Result outcomes were recorded at the end of treatment session i.e. after 2 weeks. Intensity of pain and disability index were taken as baseline values and at the end of 2-week treatment session. RESULTS At the end of treatment session, data analysis showed significant improvement in intensity of pain and disability index in both the groups. However, it was observed that there was higher improvement in VAS score in group A compared to group B. ODI measurements showed a tendency towards a difference in reduction in favor of group A after the final intervention.
Administration and Near-Miss Medication Errors in Nursing Introduction This assignment will be reviewing two peer-reviewed articles. The first article is written by Colleen Claffey and titled, Near-Miss Medication Errors Provide a Wake-Up Call. Lily Thomas titles the second article, Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration Errors. Each journal article discusses medication errors within the administrative perspective along with the prescription that was prescribed. Similarly, both of the articles have comparative themes in addition to opposing themes.
The purpose of the second part of this assignment is to discuss and critically reflect on the use of psychosocial interventions with a client that the author has worked with on clinical placement, using relevant literature to support the assignment. For the purposes of reflection the author has used Gibbs (1998) reflection cycle to act as a guide through the process of reflection. The cycle itself consists of six stages to aid in the reflecting process, these phases include a description of what happened, feelings that were felt during the experience, an evaluation of the experience, an analysis, conclusions that can be drawn from the incident and an action plan that can be based on the conclusions of the incident that will help when a similar situation arises in the future. Wilding (2008) believes that the cycle can be adapted to all situations that a nurse may face to help make sense of a situation or crisis. Fejes (2008) believes that the process of reflection is used to scrutinize one’s self so that
Each patient received a target-controlled infusion of remifentanil, with an initial target of 2 ng/mL and the target was increased if the patient complained of pain or was agitated. 37% of patients had at least one episode of respiratory rate below 8 breaths per minute. But most of the time it was of very brief duration, and could be reversed by verbal command, light stimulation or by decreasing the target. As the authors identified, failure of sedation was a real possibility, for this reason a controlled environment is critical and skilled
This study tried to identify whether ‘talking therapies’ were effective in reducing relapse of moderate to severe depression in young people during a period of one year after treatment ends. Results in this study showed that young participants in all three modalities of the study presented reduced depressive symptoms. STPP was considered as effective as CBT and BPI in holding reduced depressive symptoms a year after the end of treatment with a small advantage of 85% of adolescents treated by STPP not meeting diagnostic measure for depression compared to 75% in CBT and 73% in BPI. Despite these percentages not being considered statistically significant it points out the effectiveness of STPP in decreasing depression in a long term. In relation to the cost of treatments, there were no differences between the three treatments costs at the end of the
Prolonged exposure therapy and cognitive processing therapy when compared to non-trauma psychotherapies showed similar symptom improvement, especially when compared after follow-up sessions. The current policy of the U.S. Department of Veterans Affairs National Center for PTSD recommends cognitive processing therapy and prolonged exposure therapy as first-line treatment. Though still inconclusive, some studies show that treatments for posttraumatic stress disorder show more positive outcomes for civilians than veterans. Speculation on this disparity suggests that this may be due to “extended, repeated, and intense nature of deployment trauma and the fact that service members are exposed not only to life threats but to traumatic losses and morally compromising experiences that may require different treatment approaches,” and recent meta-analyses that compared both civilian and military personnel responses to trauma focused and non-trauma focused psychotherapies found that patients with “complex trauma” (i.e. veterans and refugees) showed a smaller difference in effectiveness between trauma focused and non-trauma-focused psychotherapies than civilians, whose results favored trauma focused
Half of the patients would receive BA from what is termed junior mental health staff and the others CBT from psychological therapists from the psychological therapies teams. One year later the PHQ 9 scores of the patients would be collected and measured. The scores would be examined in relation to their clinical significance and then categorised as depressed/not
With an intervention of 8 weeks of cognitive-behavioral therapy principles, patients in both groups received the same treatment modules. Moreover, the primary outcome measure was the Beck Depression Inventory-II (BDI-II); similarly to the first study, and secondary outcome variables were suicidal ideation, anxiety, hopelessness and automatic thoughts. In both cited studies, the results were highly significant. In the first one, email-based CBT significantly reduced
Annually mortality from coronary heart disease claims an estimated 1.8 million lives in Europe, despite having fallen over recent decades (1). In the United Kingdom around 110,000 men and 65,000 women have an acute myocardial infarction every year, equivalent to one every three minutes (2). In 1772 William Heberden, the original describer of ‘angina pectoris’, recounted a case of a patient who clinically improved by working in the woods for half an hour each day. However, mobility limitations were enforced on patients with acute coronary events despite some evidence of the benefits of exercise and activity, often leading to deconditioning, decline in function, prolonged length of stay and increased morbidity and mortality. Early cardiac rehabilitation
According to Brown et al (2012) “the Beck Depression Inventory (BDI) is a self-report instrument with large use in clinical and epidemiological studies to assess depressive symptoms”. The becks depression inventory (BDI) uses a series of questions scored zero to three to that helped diagnose depression into four categories including minimal, mild, moderate and severe. Paul’s score on the BDI was 27 which mean that he was most likely suffering from moderate depression, but this score was very close to 29 which, according to the scale if a score reached 29 or over then the depression is considered severe. So his state of depression, although technically moderate his state of depression was worrying as it was at the higher end of moderate depression on the