Jeffrey Bourguignon Best Evidence Paper EM 6305 Fall 2011 PICO Question In COPD patients, does breathing rehabilitation or anxiolytics produce a greater reduction in anxiety and subsequent dyspnea? Search Strategy The search terms I initially used to find material suitable for this assignment were: COPD, anxiety, pulmonary, rehabilitation, treatment, dyspnea, quality of life. Search Outcome My search returned 80 papers, of which 22 were free full texts. 21 of the papers were relevant to my query and supported pulmonary rehabilitation programs for patients with COPD to reduce anxiety and thus, dyspnea. Relevant Articles Table Article | Patient Group | Study Type | Outcomes | Key Results | Study Weaknesses | 1 | 45 patients - 13 male, 32 female, mean age 67.4 years | Observational Study | Pts who completed pulmonary program showed improvement on all four scales.
Running head: MAJOR DEPRESSION ARE WE LOST Major Depression are we Lost in Screening and Treatment NURS4386 Leadership in Nursing Cee June 10, 2008 Part I: Action Plan 1) Project Focus: Major depression- screening and treatment 2) Documenting Evidence: a. Questions to be considered within the evidence-based practice process. Within the initial year following diagnosis, will individuals eighteen and above who has been diagnosis with major depression improve from screening and treatment compared to clients without proper screening, treatment and follow-up. i. P (Patient Population of Interest): ages eighteen and above ii. I (Intervention of Interest): Improve screening
The management of the therapist’s counter transference, through the containment of the group’s projections, is related to positive therapeutic outcome. Self-awareness and self-care are crucial in counter transference management. Regular consultation with a co-therapist or supervisor/consultant can also be very useful. (Association, 2007) I have found it very difficult to research the effectiveness of a non personalised induction in hypnotherapy as all the evidence shows that personalised inductions are far more effective, the only time that it would be difficult to produce a personalised script is if you were to hold a group session or produce a CD or video to focus on a certain situation such as to stop smoking, fear of spiders etc. Personalised inductions are more effective as they treat each person as an individual, in order to do this you need to assess the client, it is important that you have to try to find the most effective way to communicate with your client so that they get the most benefit from the session, in order to do this you need to take into account the clients modalities, explained below.
Another factor that came out of the report was vulnerable patients were not listened to and this undermined the services of the NHS and patients health was put at risk (Francis R 2013). The new NHS reform will be of great benefit for private sectors, because it provides greater involvement to compete with the ability to manage their resources. Responsibility and power to manage budget had been given to some NHS hospital without competition since foundation trusts was established 2003 (Community Health and Standards Act 2003), which is consolidated into the National Health Service Act 2006. There are five key points on the policies of the reformed NHS that will influence the involvement of private sectors in order to improve the quality of the health care service and offer choices to the patients. The five areas are: Clinical Commissioning Groups, Public Health, Health and Wellbeing Boards, Economic Regulation and Providers (Health and Social Care Act
“Franchising emerged as a business model that would allow Mad Science to expand without requiring substantial investment”. (P.563 Case B-4 The Mad Science Group) For example, one of the greatest challenges for a new company expanding its market in a new country is considered a lack of understanding of the local culture. However, franchising provides a good way to reduce this shortcoming because it uses the already established experience of the franchisors – usually are local people. in different countries, local culture is always considered as a big problem for the company because. However, franchise will be a good way to reduce those cultural risks, because franchisors are always local people.
The authors suggest that the prolonged impact of LBP on daily functioning may be reduced by assisting workers to conceptualize LBP and its consequences as problems that can be overcome, and to use active strategies in reducing risks for LBP disability. Problem-solving therapy (PST), based on the model by D'Zurilla and Goldfried, 21 may successfully be used in the prevention of work disability. It teaches strategies that may help subjects to feel confident and in control of stressful situations-for example, to solve work-related problems when pain recurs. Problem-solving strategies have been successfully applied previously 10-12 in patients with pain, but integrated into multimodal treatment packages. To our knowledge, the unique contribution of a protocolized PST has never been
Chronic migraine in the population: burden, diagnosis, and satisfaction with treatment. Neurology. 2008;71(8):559-566. 17. Stokes M, Becker WJ, Lipton RB, et al.
Marketing the hospital is big business and a necessary task to bring any providers to a depressed area. But one of Kutscher’s more implicating statements is that some rural hospitals have sponsored “foreign doctors with J1 visas” [ (2013) ]. Because of the shortage, and the recruiting efforts, EMMC has become an island of color in a sea of white. For many in the Bangor area this is a positive addition of culture and ethnicity to the area, but for the impoverished, white, critically ill patients and their families, it can be a culture shock and
Outline and evaluate psychological therapies for depression? Cognitive-behavioural theories explain depression upon learned irrational and maladaptive thinking. Becks cognitive behavioural therapy works to challenge and alter the irrational thoughts and dysfunctional behaviour that is keeping the depression consistent. The therapist will first need to explore the patient’s background information and identify key irrational thoughts before the therapy can begin. Within the 3-4 months of therapy, it will involve behavioural activation to identify pleasurable activities the patient enjoys and try to make these activities be more consistent in their lives.
5.2.2.4 Comparison of consistency characteristics Table 5.6 shows the consistency analysis of all the nine multimodal benchmark functions on 30 dimensions. Out of nine benchmark function, seven functions have best fitness, mean and standard deviation and in all the nine benchmark function computational speed has been increased from 26 to 30 percent. 5.3 Economic Load dispatch The applicability and viability of the aforementioned improved KHAMCD algorithm for practical applications has been tested on two different test cases of ELD problem. (i) 15-unit system with POZ and losses (ii) 40-unit non-convex system with losses. For both the problems the population size (N) is set at 100 and other parameters are similar as in chapter