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Evidence Based Care: A Case Study

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Moving the healthcare system of the United States towards evidence based care is an important part of healthcare reform. One of the way evidence based medicine can be implemented through the use of Clinical Practice Guidelines (CPG). Clinical practice guidelines are "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances" (Rososff, 2012, p.32). Clinical practice guidelines are statements that include statements to improve patient care. They are the evidence of systematic review and an assessment of the benefits and harms of alternative care options. Through CPGs research outcomes can be implemented into practice to attain the goal of advancing evidence …show more content…

CPGs assist the clinicians and patients to determine the best treatment option for a particular disease or condition. There are always uncertainty in clinical practice, ensuring trustworthy guidelines will bring more evidence to bear on clinician and patient decision making. Trustworthy guidelines hold the promise of improving health care quality and outcomes (Institute of Medicine of the National Academies, 2011). Life after a stroke can be challenging. Stroke rehabilitation program can help the patients to regain independence and improve the quality of life. The purpose of this paper is to analyze and apply the clinical practice guideline on the long‐term rehabilitation to support stroke patients. This paper also provide a detailed description of the scope and purpose of the clinical practice guideline, stakeholder involvement, rigor development, recommendations, applications, editorial independence and summary of the clinical practice …show more content…

The stakeholder involved with this guideline includes, health care providers, hospitals, advanced practice nurses, nurses, physicians, physician assistants, patients, allied health personnel, dietitians, occupational therapists, physical therapists, podiatrists, psychologists/non-physician behavioral health clinicians, public health departments, social workers, speech-language pathologists. This guideline was targeted for patients 16y years and older who had a stroke with ongoing impairment, limited activity or participation

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Thank you for your time and interest regarding my post on Bobath. In the same corollary, systemic review of RCTs in 2009 done by Kollen et al covering seven domains (sensorimotor control of the upper and lower limb; sitting and standing balance control and dexterity; mobility; ADLs; health quality of life and cost effectiveness) concluded that there is no evidence that Bobath treatment is superior to other treatments but the study went further, stating that there was no evidence that any other treatment was superior to Bobath either. Also, a more recent Cochrane Collaboration systemic review on April 2014 concluded that no one physical therapy method was more effective than any other approach in treatment of patients with stroke (Pollock

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887 Words | 4 Pages

Thankfully, there has been on-going research conducted, that relates to the overall care of post-stroke victims, and how they have been conditioned back into their old living habits prior to the stroke. When the care of a patient, who has suffered from a stroke is determined, rehabilitation that may suite the individual’s needs, is often recommended and required to get the best end results possible. Furthermore, most of the aftercare that post stroke patients receive is acute patient care; which provides an extensive amount of care, given within a

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Nurses often depend on physical therapy to do even the simplest of mobility tasks, such as range of motion. However they are not regularly available. According to Bassett, Vollman, Brandwene, & Murray,(2012), barriers to the promotion of early mobility include clinicians’ knowledge deficits, sedation practices, lack of staff and equipment resources, patient physiologic instability and established ICU culture. Altering well-established routines and patterns of care requires a comprehensives approach to instituting not only individual behaviour change, but also a system that support a shift in group

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Furthermore it has been considered also the need of developing measures that capture the impact of rehabilitation interventions on the patients’ functional ability in real-life conditions, like the home and community settings [162, 172]. An emerging therapeutic approach called Constraint-Induced Movement Therapy (CIMT) has been shown to prevent and/or reverse learned non-use following stroke [1 pr]. CIMT involves constraining the unaffected limb thereby forcing the patient to use their affected limb. In this way the neuroplasticity is stimulated and the motor function is improved, simply forcing the use of the affected limb [2 pr].

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293 Words | 2 Pages

Your statements humble me. Thank you for your time reading my posts. Truly my first indoctrination regarding Bobath was in my pre-clinical days. At that time we have been introduced to the reflex inhibiting patterns and the use of key points of control in our interventions with stroke patients (Bobath, 1990).

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Friends and family members can help ensure home safety by taking steps such as getting appliances with automatic shut-off features or storing dangerous objects in a secure place. What else should I know about cognitive recovery after a stroke? Having trouble with memory and problem-solving can make you feel alone.

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893 Words | 4 Pages

Book report Stroke is the third leading cause of death in the United States. Each year, approximately 795,000 people suffer from a stroke. Stroke is the leading cause of serious, long term disability in the United States. Stroke requires a medical diagnosis because there are different types that affects the brain. The two different but most common types of stroke are ischemic stroke which is caused by a clot in the artery, and the hemorrhagic stroke which is caused by bleeding from an artery rupture.

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957 Words | 4 Pages

It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as

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337 Words | 2 Pages

References American Occupational Therapy Association. (2012). Fall prevention for people with disabilities and older adults. Retrieved Sept 23, 2015 from http://www.aota.org/About-Occupational-Therapy/PatientsClients/Adults/Falls/FallPreventionwithDisabilitiesandOlderAdults.aspx Center for Disease Control and Prevention.(n.d). Important facts about falls.

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There were 35 participants in the study, seven in-depth question were asked to policymakers and six focus groups were conducted with physicians and allied health professional. Researchers were mindful of personal views and bias about CPG on hypertension when conducting their research. Everyone who participated was sent emails to make remarks on the results identified to check for validity of the date interpretations. The result of the study was divided into main themes and three sub-themes. The main theme were variations to using CPG and barriers to adhering to CPG.

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626 Words | 3 Pages

Approximately 800,000 primary (first-time) or secondary (recurrent) strokes occur each year in the U.S., with the majority being primary strokes (roughly 600,000) [Roger et.al 2011]. This makes stroke the third leading death in the United States. According to the American Heart And Stroke Association “Stroke is defined as when the brain is ischemic unable to receive and absorb oxygen also nutrients to a block in a clotted blood vessel” (American Heart And Stroke Association 2016). Stroke is preventable and can be avoided from spreading to further victims.

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2888 Words | 12 Pages

Chennai. 3.3. Participants We recruited 60 participants with stroke who fulfilled the selection criteria from Krupanidhi physiotherapy center and nearby rehabilitation clinics in Bangalore. We enrolled the participants after they signed the institutionally approved

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Virtual reality simulations have been modified into therapy programs to help rehabilitation in stroke and mentally impaired patients. In these simulations (which are often performed as games), the patients are made to immerse themselves in and react to a virtual situation. They are immersed into this “world” by wearing special goggles that allows them to be surrounded by the virtual reality, or just by looking at screen displayed imaging much like a video game. For most patients VR programs are easier for

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1202 Words | 5 Pages

Currently, the key advocacy in neuroscientific studies for stroke rehabilitation is that therapy should be directed towards task specificity performed with multiple repetitions (Lawal et al. 2015). CCT would be a suitable treatment for Michael’s lower limb in aiding

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191 Words | 1 Pages

Rehabilitation is the action of restoring someone to health or normal life through training and therapy after an illness. Rehabilitation should begin when the patient enters a hospital with an injury or illness that will result in increased overall functional status, and improved quality of life. There are different types of rehabilitation processes that depend on status of patients’ illness. Acute Rehabilitation unit in hospitals is the most common setting where patient is medically stabilized after spending two to four weeks and is also termed as short-term improvement and the patient is transferred to a different setting, based on their medical needs. Long-Term Acute Care (LTAC), facilities that provide services to patients who have

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