Another main focus of OT evidence-based intervention is training the caregiver so that they have an increased perceived competence and ability to handle and understand the behavior problems and functional decline of the person with NDD that they care for. OTs can positively impact the lives of both the patient and the caregiver, by taking time to work with the caregiver and train them in the NDD disease process, effective supervision, positive communication strategies, available resources, personal stress management, problem solving, coping strategies, and simplifying instructions (Edwards, 2015; Gitlin, Winter, et al., 2010; Schulz et al., 2002). OTs help the caregiver manage negative behaviors by teaching them to identify what is stimulating negative behaviors and thus be able to look for ways to initiate positive behaviors and decrease the frequency of negative ones. OTs can utilize models to help the caregivers understand how to do this by training them in the ABC Model, which is activator, behavior, and consequence as well as the Problem Solving Process Model of identifying the behavior and the activator, describing what happens after the behavior occurs, brainstorming and implementing strategies, and then evaluating how the strategies work (Piersol & O 'Sullivan, 2015). OTs can also train caregivers to match tasks such as ADLs or IADLs, with the cognitive ability of the person with a NDD and gain a better understanding of his or her current cognitive state. This can
Client exhibits disruptive behavior and poor impulse control having concerns about client’s hyperactive behavior (e.g., not being able to remain on task with preferred activities, constantly jumping, cannot follow caregiver multi-step directives). Client’s distractive behavior is negatively impacting the home with caregivers. In addition, client is reverting in her independency having struggles with her self-care needs, routines, and interruptions in sleep. These behaviors are primarily present in the home environment and with parents and family. Client is having difficulties following parent directives as demonstrated in the DPICS assessment. Parent’s struggles with providing follow through on directives increases client’s inability to
Indeed, "new and validated knowledge that forms the basis j Y for evidence-based practice (EBP) most commonly is discovered in academic settings. But findings need to be translated into a protocol or guideline that can be used to guide practice," according to Conner, (2014, p.40). Evidence-based projects have lead to many improved clinical practice changes at the bedside and healthcare in general; and they are highly promoted and supported by different healthcare organizations.
Improve communication effectiveness among caregivers. The objective is to provide the responsible licensed caregiver these results within an established period so that the patient can receive treatment in a timely manner.
Bradley, S., & Mott, S. (September 2012). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32.
Evidence supports transitional care programs as a means of improving quality of patient care and reducing 30-day readmission rates. Multiple models exist and all center on common goals of early patient identification, disease-specific patient education, medication reconciliation and education, office follow-up and timely coordination of care and sharing of medical records penitent to patient’s case.
Rheumatoid Arthritis has been subject of numerous studies and researches in the look for a better understanding of how it effects the individuals diagnosed with it. There is a higher incident of females diagnosed with RA than male as well as a relationship with genetic and environmental factors involved. Around one percent of the world population is affected by RA; therefore, diverse studies have been performed to understand how the lives of the diagnosed patients can be impacted by the disease. For example, how RA affects the mobility, safety and activities of daily living in general as well as the development of interventions to better approach RA. On
Brief Description: Due to the chicken and egg dilemma surrounding co-occurring disorders, for years researchers have faced the challenge of what to treat first, in other words identifying the main issue. Now after twenty years and being given the title of an evidence-based practice, researchers have come up with a holistic approach in treating co-occurring disorders. Researches coined this evidence-based practice as integrated treatment, which is basically a marriage between health and mental health services/treatment/interventions.
The author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009).
I believe each younger generation is the current generation future so we should teach our children right and watch them grow. We should support our children to the highest standard and let them know to never be afraid to want to know more. We should encourage our children to do their best and try their best at all times. I say this because our children need us they need us to let them know they are safe and that we will not harm them in any way. I want to know why and how some people could ever harm a child. Unfortunately somethings cannot be explained or figured out sometimes we just have to live without knowing. Before, during, and after trauma we are supposed to be there to shelter our child. There needs to be a better protection service
The aim of this essay is to explore evidence based nursing intervention in the care and management of chronic obstructive pulmonary disease (COPD) in an acutely ill patient. The acutely ill patient involved in this essay was admitted to hospital due to cerebrovascular accident and had a past medical history of myocardial Infarction, left Ventricular failure, peripheral vascular disease and duodenal ulcer as well as chronic obstructive pulmonary disease. This essay will provide a rationale for the chosen aspect of care (COPD) and reason will be given why it is a priority. In particular the essay will examine the significance of the underlying pathophysiology of the disease relating to the acutely ill patient other
With the advancements in healthcare and people living longer lives America is facing a caregiver crisis, due to the growth of the aging population. Statistics show that the number of people 65 years and older is expected to rise 101% between 2000 and 2030, yet the number of family members who can provide care for these older adults is only expected to rise 25% (Gupta, 2015). This significant change in the population raises many questions, who will care for this group, how will their safety be ensured, how will the elderly travel, where will they live, will building structures need to change to allow easier access, will the government create a caregiver corps to check on the elderly who are isolated, and ultimately how does the government
A continuing care assistant are individuals who assist clients like the elderly and the mentally ill by providing them with the support services and the personal care that they need while promoting a healthy and independent living place in their own homes and long-term care facilities. CCA’s often work in long-term care facilities because, at a long-term care facility, they provide clients/residents with their managing of their medications, the residents have 24 hour supervision, assisted meal service, and personal care and/or nursing. CCA’s have a lot to offer to the nursing homes. They offer personal care and palliative care, assistance with meals, and also with household management.
EBIs to reduce disruptive behavior and increase academic achievement can include trainings and implementation support at the school, class-wide, and individual student-level, and are often either academic or behavioral in nature. Overall, implementation of both universal (i.e. class-wide) and targeted (i.e. student-level) interventions have demonstrated positive impacts on decreasing disruptive behaviors and increasing student academic achievement (Flower, McKenna, Bunuan, Muething, & Vega, 2014; Vannest, Davis, Davis, Mason, & Burke, 2010).Ross, Romer, and Horner (2012) also found that teachers in schools implementing Positive Behavioral Interventions and Supports with high fidelity
In the U.S, one in four will be aged 60 years and older by 2050 (U.S. Census Bureau). This represents an overwhelming number of people who will either be in the caretaker role or be the ROC. Like today, most of the care will be provided by informal unpaid caregivers. The number of informal unpaid caregivers is expected to rise from 20 million in 2000 to 37 million in 2050 (Office of the Assistant Secretary for Planning and Evaluation [ASPE], 2003). Because of the burden of care giving, many caregivers will experience depression, poor health and quality of life (Etters, Goodall, & Harrison, 2008). Their well-being is an important public health concern.
Gerrish, K. Lathlean, J. (2015). The research process in nursing. West Sussex: John Wiley & Sons. p263.