Physiotherapy profession has many clinical reasoning models which can be applied during the practice like hypothetico-deductive reasoning, pattern recognition reasoning, and narrative reasoning (Christensen, Jones, & Carr, 2002). The hypothetico-deductive reasoning involves that collected information from the client and creating a hypothesis which should be tested. Pattern recognition reasoning occurs when the clinician has an experience in recognizing similar clinical presentation seen previously with other patients. When same clinical presentations appear, the clinician may take similar clinical reasoning as taken before for similar cases. This model is possible to be applied by well organized knowledge base and experienced clinicians.
In addition to working as a Clinical Research Associate, I wanted to gain exposure to other medical fields, not only emergency medicine. Positioned outside the ED’s research work office was the emergency department’s psychiatric unit. Having taken courses like Looking back on Growing Up and the Science of Happiness, I wanted to gain exposure to psychiatry, particularly the effects of early childhood trauma on the incidence of psychiatric disorders during adulthood. Motivated by my interests, I joined the Initiative for Social and Psychiatric Initiatives (InSPIRES) at the Bellevue Hospital Center. While working at Bellevue Hospital gave me the opportunity to interact with a diverse array of patients, ranging from homeless to underrepresented patients, working with the InSPIRES team, I got the opportunity to meet and interview inpatients and outpatients diagnosed with schizophrenia, bipolar disorder, or schizoaffective disorder.
In alcohol and drug counseling, a client-centered approach has proven to be one of best practice. CBT can be used in partnership with many kinds of approaches to meet the client 's needs. Specific agencies such as Meridian Behavioral Health utilize Health Realization as their primary model of practice but also heavily use CBT because both practices work well together and often overlap in practice. CBT is the recognition of thought through evaluation and meditation. HR practices the three principles which are 1.
I. INTRODUCTION 1.1 DRUG USE EVALUATION Drug use evaluation (DUE) can be defined as an authorized, structured, ongoing review of prescribing, dispensing and use of drugs. DUE encompasses a medication review against predetermined criteria that results in changes to medication therapy when these criteria are not fulfill. It includes a comprehensive evaluation of patients' prescription and medication data before, during and after dispensing inorder to ensure appropriate medication decision-making and leads to better patient results. As a quality assurance measure, DUE programs aims corrective action, prescriber feedback and further evaluations.
Based on their initial interview, they order relevant lab and diagnostic tests and interpret the subsequent results. They often prescribe psychotropic medications based on clinical facts and the universal Diagnostic and Statistical Manual of Mental Disorders
In this job, I would use PA 's Diagnostic and Statistical Manual of Mental Disorders(DSM-5) to help diagnose my patient’s condition. Then, I would select the most suitable form of treatment: Medication, Psychotherapy, Electroconvulsive therapy (ECT). Finally, an appointment would be scheduled so that the patient’s progress can be
4, 22 The CAM diagnostic algorithms based on cardinal elsements of the DSM-III R criteria for delirium. 22 The validity of CAM has been evaluated against the diagnosis made by geriatrician, psychiatrist, neuropsychologist and advanced practice nurses; DSM-III, DSM-III R, DSM-IV or ICD-10 criteria or consensus diagnosis. The sensitivity of CAM has varied from 46% to 100% with lower sensitivities reported when CAM was used by nurses or research assistants. 23-25 The specificity of CAM has varied from 63% to 100%, with lower specificity in presence of psychiatric comorbidity. 41 It is one the very few instruments which have been translated in 10 languages and has been widely used in research.
I enjoyed learning more about the Middle-Range Nursing Theory of Self-Care by Barbara Riegel, Tiny Jaarsma, and Anna Stromberg that you selected as I conducted my own research to find more information to cross post your discussion. Self-Care is the ultimate patient outcome with my phenomenon of interest (POI) of anti-psychotic medication non-adherence with patients diagnosed with schizophrenia; a chronic illness that this theory targets and as you mentioned, provides key concepts that promote adherence to self-care maintenance. Similar to the middle range theory that I selected, Self-transcendence by Pamela Reed, Self-care highlights the significance of a supportive physical environment in order to advocate a milieu that encourages healing
According to (Davis, 1997, p. 4) cultural competence is: “The integration and transformation of knowledge, information, and data about individuals and groups of people into specific clinical standards, skills, service approaches, techniques, and marketing programs that match the individual’s culture and increase the quality and appropriateness of mental health care and outcomes” Many models of culturally sensitive therapy have been developed (Hall et al. 2003).While some have looked at it from the viewpoint of ingredients essential for cultural competence such as having respect for cultural differences and similarities that exist for diverse groups. Other models focus on the outcomes gained from being culturally competent such as positive clinical outcomes, thus, having cultural knowledge or skills is important to the extent that positive outcomes are achieved, such as: The model of cultural competence (Sue et al. , 1992) proposes that the culturally competent counselor: 1. Is culturally aware - where the therapist is sensitive to his or her own cultural beliefs and how this may affect the counselling
This process is important because counselor advocacy extends itself by influencing policy at various levels and enhances components that affect the practice of clinical mental health counseling. Advocacy is important because it works to remove barriers and challenge social injustices that impede the wellness for clients and society (Kiselica & Robinson, 2001). For example, supporting counselor advocacy is important because counselors can benefit by acknowledging and understanding that there must be a multiple systems approach to counseling. At the local level, counselor advocacy is both necessary and important for the purpose of building coalitions and collaborating to inform various societal entities about the benefits of mental health services and its impact. At the state and national level, counselor advocacy work can inform particular legislative bodies about the particular types of impacts that would occur if there is limited or a lack of mental health resources available to particular populations (Kiselica & Robinson,