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Ritalin and amphetamine are by far the commonly prescribed. There have been several researches showing the effectiveness of stimulants in adults, adolescents, and children. Normally, stimulants effectively reduce inattention, overactivity, distractibility, and impulsivity in 75% of people with AD/HD (Monastra, Monastra, & George, 2002). Ritalin, mild central nervous system stimulant is a drug available as tablets of 20, 10, and 5 mg for oral administration. A sustained release tablet of 20mg is as well available for oral administration.
Successful treatment of ADHD can minimize the economic and psychosocial burden related to the disease. Management of the disease usually entails a combination of lifestyle changes, behavior modification, and counseling along with medication. Stimulants, like methylphenidate and amphetamine, are choice treatment alternatives for most patients with ADHD (Svetlov, Kobeissy, & Gold, 2007). Ritalin is indicated as an important part of a holistic treatment program which usually includes other measures (educational, psychological, social) for a stabilizing effect in children with ADHD as well as co-morbid disorders which presents with; short attention span, moderate-to-severe distractibility, hyperactivity, impulsivity and emotional lability (Monastra, Monastra, & George, 2002).
Agitation, tension, and marked anxiety are contraindications to Ritalin because the drug may worsen these symptoms. Additionally, Ritalin is contraindicated in patients with glaucoma, patients who are hypersensitive to the drug, as well as in patients with motor tics or with a familial diagnosis or history of Tourette’s syndrome (Monastra, Monastra, & George, 2002). Ritalin is contraindicated during use of monoamine oxidase inhibitors, as well as within 14 days after discontinuation of a monoamine oxidase inhibitor since hypertensive crises may
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Throughout the years, innumerable changes have been implemented. Nursing had come a long way from then simple task of assisting physicians, to the current role of advance practitioner and advocate of patients' health. One key concept that is taking the limelight for the past decades is the importance of evidence-based practice.
Evidence based practice (EBP) was formulated with the intention of addressing targets in the health sector especially integration of clinical expertise and adherence to the Best Medicine Practices (BMP). The approach equally improves the quality of nursing services and guarantees that patients acquire valuable clinical assistance.
Medical practitioners should be very careful when prescribing or using a certain form of medication to treat various ailments that their patients may face. Wrong prescriptions or treatment strategies may lead to the patient not achieving the full recovery, as would be desired by the practitioner.
In acute respiratory failure, NIPPV prevents the needs for intubation and tracheostomy (Weng, 2008). In chronic respiratory failure, it helps the patient oxygenate btter and prevents accumulation of carbon-di-oxide in the body. NIPPV is applied mainly through face mask orally or through a nasal prong.
The research was meant to do a pilot survey on skin hypersensitivity as a result of exposure to cyanobacteria. The study was carried out on volunteers mainly between the ages of 18 to 65 years. The use of a wide age range expanded the research and ensured reliable data was got.
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.
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,
One of the major strategies applied in my organization is the principle of evidence-based practice. To provide quality services to the patients, we need to foster a spirit of research, coordination and
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