Describe what a guideline is and how it is used
clinical guidelines are recommendations, based on the best available evidence, for the care of people by healthcare and other professionals.
Discuss the range of terms used to describe evidence-based guidelines.
Guidelines reduce unacceptable or undesirable variations in practice and provide a
focus for discussion among health professionals and patients. They enable professionals from different disciplines to come to an agreement about treatment and devise a quality framework, against which practice can be measured. Guidelines can help commissioners and purchasers to make informed decisions and provide managers with a useful framework for assessing treatment costs.
Describe the benefits of and challenges in using evidence-based guidelines
Good clinical guidelines change the process of healthcare
- Improve outcomes for patients
- Ensure efficient use of healthcare resources
- They can be used to develop standards for assessing the clinical practice of healthcare professionals, to educate and train healthcare professionals, to help patients make informed decisions, and to improve communication and shared decision-making between patients and healthcare professionals.
These GUIDELINES are terms used to describe a predetermined written guide for a plan of care for a specific health situation generally used by nurses to develop specific care plans for patients. These terms are also used when referencing a medical management or utilization guide.
Care pathways or care maps
Who are guidelines for?
Clinicians, chiropractors, policy makers, health service managers and commissioners, as well as patients, their families and carers.
Valid consent is made up of what 3 things?
- Voluntary – must be made by the person themselves
- Informed – person must be given all information, risks etc
- Capacity – person must be capable of giving consent
How can you ensure patient modesty?
- Draping
- Providing gowns
- Providing a private room or area to change
What type of employment restrictions were reported by over 80% of Australians with chronic back pain?
The type of job
What type of quality of life are people with chronic back more likely to report than the general public?
poor
Chronic back problems affect how many Australians?
Roughly 3.7 million people
The health care expenditure in Australia for chronic back pain is what?
Roughly 1.2 billion. A total of 1.8% of total health care expenditure in Australia.
More than three quarters of people with chronic back problems were of what age?
Working age (15-64yrs of age)
What is primary, secondary and tertiary prevention?
Primary – preventing disease or injury before it occurs
Secondary – preventing disease or injury after its already occurred
Tertiary – Reduce the impact of chronic illness or injury that has long term effects
What are some examples of primary prevention that were mentioned in the article?
- Prescription of exercise
- Nutritional advice
- Tobacco cessation advice
- Skin lesion detection
Based on the primary prevention article, how many patients consult for primary prevention?
A very small proportion
