Data source: Using PubMed and Cochran three articles were found, using the keywords therapeutic hypothermia, cardiac arrest, hypothermia post cardiac arrest and, neurologic function post cardiac arrest. A Guideline was also retrieved from the Agency of Healthcare Research and Quality. (AHRQ) Results: Arrich and colleagues (2012) performed research to determine the effectiveness of therapeutic hypothermia in patients after cardiac arrest and, concluded that the patients who received therapeutic hypothermia had better neurologic outcomes than those than didn’t. Bernard and colleagues (2009) completed research the, demographic characteristics of the patients were similar in the hypothermia and normothermia groups. Hypothermia was associated with a lower cardiac index, higher systemic vascular resistance, and hyperglycemia.
Performance on these measures was stable over a 6-month period. This shows that there is high test-retest reliability when using these measures of attention and information processing to diagnose schizophrenia. Differences in cultural interpretations also pose a threat to the reliability of the diagnosis of schizophrenia. A research study by Copeland et al (1971) compared 134 US psychiatrists and 194 British psychiatrists in their diagnosis of a patient, and found that 69% of the US psychiatrists diagnosed schizophrenia compared with only 2% of the British psychiatrists. This suggests that there is massive variation between countries and it affects the reliability of diagnosis in schizophrenia.
The DSM-IV provides criteria for generalized anxiety which can be used to measure an individual’s levels of anxiety. Bahrke and Morgan (1978) found that acute physical exercise had a significant positive effect in reducing levels of state anxiety. They amassed a large sample of 75 participants, splitting into 3 groups; Exercise, Meditation, and Control group. Participants in the exercise condition carried out 20 minutes of exercise at 70% intensity, while the meditation group carried out Bensons relaxation response (Benson, 1975) for 20 minutes, and the control group simply rested for 20 minutes. While exercise was shown to have a significant effect in reducing anxiety, it showed to be no more effective than mediating or resting, suggesting the possibility that the reduction in anxiety is down to distraction, rather than the activity itself.
Researchers gathered information via email or direct mail from physicians who treat clients with pain or physicians that manage clients with clinical pain conditions on their opinion of acupuncture as a pain modality. There were 1083 survey sent out to physicians of those 197 physicians responded to the survey. Though triangulation of the data collected according to Chen, Houghton, Seefeld, Malarick, & Mao (2010), "191 out of 197 (97%) responders consider acupuncture to be a somewhat effective or very effective treatment modality in pain management." (p. 532) In general, the survey results indicate an optimistic attitude of physicians toward acupuncture as a pain modality for managing pain. Shin, B., Ha, C., Song, Y., & Lee, M. S. (2007).
(2011), describes Ventilator-associated-pneumonia as the pneumonia that develops within 48 hours or longer after mechanical ventilation by either endotracheal tube or by tracheostomy. The early diagnosis of VAP for timely intervention is a major problem and the implementation of this project is aimed at improving the situation. According to Rea-Neto et al. (2008), VAP is a common disease in the intensive care unit (ICU) of many hospitals affecting 8% to 20% of ICU patients and up to 27% of mechanically ventilated patients. According to a study conducted by Fàbregas et al.
Older persons experience the greatest amount of painful conditions but receive the least successful treatment of pain (Closs, 2005). A concise definition of pain is difficult but it is divided into two categories, acute and chronic (Touhy & Jett, 2010). The effects of inadequate pain assessment and treatment among older adults may lead to multiple problems. Pain is common in older people. The landmark study by the American Geriatric Society (AGS) conducted in 1998 found through a telephone survey that one in five older Americans are taking analgesic medicines regularly and 63% of those have taken prescription pain medications for more than six months (AGS, 1998, p. 635).
Depression is associated with poor glucose regulation in diabetes, and improvement in depression is associated with a clinically significant improvement in glycemic control. Beck Depression. You would look to see if it applied to this group-probably fine since it has been measured in populations that can answer the questions and even though teens are not adults, they are able to accurately answer questions, and showed that they needed it. The outcome would hopefully be more accurate assessment, increased access to mental health services and accurate treatment that would hopefully improve this populations outcomes and decrease the suicide and untreated depression rates you would tell us what you would use it for in a nursing assessment. You would use it to determine and screen these teens for levels of depression and develop a treatment plan that would include referrals to mental health services if the tool.
Semi-structured face-to-face interviews were conducted with 26 patients. Interviews were digitally recorded and transcribed, and a thematic analysis of the data was undertaken. To explore stroke patients’ experiences of selfmonitoring with nurse-led support. e604 British Journal of General Practice, September 2011 Participants were highly motivated to avoid a further stroke and developed a strong focus on blood pressure control and attaining a ‘good result’. Only a minority reported anxiety about their blood pressure.
The results were so dramatic it caused the medical community to reevaluate current practices to improve rapid cognition of their decisions. The study reported a 70 percent increase in recognizing patients not having a cardiac incident compared to current practices. Cardiac pain prediction is an early intervention tool identifying patients confirmed as high risk for immediate assignment to the appropriate care level unit. "Doctors guessed right on the most serious patients somewhere between 75 and 89 percent of the time." (Gladwell, 2005 pp.