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Research revealed that the effectiveness of pharmacological therapy in treating PSD patients in evident. However, augmented and tailored cognitive behavior therapy can play a vital role in improving treatment outcomes of PSD patients
Post Stroke Depression increases the risk of mortality and morbidity. Recovery from stroke decreases the rate of mortality of the patients but depression highly increases the rate of morbidity of the strokes patient. It also impairs the functional capacity of the patients and hinder with the social cognition attitude of the patients with stroke. The PICOT question to address the problem is: In stroke, survivors (P) does Cognitive Behavioral Therapy (I) as compared to anti-depressants (C) will increase the treatment outcomes of Post-Stroke Disorder (O) after treatment of stroke (T)?
Stroke is a leading cause of death and adult disability in the UK. Around 1,30,000 people met the stroke every year. The National Health Service has given an estimate of around £2.8 billion expenditure by hospitals and around £2.4 billion cost spent on informal care by the caregivers to the PSD patients (Broomfield, Laidlaw, Hickabottom, Murray, & Gillespie, 2011). Several studies have focused on the impact of stroke on the social recognition and quality of life of the patients. Therefore, it can be said that cognitive behavioral therapy may play a major role in decreasing the rate of prevalence of PSD focusing on the cognitive and psychological treatment of patients.
The psychological impairment also appears in the patients of Post-Stroke Depression showing the signs of depression, anxiety, sadness, loneliness, isolation, alienation, etc. The cost and expenditure served on the treatment of PSD patients is also very high. Mostly the geriatrics and adults have been found as the victim of PSD however in some studies young adults also report the symptoms of
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This being the case, it becomes necessary to understand what exactly Evidence based practice (EBP) is and why it is such an important contribution in the medical field. To start with evidence based practice is a resource intensive method that allows medical practitioners make decisions that help them promote healthcare using available evidence.
This essay addresses the barriers that exist against using evidence-based practice in the treatment of atrial fibrillation. It will also evaluate different strategies that can be used to develop the use of evidence-based practice among critical nurses who tend to older patients suffering from atrial fibrillation.
The clients of this facility are the elderly patients who require nursing care services. Those with physical disability are also attended to in this care home. Physiotherapy, independent living training and palliative care are the services offered in the care home (Care and Social Services Inspectorate Wales, 2012).
Furthermore, some interventions which reliable researches showed to have significant benefits have been largely ignored. By bringing together the results of research in a systematic way, appraising its quality in the light of question being asked synthesizing the results in an explicit way and making the knowledge base more accessible, it is hoped to foster a greater sensitivity to the evidence by researchers, policy makers, health practitioners and the public.
However, the use of the term "evidence based" had confused many practitioners. Several researches were done to clarify the term. Aside from misconceptions and misinterpretations, evidence based nursing practice is also plagued with debates and issues that need to be resolved.
Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes.
"Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach.
These companions could either be in the institution where the patient is, in a private home that offers care to such patients, or could be family members or other people paid to care for the patient (Klonsky 1039).
ed need for the increase in the number of Acute Care for the Elderly Units to allow for the provision of specialized quality care for this group of patients (Jaipaul & Rosenthal, 2009; British Geriatric Society, 2012).
With geriatric care being a key area of interest for me,
Thus, they ensure that the participants remain updated on any new occurrences during the research process.
Evidence-based practice is a critical approach to offer the unsurpassed quality care to patients as
Similarly, evidence-based practice (EBP) is more of a specific approach, which can be part of the EBT (Spitz et al., 2007). The EBP approach involves the concerned family members through the treatment process, engaging with direct communication with the patient through
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