Evaluation and Management of Patients With Syncope - Essay Example

"Evaluation and Management of Patients With Syncope" is a perfect example of a paper on symptoms.
The article by Waytz, Cifu, and Stern (2018) is a non-research paper focusing on the evaluation and management of patients with syncope. The article examines the transient loss of consciousness among patients that are caused by cerebral hypoperfusion. This article aims at looking at the patients that experience syncope and recommending ways of how to manage the condition. The article is based on the recommendation that involves using a structured ED observation when managing patients who have experienced intermediate-risk syncope despite the argument that it is not founded on data (Waytz et al. 2018).

Critique of Article

The article is a synopsis of Jama's clinical guidelines. It can be categorized as both quantitative and qualitative considering that the data presented is both numerical and non-numerical based on how the evaluation and management processes were carried for the patients.  Ethically, this article by Waytz, Cifu, and Stern (2018) meets the article's consideration since it focuses on adult patients suspected to have syncope. The performance in terms of adherence to the standards set out in the guideline rating is good for many items. For example, the article is rated good for establishing transparency, management of conflict of interest in the group that develops guidelines, and on the clinical practice guideline.

Since the paper is based on the synopsis of the JAMA guidelines, the analysis of the findings is based on how various guidelines are rated. The rating of the guidelines is based on the different standards required in the health care sector. These standards are provided in the research procedure involving the patients. The analysis of findings shows that the research carried by Waytz et al (2018) was rated well in most areas apart from the systematic review intersection of the clinical practice guideline. On the limitation, this article considers both the strengths and limits of the research. However, the major area that the authors focus is on the limitation experienced. The limitation is based on the weaknesses experienced in some of the data which showed the safety of the units for syncope patients though this safety is not proved. Another limitation was linked to the increased costs caused by the evaluations that were considered excessive.

The discussion section of this article is considerably short since the paper is presented as a synopsis. The discussion focuses on looking at the recommendation made for the management of syncope conditions. In this section, much interest is given to the data used to make the recommendation that the use of a structured ED observation protocol/unit would be effective when managing the patients of syncope especially those under immediate risk. There is also concern raised in the discussion about the safety of syncope units where the patients spend their time, and the authors give the justification to support the safety aspect. Similarly, the concern in the discussion is based on the effective diagnosis of syncope and how to discharge patients safely.

However, the article does not talk about the application of the findings but mentions the future of the study. On the aspect of future implications, the focus is on the areas that should be studied in the future. The article calls for trials to illustrate the consensus on how to manage patients who present with syncope. Much focus is called for those who experience immediate risk in outcomes that are considered adverse.