Essential of evidenced based practice

 

MIGUEL POST

In psychiatry and mental health, nurses and prescribers work tirelessly with patients and present them with the best alternatives to manage their conditions. These plans of care are designed with the patient’s best interest in mind; according to Melnyk and Fineout-Overholt (2018), patient-centered care is an approach that increases patient engagement in their healthcare and leads to a better perception of healthcare outcomes. Since the facility I work for treats patients with acute psychiatric disorders that require emergency stabilization, the practitioner and the nurses could sometimes take the initial treatment measures without the patient’s consent.

For this week’s discussion, the issue that comes to my mind is the involuntary treatment of patients with episodes of psychosis in the psychiatric ward. Sometimes a patient refuses acute psychiatric treatment, but the multidisciplinary team determines that the patient will benefit from being medicated and has obtained a legal proxy to accept treatment for the patient. We can still honor the patient’s values by listening to the patient express their feelings and concerns about the medication therapy; sometimes, the patient may have had a bad experience with side effects. They can inform you what has worked for them and what has not. Preserving the patient’s preference plays a significant role in future compliance and overall outcomes; according to Hoffman et al. (2014), including the patient’s values and preferences in implementing EBP in their treatment plan is crucial for its success.

Patients can sometimes be unable to make informed choices about their care and will need a healthcare surrogate (Sisti, 2017). Determining a patient’s ability to consent to treatment is a skill only psychiatrists are legally entitled to in my facility. Still, nurses can advocate for the patients by communicating and identifying those alternatives that were effective for them in the past.

Hoffman, T., Montori, V., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision-making. Journal of the American Medical Association, 312(13), 1295-1296. doi:10.1001/jama.2014.10186

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Sisti, D. A. (2017). Nonvoluntary Psychiatric Treatment Is Distinct From Involuntary Psychiatric Treatment. JAMA, 318(11), 999–1000. https://doi.org/10.1001/jama.2017.10318

 TERESA POST

Patient Preferences and Decision Making

It is the obligation to offer quality medical services to patients. One way to ensure quality health service is practicing patient-centered care (Russo et al., 2019). Traditionally, physicians and other healthcare providers entirely made decisions regarding patients’ health. Currently, the implementation of evidence-based practice has encouraged healthcare providers to involve patients in the decision-making process (Melnyk & Fineout-Overholt, 2018). If at all, the patient should make an informed choice, and healthcare workers are obliged to respect patients’ preferences.

 During my rotations, I came across a 23-year-old female patient struggling with weight control. On physical examination, the patient had a calculated body mass index of 27. She had elevated cholesterol on the lipid profile test. According to the Ottawa Hospital Research Institute’s Decision aids, the patient was informed of three available treatment options, including weight loss and observing diet control, pharmacological drugs for obesity, and surgery. The patient was advised that the best option was weight loss and diet control while doing a serial lipid test to assess her lipid levels. The patient chose to use a diet plan and do regular exercises. She added that she would prefer bicycle riding and swimming routinely. Fortunately, when the patient returned for the next visit, she had lost about 3kg. Dealing with obesity is a patient’s responsibility, and they should be involved in the decision-making process on how to control their weight (Jackson et al., 2020). Involving the patient in the decision-making was essential because she took it as her responsibility to reduce her weight.

I chose obesity decision aid, which offers three options for treating obesity, including weight loss and diet control, use of medications, and bariatric surgery. The decision aid provides options from which the patient can choose their preference, as illustrated in my experience during my rotations. As a future registered nurse, I would use the decision aid while giving health education to obese patients or individuals struggling with weight control. Additionally, I would use the decision aid to help me maintain a healthy weight by exercising regularly and eating a healthy diet to prevent being overweight. 

References

Jackson Leach, R., Powis, J., Baur, L. A., Caterson, I. D., Dietz, W., Logue, J., & Lobstein, T. (2020). Clinical care for obesity: A preliminary survey of sixty‐eight countries. Clinical obesity10(2), e12357. https://doi.org/10.1111/cob.12357

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Russo, S., Jongerius, C., Faccio, F., Pizzoli, S. F., Pinto, C. A., Veldwijk, J., & Pravettoni, G. (2019). Understanding patients’ preferences: a systematic review of psychological instruments used in patients’ preference and decision studies. Value in Health22(4), 491-501. https://doi.org/10.1016/j.jval.2018.12.007

Calculate your paper price
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

We value our clients. For this reason, we ensure that each paper is written carefully as per the instructions provided by the client. Our editing team also checks all the papers to ensure that they have been completed as per the expectations.

Professional Academic Writers

Over the years, our Acme Homework has managed to secure the most qualified, reliable and experienced team of writers. The company has also ensured continued training and development of the team members to ensure that it keep up with the rising Academic Trends.

Affordable Prices

Our prices are fairly priced in such a way that ensures affordability. Additionally, you can get a free price quotation by clicking on the "Place Order" button.

On-Time delivery

We pay strict attention on deadlines. For this reason, we ensure that all papers are submitted earlier, even before the deadline indicated by the customer. For this reason, the client can go through the work and review everything.

100% Originality

At Buy An Essay, all papers are plagiarism-free as they are written from scratch. We have taken strict measures to ensure that there is no similarity on all papers and that citations are included as per the standards set.

Customer Support 24/7

Our support team is readily available to provide any guidance/help on our platform at any time of the day/night. Feel free to contact us via the Chat window or support email: support@acmehomework.com.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

Buy An Essay has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.

Essays

Essay Writing Services

At Buy An Essay, we prioritize on all aspects that bring about a good grade such as impeccable grammar, proper structure, zero-plagiarism and conformance to guidelines. Our experienced team of writers will help you completed your essays and other assignments.

Admissions

Admission and Business Papers

Be assured that you’ll definitely get accepted to the Master’s level program at any university once you enter all the details in the order form. We won’t leave you here; we will also help you secure a good position in your aspired workplace by creating an outstanding resume or portfolio once you place an order.

Editing

Editing and Proofreading

Our skilled editing and writing team will help you restructure you paper, paraphrase, correct grammar and replace plagiarized sections on your paper just on time. The service is geared toward eliminating any mistakes and rather enhancing better quality.

Coursework

Technical papers

We have writers in almost all fields including the most technical fields. You don’t have to worry about the complexity of your paper. Simply enter as much details as possible in the place order section.