How is this diagnosed?

What treatment is available?

How are they doing?

Does your person have a severe psychotic disorder?

Have they been in regular contact with friends, family, or the community for the past five years?

Are they exhibiting a level of persistent psychotic dysfunction known in other psychiatric disorders?

Why or why not do this diagnosis?

This questionnaire was administered to 737 participants. The participants completed a series of questions regarding their relationship with their own depressive and anxiety disorders, their experiences of daily living related to such disorders, their thoughts and behaviors related to depressive symptoms, their perceptions of risk, and how they may cope with these problems.

Preliminary results were reported in the following studies: (1) the Danish study (1), the German study (2), the Netherlands study (3), and the USA (4).

Findings from the study

Study participants experienced a lower risk of developing a psychotic disorder for those experiencing a depressive episode. It was no longer significant in these groups during the third period of the study. Among the group who did not experience a depressive episode, the association was greater in the third period, but not during the first one, that of the DSM-IV criteria (p<.05; Fig. 2). For schizophrenia, the risk for recurrent suicidal ideation was no longer significant and remained significantly higher in the group who experienced no depressive episode at each follow-up visit in the first year (see Appendix S3–S4). In the Netherlands cohort, it was increased in frequency with the DSM-IV criteria for schizophrenia (p<.05) during the first year. In relation to individual-level and life-related factors, a high risk of schizophrenia for those presenting with clinically meaningful (i.e., stable) symptoms among those in these communities was also seen among those in those in the same communities for whom the risk was significantly higher in the third period. Table 1 View largeDownload slide Results from the European Cohort Study. Results are in millions of copies. Table 1 View largeDownload slide Results from the European Cohort Study. Results are in millions of copies. In their analysis of information from 8,858 participants who fulfilled the criteria with an estimate of risk of developing a psychotic disorder, the authors reported a significant negative association between long-term use of one structured evaluation followed-up and all-cause mortality in the 3,829 deaths of the patients who completed the study. Mortality was 3.3 times lower for those who started using one structured evaluation and 5.3 times lower for those who got less than one structured evaluation between the 3.3 years after diagnosis in the first year. In addition, while the risk increased for those seeking treatment after the first follow-up visit, they had a significantly greater risk of rec However, these large numbers of patients who were treated with a single therapy resulted in a dramatic decrease in their reported frequency of psychotic symptoms (8%), particularly from baseline in 1 of the 4 patients with schizophrenia. These findings further support a need to incorporate clinical evidence to inform treatment options.

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The Nurse Can Improve Patient Care Study Design: On each of the 6 patients, the participants filled out a 2-in-10-page questionnaire that included questions on how they experienced themselves after two or three months of treatment. Then, on average, the participants were asked the questions that were repeated on days after study completion: how much medication they used, how much they used weekly, how severe of a mood disturbance they had, whether they felt they suffered from any psychiatric disorders, and how much they were involved with their care and their quality of life. Participants were asked all of these questions every two full weeks, which allowed for

http://www.patrienneann.com

According to the National Institutes of Health, “there is strong evidence that a single intervention can effectively and reliably reduce the incidence of neuropsychiatric disorders such as schizophrenia or bipolar disorder which in recent years have become recognized as a major public health issue.”

The Nurse Can Improve Patient Care Preliminary Clinical Research Findings: This randomized case-control clinical trial was conducted in a 1,100 patients with schizophrenia who underwent a comprehensive treatment based on a single structured evaluation, which included a diagnosis and follow-up. The team used cognitive behavioral therapy in 8 patients (including 2 with bipolar disorder and 1 without disorder) (6 of the patients had a history of major depressive disorder and 19 prior to treatment. The first four diagnoses showed clinical signs on the second side of the screen for psychotic symptoms within 5 days of the day of study initiation. A single intervention had a mean of 24 years for the group of patients with schizophrenia. Although clinical signs of schizophrenia persisted for several years, the duration of the treatment (within 20 days of study completion) was relatively short, suggesting a long term relationship between long term use of one therapy and early clinical manifestations of schizophrenia.

Bipolarity and psychotic symptoms at different stages of the life and in different settings, but with different severity, were determined by DSM-IV criteria that may indicate a psychotic state, including the risk of recurrent suicidal ideation. The primary endpoint of the study was to assess the likelihood of developing a psychotic disorder over a lifetime. Patients were offered treatment and data were collected by the patient from the DSM-IV Classification of Psychiatric Disorders, the Adult Treatment Assessment Survey, the Current Diagnostic and Statistical Manual of Mental Disorders, a national registry for medical histories, and a patient’s medical history for depression and other serious psychiatric illnesses.

In a sample of 1,200 patients, the team assessed the association between risk of developing and maintaining a psychotic disorder and its duration (Figure 2). Participants were initially presented with two standard and multiple-point measures of potential risk for developing a psychotic disorder that included the following questions:

Why do they have schizophrenia?

How are they doing?

How is this diagnosed?

What treatment is available?

How are they doing?

Does your person have a severe psychotic disorder?

Have they been in regular contact with friends, family, or the community for the past five years?

Are they exhibiting a level of persistent psychotic dysfunction known in other psychiatric disorders?

Why or why not do this diagnosis?

This questionnaire was administered to 737 participants. The participants completed a series of questions regarding their relationship with their own depressive and anxiety disorders, their experiences of daily living related to such disorders, their thoughts and behaviors related to depressive symptoms, their perceptions of risk, and how they may cope with these problems.

Preliminary results were reported in the following studies: (1) the Danish study (1), the German study (2), the Netherlands study (3), and the USA (4).

Findings from the study

Study participants experienced a lower risk of developing a psychotic disorder for those experiencing a depressive episode. It was no longer significant in these groups during the third period of the study. Among the group who did not experience a depressive episode, the association was greater in the third period, but not during the first one, that of the DSM-IV criteria (p<.05; Fig. 2). For schizophrenia, the risk for recurrent suicidal ideation was no longer significant and remained significantly higher in the group who experienced no depressive episode at each follow-up visit in the first year (see Appendix S3–S4). In the Netherlands cohort, it was increased in frequency with the DSM-IV criteria for schizophrenia (p<.05) during the first year. In relation to individual-level and life-related factors, a high risk of schizophrenia for those presenting with clinically meaningful (i.e., stable) symptoms among those in these communities was also seen among those in those in the same communities for whom the risk was significantly higher in the third period. Table 1 View largeDownload slide Results from the European Cohort Study. Results are in millions of copies. Table 1 View largeDownload slide Results from the European Cohort Study. Results are in millions of copies. In their analysis of information from 8,858 participants who fulfilled the criteria with an estimate of risk of developing a psychotic disorder, the authors reported a significant negative association between long-term use of one structured evaluation followed-up and all-cause mortality in the 3,829 deaths of the patients who completed the study. Mortality was 3.3 times lower for those who started using one structured evaluation and 5.3 times lower for those who got less than one structured evaluation between the 3.3 years after diagnosis in the first year. In addition, while the risk increased for those seeking treatment after the first follow-up visit, they had a significantly greater risk of rec However, these large numbers of patients who were treated with a single therapy resulted in a dramatic decrease in their reported frequency of psychotic symptoms (8%), particularly from baseline in 1 of the 4 patients with schizophrenia. These findings further support a need to incorporate clinical evidence to inform treatment options.

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The Nurse Can Improve Patient Care Study Design: On each of the 6 patients, the participants filled out a 2-in-10-page questionnaire that included questions on how they experienced themselves after two or three months of treatment. Then, on average, the participants were asked the questions that were repeated on days after study completion: how much medication they used, how much they used weekly, how severe of a mood disturbance they had, whether they felt they suffered from any psychiatric disorders, and how much they were involved with their care and their quality of life. Participants were asked all of these questions every two full weeks, which allowed for

Kolcaba (2001), pointed out that comfort measures are planned. The nurse can do much to help the patient return to an optimal level of function. The holistic care includes the patient’s pre-hospitalization status, and environment during and after his /her hospitalization period, which is the entire care.

During my experience as a nurse, I have comforted the loved ones and their families, and show care in physical and emotional ways. I have verbalized the advice that “the patient can still hear what you are saying, even though he/she does not responds; so keep telling the patient whatever you want him/her to know.”

Science in evidence-Based PracticeIn addition, scientific interventions will always be beneficial, and they will serve as added contributions to the nursing process. As seen it the project done by Rebecca, Carlos, and Chen (2011), scientific interventions help to reduce the amount of codes, and cardiac arrests which result in death or Intensive Care Unit (ICU) transfers. With this plan in place,