For a proper diagnosis of MS to be made a variety of exams must take place, some of which include MRI, spinal fluid analysis, and most importantly an adequate medical history of the patient. In 2010, a modified criterion was established to aid in the diagnosis process by the name of McDonald Criteria. The criteria must be done by a physician and is as follows, “find evidence of damage in at least two separate areas of the central nervous system (CNS) this includes the brain, spinal cord and optic nerves, find evidence that the damage occurred at least one month apart, and lastly rule out all other possible diagnoses” (National Multiple Sclerosis Society [APA], n.d.). It is absolutely crucial to diagnosis and treat MS as early as possible to prevent irreversible damage to the nervous system.
This results in academic opinion leaders delivering company-approved presentations, marketing their medications to colleagues and medical peers, 'in the guise of medical education ' (Freedman et al., 2009). The irony is that those in the field of psychiatry, who contribute to conflict of interest may not be in a position to perceive it as such. Various policies have been established during the past 60 years that exist to protect study participants. These policies have been put in place especially for those who are mentally ill or diseased. But is this
Standardized Assessment Paper In the practice of psychiatry, occupational therapy (OT) practitioners use standardized assessments to further their knowledge to help their clients. Two particular standardized assessments frequently used are the Kohlman Evaluation Of Living Skills (KELS) and Allen Cognitive Level Screen (ACLS-5). OT practitioners employ both assessments to find out what appropriate measures must be taken for the particular client. Early defined the purpose of the KELS, by saying, “asses several skills in the areas in the areas of personal care, safety and health, money management, transportation, use of a telephone, and work and leisure (Early, 2017 p. 431). The whole assessment revolves around the patient's competence,
Regulatory organizations and government officials began to focus on the need for quality in hopes to decrease medical errors and healthcare cost. The Joint Commission of Accredited Healthcare Organizations (JCAHO) was one of the first regulatory organizations to develop standards of care or goals around specific patient safety issues. The program is known as JCAHO’s National Patient Safety Goals and it originally started with six goals and was implemented in 2003 (Catalano, 2002). JCAHO remains at the forefront of patient safety by expanding, revising and developing the National Patient Safety Goal Program each year. Many organizations and other regulatory agencies use JACHO’s safety goal program as the foundation to develop a “culture of safety.” Barnsteiner (2011), reported a “culture of safety is to lessen harm to patients and providers through both system effectiveness and individual performance (pg.
For example, how the registered nurses do the scoring for high risk patient and how do they fill up the fall assessment form. The nurses should conduct fall risk assessment during the admission and post procedure. The patients who are the high risk, a red identification will be place on the patient’s limbs. A red sticker also is placed at the nursing notes and at patient room door. If the patient is not a high risk patient, the fall assessment is done weekly or upon change in patient condition.
Diagnostic Criteria DSM-5 criteria (ADHD) The 5th edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) included a vast majority of personnel working towards an aim for a period of over 12 years. A lot of thought was put in and discussions took place when assessing the diagnostic criteria, with the creation of new features believed to be very useful to clinicians. The main aim of DSM-5 is to help qualified clinicians diagnose patients with mental disorders, leading to a complete treatment plan for each patient (32). ADHD individuals express a continuous pattern of inattention and/or hyperactivity-impulsivity which seem to interfere with functioning or development (33). Inattention: Six or more symptoms of inattention for
The participants were randomly assigned to view one of three types of videos: a gain-framed (the benefits of getting HP vaccination), loss-framed (the negative effects of not getting vaccinated), and control group (Gerend & Shepherd, 2012). Gerend and Shepherd (2012) conducted pre and post-test survey to assess the HBM and TPB constructs and background knowledge, including physician’s recommendation. After ten months, they surveyed whether participants completed HPV (Gerend & Shepherd, 2012). Gerend and Shepherd (2012) estimated the relationship between HPV uptake and each construct of the theories with and without risk/protective factors, such as a cost of vaccination or physician’s recommendation. They found that the rate of vaccination were similar whereas perceived susceptibility and perceived benefits varied across the three groups.
Purpose The purpose of the study was to test whether a multidisciplinary approach in the treatment of congestive heart failure could reduce the rates of readmission in elderly patients. The study focused on elderly patients because these patients have an increased risk of readmission. This increased risk of readmission is associated with factors such as social isolation and non compliance with dietary and medical prescriptions. Method The study screened patients who were admitted to the Jewish Hospital which is located in the Washington University Medical Center. All the patients who were screened for the study were 70 years or older.
Western State Hospital (WSH) is one of two state-owned psychiatric hospitals for adults in Washington and is the location of my field placement. WSH patients are referred to the hospital either through their county’s Behavioral Health Organization (BHO), the civil court system when individuals meet the criteria for involuntary treatment (i.e. Danger to self, danger to others, and or gravely disabled) or through the criminal justice system (i.e. Competency evaluation, and not guilty by reason of insanity) (Western State Hospital, n.d.). WSH is a patient-centered hospital utilizing a progressive medical model, emphasizing the best chance for recovery is through a collaborative effort made interdisciplinary treatment team consisting of a; psychiatrist, psychologist, social worker, medical doctor, pharmacist, registered nurse, and rehabilitation staff.
Queueing Theory has been studied in health care settings since 1952 . A considerable body of research has shown the use of queueing theory in real world health care situation. McClain  reviews research on models for evaluating the impact of bed assignments policies on utilization, waiting time and the probability of turning away patients. Nosek and Wilson  review the use of queueing theory in pharmacy application with particular attention to improving customer’s satisfaction. Customer satisfaction is improved by predicting and reducing waiting times and adjusting staffing.
Established in 2002 by the Joint Commission to address the issue of safety in healthcare were various patient safety goals which dealt with many safety problems the accredited organization might face including medication and communication errors. The Joint Commission has also established National Patient Safety Goals for accredited organizations to follow in order to encourage patient safety by reevaluating the sentinel events data collected every year and revising the goals by omitting achieved goals and creating new ones. Hospitals evaluated by the Joint Commission must demonstrate compliance with the NPSGs as part of the accreditation process (Ellis & Hartley,