Fluent Essays

Instructions for Evidence Based Poster 1-2 slide PowerPoint with the following components: · Significance of identified problem and brief background information in this case  frequent readmission to detox center. Patient with substance abuse issues and frequent readmissions. · PICO Question ( SEE ATTACHED PICO QUESTION)  · Recommendations from evidence based on the literature reviewed- must give recommendation summarized from minimum of 10 articles, why it is relevant in practice, and one example of how it can be used in clinical practice. · Completed Appendix G with reference page (which I have and is attached for you to use).Evidence Based Practice Poster Presenter: ______________________ Date: ___________ PICO Question: _________________________ Total Points: ___ Category 4 3 2 1 Significance/Backgrou nd to the Problem PICO Question Identification In-depth coverage of topic, topic is relevant to nursing practice research-based information, outstanding clarity, PICO question complete Good coverage of topic, topic is appropriate to nursing practice basis in sound, research-based information, PICO question complete Minimal coverage of topic, topic is appropriate to nursing practice, PICO question complete Minimal to no coverage of topic, topic is not relevant to nursing practice, not based on research-based information, PICO incomplete/ or not included Literature Appraisal (Appendix G) Minimum of 10 peer-reviewed full text articles written in last 5 years or less. All articles are relevant to EBP problem and provides clear evidenced based recommendation s. Minimum of 10 peer-reviewed full texted articles written in 5 years or less. 8-9 articles relevant to EBP problem and provides clear evidenced based recommendation s. Minimum of 10 peer-reviewed articles, full texted articles, articles written in more than 5 years. 7-8 articles relevant to EBP problem and provides clear evidenced based recommendation s. Less than 10 peer reviewed full texted articles written in 5 years or less. Less than 7 articles relevant to EBP problem and provides clear evidenced based recommendation s. Project Recommendations Clear and concise summary of evidenced based recommendation from appraisal of articles. Two recommendation s to answer PICO question. Clear and concise summary of evidenced based recommendation from appraisal of articles. One recommendation to answer PICO question. Recommendatio ns lacks concision or may be irrelevant to PICO question. One recommendation to answer PICO question. Recommendatio n lacks relevance to PICO question, or none given. References (Submitted with Appendix G) Reference page in Word document typed in 12 font, APA format for each article. Reference page in Word document typed in 12 font, APA format for each article. Missing references. Reference page in Word document, typed in 12 font, APA format incorrect. Missing references. Reference page not included. Slide (Poster) Appearance Attractive, easy to interpret, pleasing colors with high contrast, slide presentation well-organized, excellent use of bullets, and graphics which enhance the presentation of the content Attractive, easy to interpret, pleasing colors with good contras1. What is the problem? The revolving readmission of patient of patient on detox treatment in the hospital are on the rise. This worksheet is meant to identify problems that lead to continuous readmission of those patient with substance abuse undergoing detox treatment. 2. Why is the problem important and relevant? What would happen if it were not addressed? Revolving around the hospital doors for readmissions means treatment goals are not reached. If left untreated, patients flood the hospitals depleting resources. This also will increase the cost of treatment that may not be possible for the relatives to pay. 3. What is the current practice? Current practice entails encouraging patients to gradually stop substance abuse with medical help in case of withdrawal symptoms, after which patients are discharged and educated on substance abuse and further detox treatment prescribed for them. 4. How was the problem identified? (Check all that apply) (X)Safety and risk-management concerns (X)Quality concerns (efficiency, effectiveness, timeliness, equity, patient-centeredness) (X)Unsatisfactory patient, staff, or organizational outcomes (X)Variations in practice within the setting · Variations in practice compared to community standard · Current practice that has not been validated (X)Financial concerns 5. What are the PICO components? P – (Patient, population, or problem)- increase readmission in detox treatment for substance abuse. I – (Intervention)- proper education of patients in detox for substance abuse and ensuring that they are not able to re access the substance of abuse C – (Comparison with other interventions, if foreground question)- compare outcomes of patients who have been properly educated and taken through the gradual process of detox treatment to before when there was no precise patient education or when patient were made to abruptly stop substance abuse. O – (Outcomes are qualitative or quantitative measures to determine the success of change)- because now the patient is well educated, we expect the number of readmissions of patient on detox for substance abuse to reduce by thirty days. 6. Initial EBP question ❑ Background ❑ Foreground What are the possible reasons for the revolving readmissions of patients on detox for substance abuse to the hospital? How can the readmissions of those patients be minimized?. Johns Hopkins Nursing Evidence-Based Practice Appendix B: Question Development Tool Johns Hopkins Nursing Evidence-Based Practice Appendix B Question Development Tool © 2017 The Johns Hopkins Hospital/ Johns Hopkins University School of Nursing 7. List possible search terms, databases to search, and search strategies. Detox treatment Reasons for readmissions for patients on detox Substance abuse 8. What evidence must be gathered? (Check all that apply) (X)Publications (e.g., EBSCOHost, PubMed, CINAHL, Embase) (X)Standards (regulatoryRunning Head: STRATEGIES TO REDUCE READMISSION TO DRUG DETOXIFICATION 1 STRATEGIES TO REDUCE READMISSION TO DRUG DETOXIFICATION 3 Strategies to reduce readmission to drug detoxification Student’s name Institutional affiliation Date: 23/01/2021 EBP Question: What are strategies to reducing frequent readmission to drug detoxification? Article Number Author and Date Evidence Type Sample, Sample Size, Setting Findings That Help Answer the EBP Question Observable Measures Limitations Evidence Level, Quality 1 Childress, Hole, Ehrman, Robbins, McLellan, & O’Brien. 1993 Mixed method study · N/A Based on this study, healthcare sectors are responsible for establishing programs that reduce patients readmission beyond demographics and effort documentation. Nurses are supposed to replicate the initial treatment method through NIDA programs. Nurses should ensure the comprehensive growth of drug testing. Lack variety of recommendations that is applicable across the globe. Level 5 Quality B 2 Bear, Anderson, Manson, Shore, Prochazka, & Novins. 2014 Single research study. The study took place in Alaska Native for readmission of patients affected by alcoholism. The sample involved 383 adults in Alaska. Within a year, Forty-two percent of 383 patients were readmitted to the hospital. The challenges of finance and family instabilities also contributed to patients readmission. Nurses should be an integral part of the assessment of standard behavior health. The rate of readmission to people can be also be reduced by developing clinical protocols that facilitate detoxification aftercare and treatment and adaptive functioning. The mostly involves reliability depending on the researchers interpretation and not mostly from the research method. Level 5 Quality A 3 Rachlis, Kerr, Montane & Wood. 2009 Single research study. N/A The study was based on individuals who inject drugs (IDU) and fail to adhere to medical advice (AMA). There is active drug use in hospitals that leads to a high rate of ignoring AMA. The research shows that people who inject drugs are additive and need to provide education programs on adhering to medical treatments. Individuals unable to abstain should not be reprimanded but rather supported through education programs. Small size sample Level 3 Quality B 4 Peterson, Liu, Xu, Nataraj, Zhang & Mikosz. 2019 Systematic Literature review. A sample size of 1,658 affected by opioid overdose The study focused on readmission of patients affected by opioid overdose with ninety days. More than a quarter of patients diagnosed with a high overdose on opioids are readmitted with the first ninety days of their first treatment. To emphasize strategies to address The Use Of Epidural Injection For Back Pain In The Elderly Background Information • 30\% of patients in the United States with back pain are over age 65. • Epidural steroid injections are usually administered to the elderly patients. • Epidural steroid injections ease pain temporarily by decreasing the size of stressed nerve roots. Problem Area • Concerns in the use of epidural steroid injection because of the side-effects. • Complications may include immobility, leg swelling, and adrenal necrosis of the hip. • Complications like immobility end up causing loss of muscle strength and bone weakening. Recommendations • Using alternative pain medication therapies such as NSAIDS. • Using exercise and physical therapy as alternative means. • Using psychological techniques like Cognitive Behavioral Therapy as alternative means. Why The Recommendations Are Relevant • The recommendations are effective in treatment of the pain. • They are less harmful since they have less-serious side- effects. Example In Clinical Practice • Prescribing NSAIDs to reduce the back pain in the elderly. • Use of physical activity to boost strength and avoid recurrence of back pain. • Talking to the patient to identify negative and unhealthy behaviors and replace them with healthy ones. Measurement Outcome • Comparing the complications in the number of patients who received epidural injections and those who received conventional treatment like NSAIDs.