From the research it can be comprehended that it is the basic aim of health care systems to provide the highest quality of service possible to patients and thus novel ways to enhance service delivery are always being sought. Over the last two decades, health care has seen tremendous advancements in terms of both technology and practice and it is expected that this is a trend which will be kept up in the future. Among the most revolutionary health care aspects that have emerged during this period is Evidence-based practice (EBP). According to the National Library of Medicine Evidence-based practice is an approach to health care service provision which is guided by thoughtful integration of the best available scientific knowledge with clinical expertise. The medical practitioner can examine research data, clinical guidelines and other information tools in a bid to give the right diagnosis and thus quality treatment followed by reflection on the outcome which aid in improvements in the future. It is simply the integration of individual expertise and the best external evidence and patient values. Evidence-based Practice rightfully involves the best and most current research evidence with educational or clinical expertise and the relevant perspectives of stakeholders in order to ensure that the best possible decision is made for patients. Evidence-based Practice can be broken down into four steps that begin and end with the patient, and whose mastery defines expertise in the practice. After the four steps, implementation and re-evaluation follow. The first step involves formulating a focused clinical question after observing the patient. Such questions are carefully thought out foreground queries that generally have answers. They serve as the anchors to the other three steps of Evidence-based Practice. A mnemonic approach involving examination of the patient, the possible intervention(s) and comparisons and finally the outcome of interest is one of the best approaches put forward for developing a good foreground question. This is usually referred to as PICO (Patient, Intervention, Comparison and Outcome) (Lang 2004, p. 91). Booth (2006, pp. 358-359) argues that challenging practice rituals is a good way to come up with focused clinical questions. The primary goal is conversion of a precise and sometimes unclear information need into a query that can be answered. The type of questions that one can come up with may be predictive, interventional or explorative. The next step after the formulation of a focused question is undertaking to search for evidence. Information literacy is important here as the practitioner is required to match the PICO question with a relevant study design. Internet is quite an important tool here as it facilitates the gathering of information, and the next step in search for information is selecting on a relevant database to use, a decision influences by the time constraints and degree of information being sought. Some of the studies usually used include systematic reviews, randomized control studies and case control studies and the choice is influenced by the PICO (Lang 2004, p. 92). Rodrigues (2000, p. 1345) is of the opinion that randomized clinical trials and systematic reviews of peer-reviewed primary research work provide coherent and systematic evidence on the effectiveness of interventions taken. The third step of Evidence-based
This research will begin with the definition of evidence-based practice. The current paper presents practice in treatment of schizophrenic patients using Clozapine and factors facilitating and hindering evidence-based practice in the treatment of schizophrenia through Clozapine…
Co-morbidity is not new, it has been going on for a number of years, however, the treatment interventions for tackling the problem are still developing only. And there has been “an over representation of men among” co-morbid patients (Weinberger and Harrison, 2011, p.124).
Apart from the serious signs and symptoms, this psychiatric disorder also has an immense impact on the close environment and relatives of the patients due to its severe nature. This paper provides an in-depth review of this disorder and other concepts associated with this condition.
It prevents the person afflicted with it, from arriving at a proper conclusion regarding what is reality and what is illusionary. Individuals suffering from this disease are subject to delusions, hallucinations, disturbed thinking and social withdrawal. Despite the unprecedented developments in psychiatry and medical science, determining the causes for this disorder has proved to be elusive.
The process of monitoring patients receiving antipsychotics has two main benefits one that is to help identify treatable pathology in a population and the other is to link and track antipsychotic induced adverse effects in patients. Antipsychotic drugs have been linked with a variety of adverse effects, which include and not limited to cardiovascular, hepatic, metabolic, endocrine and hematologic complications hence the need for very close monitoring of patients.
Schizophrenia is one such mental illness that manifests as changes in behaviour, thinking, feeling and perception (Department of Health and Ageing; Mental Health Association NSW Inc). The concept of schizophrenia (formerly dementia praecox) was introduced by the noted German Psychiatrist Emil Kraepelin who was responsible for classifying psychotic disorders (McGorry 311).
However, drug toxicity, side effects, mortality and tolerability of the drug is a matter of concern in the clinical treatment of Schizophrenia. Hence, Clozapine therapy needs stringent monitoring not only for agranulocytosis but also possible lethal side effects like seizure and myocarditis.
Brekke, J.S.; Long, J.; Nesbitt, N.; and Sobel, E. The impact of service characteristics on functional outcomes from community support programs for persons with schizophrenia: A growth curve analysis. Journal of Consulting and Clinical Psychology, 65:464-^75, 1997.
The researcher states that treatment of schizophrenia has substantially progressed in the last decade. A battery of treatments may be availed of to alleviate symptoms, to enhance quality of life, and to restore productivity and functioning. Treatment options discussed in the essay are related to the clinical phases of schizophrenia today.
Apart from the serous signs and symptoms, this psychiatric disorder also has an immense impact on the close environment and relatives of the patients, due to its severe nature. The earliest description of schizophrenia is given by a French psychiatrist as a form of dementia
A revolution in the management of Schizophrenia started about a half a century ago when chlorpromazine was introduced in 1952. This was the first time that psychiatric specialist had a drug that was effective in the
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