Many people with intellectual and developmental disabilities communicate pain and other ailments through their behavior. To the unaware family members or caregivers, this may result in treatment of a perceived behavioral issue rather than the underlying medical issue that maybe the course of the behavior.
It starts with the family members, and caregivers knowing the baseline, detecting changes, and communicating the changes to nurses and other healthcare professionals.
Family members and caregivers will therefore need to be educated. This nursing education to family members and caregivers will provide them with the education of common medical behaviors that should prompt nursing care.
Educating parents and caregivers is the solution to this problem!!!
Develop a paper that addresses the clinical need to educate family members and caregivers, discusses the nursing guideline, and critically analyze three (3) research studies that support the guideline.
Following this you will present the intellectual and developmental disability clinical setting and discuss how you might implement the guideline within that setting. You are not required to implement, just formulate a plan.
Review a variety of web sites such as:
Agency for Healthcare Research and Quality https://www.ahrq.gov National Guideline Clearinghouse https://www.guideline.gov
FINDING THE EVIDENCE
https://hsl.uw.edu/ Clinical Practice Guidelines https://libguides.rutgers.edu/clin_practice
Best Practice Guidelines https://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133 RCN Clinical Guidelines https://www.rcn.org.uk/development/practice/clinicalguidelines Nursing Best Practices https://www.nursing.uiowa.edu/hartford/best-practices-for-healthcare- professiionals
Look for the best NURSING guideline that will provide the solution and evidence-based interventions for the identified clinical concern and that will provide the support for the development of this evidence-based assignment.
The important deciding factor is whether the intervention is something registered nurses have decisional control over. Be careful NOT to choose an intervention that is a medical intervention that is simply carried out by nurses. You need to find a guideline that supports nursing actions and nursing sensitive outcomes.
1. Establish the Research Support
Using the existing nursing research protocols, the clinical guideline you have designed, identify at least three (3) research articles from references of the nursing research protocol, clinical guideline, or best practice.
Look for meta-analyses, integrative reviews of research, clinical trials, and quasi-experimental studies related to your topic.
2. Once you find the research studies, you will examine EACH source/study and describe the SETTING, PURPOSE, RESEARCH DESIGN, SAMPLE, FINDINGS, AND LIMITATIONS. This will be quite easy to do as it should be clearly identified in the study. Fill this in the REVIEW OF THE EVIDENCE FORM (attached) for each study. PLEASE USE THE FORM PROVIDED – IT IS REQUIRED AND SHOULD BE IMBEDDED WITHIN YOUR PAPER as shown in the attached sample paper.
3. Then note the levels of evidence for each study. Use the table attached. USE THIS TABLE TO MAKE A JUDGMENT AS TO THE LEVEL EACH RESEARCH ARTICLE FITS.
Rating System for the Hierarchy of Evidence/Levels of Evidence;
Level I Evidence for a systematic review or meta-analysis of all relevant RCTs or evidence-based clinical practice guidelines based on systematic reviews of RCTs.
Level II Evidence obtained from at least one well-designed RCT
Level III Evidence obtained from one well-designed controlled trials without Randomization
Level IV Evidence from well-designed case-control and cohort studies
Level V Evidence from systematic reviews of descriptive or qualitative study
Level VI Evidence from single DESCRIPTIVE or QUALITATIVE study
Level VII Evidence from the opinion of authorities and/or reports of expert committees
Note that when you determine the LEVEL OF EVIDENCE, YOU MUST JUSTIFY WHY YOU CHOSE THAT LEVEL. Please do this carefully as this will reflect your understanding of levels of evidence.
4. Following the completion of the review of the three articles, you will complete this assignment by writing a narrative summary of the levels of evidence of the studies. This represents the “body of evidence” supporting your proposed clinical change. Summarize how strong you feel the evidence is to support your proposed change.
5. Thus, you will submit three completed evidence based tables (sample and blank one attached) forms within the paper, a brief explanation at the end of each signifying the strength of the evidence, and ONE paragraph at the end summarizing the BODY OF EVIDENCE supporting your proposed change. These three forms are to be included in the body of the paper and should NOT be submitted separately.
6. Application of the Guideline, Protocol, or Best Practice to the Clinical Setting
During this section of the paper you will describe the intelelctual and devlopmental disability clinical setting in which you propose to implement the guideline and you will address how you will accomplish this taking into consideration the agency, administration, staff, and desired outcomes of the intervention. You will specify how you will plan this change and utilize a specific theory of change (Lewin works best for this) to support your plan.
Synthesize the content of the paper with a full summary of the paper and provide at least four significant summary points.
End the paper with a thoughtful reflection on the experience of seeking the evidence for a change in clinical practice and the planning it takes to implement this change. Has this experience broadened and strengthened your understanding of evidence-based nursing practice? How do you see yourself moving forward and using the understanding and skills you developed through this assignment? Note that this is the only section of the paper where you will use personal pronouns.
Provide full APA formatted references for all research studies and be sure that you have provided citations for all the sources in your paper as well as full references for these citations. It is expected that the content of the paper will be well supported with support from credible and scholarly nursing sources.
Between proficient working is continually elevated to experts inside the wellbeing and social care part. Different terms, for example, interdisciplinary, multidisciplinary and interagency joint effort working have been utilized to elevate experts to cooperate with the patient, carers, relations, administrations and different experts (SCIE, 2009). This Paper will investigate the significance of between proficient working in nursing practice, because of medical attendants supporting and treating an assortment of patients. This paper will talk about the general significance of between polished skill as a major aspect of good nursing practice, it will utilize cases of grown-up stroke patients and kids who have cerebral paralysis. These two conditions have been picked in light of the fact that they enable the paper to investigate two distinctive age gatherings and the necessities of patients who have a tendency to have complex social and human services needs. There is additionally an abundance of writing accessible on these conditions which helps feature the requirement for medical attendants to work successfully with other wellbeing and social care experts, specialist organizations and carers. Patients' at first tend to see nurture either alone on landing in mishap and crisis offices, or in conjunction with a therapeutic expert. Along these lines, the length of time that an attendant goes through with a patient has a tendency to be longer than most other wellbeing/restorative experts (Godfrey, 2012). Ward medical attendants who take a shot at doctor's facility wards, give care and support to conceded patients all through their entire remain. This period of time went through with the patients enable them to be comfortable with the patient, consequently enabling them to perceive changes in a patient's wellbeing and furthermore to distinguish any new needs. Frequently, patients need to see in excess of one wellbeing/medicinal expert in their stay at the clinic, because of their wellbeing needs. Regardless of these experts having pro abilities to help or treat particular wellbeing worries that the patient may have, regularly the wellbeing suggestions that are given to the patient should be performed routinely notwithstanding when the patient isn't within the sight of this authority. In this way, associated wellbeing experts have a tendency to prompt, look for the help of, or hand particular proposals over to medical attendants. This is regularly observed amongst attendants and physiotherapists in versatility proposals, this is on the grounds that medical caretakers frequently need to assemble a patient out of hours as prescribed by the physiotherapist (Godfrey, 2012). This keeps away from the patient waiting for a physiotherapist on ends of the week, or to wind up disappointed due to being in one position for drawn out stretches of time and it additionally underpins the general healing center administration point of better patient results. Essentially patients with complex physical issues, insignificant versatility or neurological intricacies, for example, stroke patients, should be consistently moved to stay away from weight ulcers creating. Also, recapturing portability steadily is frequently part of a patient's stroke restoration program. Clear rules and preparing are given, as suggested by NICE, to medical caretakers to perform safe moving and dealing with methods on patients. These rules exhort 2-3 prepared experts to move a patient who is bed bound, contingent upon the patient's development capacity and weight (Jacob et al, 2007). On the off chance that this is a stroke quiet this should be done on proposal of a physiotherapist (RCP, 2012). Accordingly, it is essential for attendants to discuss viably with other wellbeing and social care experts when moving and taking care of a patient who may have complex needs, as medical caretakers may require pro proposals by the physiotherapist, or the patient may have medicinal hardware connected to them which should be taken care of deliberately or evacuated briefly. Safe moving and taking care of systems as a major aspect of a collaboration not just advances great wellbeing and social care hone, it additionally diminishes the danger of damage to a medical attendant. This is especially vital as moving and taking care of wounds have been the most well-known reasons for staff nonattendance for a time of 3 days and longer between the times of 2007 and 2013 (Anderson, 2014). A key component of doctor's facility mind is data sharing through 'ward rounds' finished by specialists and other wellbeing experts. The point of this is to give tolerant care which can be conveyed in an opportune way, however it additionally permits the multidisciplinary group required with the patient to design their future care and medications. Medical attendants input by means of answering to partners their judgment and perceptions on the patient's present wellbeing state isn't essential for better care arranging later on, however it is likewise vital on the grounds that medical caretakers can frequently voice the inclinations that patients have communicated to them, subsequently advancing the standard of patient focused care (RCP and RCN, 2012). Besides, because of the immediate care ward medical caretakers give on their day of work for the duration of the day to allotted patients, they regularly perceive the general decay of a patient's wellbeing and prosperity before other wellbeing experts and specialists. In this manner, it is critical for the wellbeing and prosperity of patients' for medical caretakers to liaise with specialists routinely to deal with the difference in manifestations as quickly as time permits. Despite the fact that patient care arranging is returned to and archived routinely by wellbeing and medicinal experts when changes are required for the patient, formal multidisciplinary gatherings permit enhanced results for the patient, a case of an enhanced result is when Stroke Early Discharge Support Teams can release patients prior, enabling them to more probable be autonomous sooner in their day by day undertakings (Clarke, 2013). The multi-disciplinary group who has added to this confirmation has comprised of pro medicinal experts, different claim to fame specialists, dietitian, a care administrator, attendants and at times a social laborer. Attendants, because of having 'previous history' medicinal notes and the learning of relations who visit the patient, can typically give the word related advisor and the dispensed social laborer with data on key relations of the patient that perhaps valuable to contact preceding release. Additionally, nurture through discussion can accumulate data on the patient's living circumstance at home. This is vital in release making arrangements for stroke patients as some of the time they can't impart completely and obviously their living condition at home, as stroke can affect a person's capacity to convey verbally and physically. Likewise, if patients have few or no relations living with them, they may require home care through nursing staff or telecare gear which can bolster dangers of damage or enable people to caution crisis mind administrations by means of tactile hardware when they have a fall or another stroke which comes about them to fall. Despite the fact that word related advisors will do evaluations of nature which the patient dwells in (EKUHFT, 2015), medical attendants can frequently give the specialist understanding on any issue the patient has had in their stay at the healing center, a case of this might be that the patient experiences issues bringing themselves down to sit on the can, the word related advisor would more often than not ask for a 'snatch/hand rail' to be fitted in the patients home to help them to do this activity. >GET ANSWER