Reference no: EM132302529

Question 1- Applied statistics of health care professionals

Please respond the below statement - 200 words with reference.

According to Drapeau, Nador, and et al., (2019), The 2012 United States national strategy for suicide prevention called for increased primary care provider (PCP) education regarding suicide warning signs as well as increasing PCP knowledge about how to screen patients for risk and refer at-risk patients for mental health care. They added that in the U. S, the rate of suicide in the outpatient visits for sleep-related problems have increased by more than 20% since 1999. Research also suggests that anywhere from 75% to 91% of suicide decedents had contact with a physician within the year before fatally attempting suicide.

In this article titled "Screening for suicide risk in adult sleep patients", the authors attempted to figure out the correlations between sleep disorders and suicide and how sleep physicians should treat the situations if they arise. This article took a different approach to study sleep behaviors and suicide by conducting a literature review instead of experimentation. Using PsychINFO, MEDLINE/PubMed, and Google Scholar, they search the terms suicide, risk, and assessment which yielded 4423 results when using PsychINFO and 4330 results when using MEDLINE. "The literature search was conducted with no start date limit until April 2017, and no limitations were placed on the searches. Articles that did not focus on the screening or assessment of suicide risk were discarded, reducing the total number of articles to 54."

The sampling method was well utilized in this article. It was able to perfectly tie together the research done in other articles that may be useful to clinicians when dealing with suicide in sleep patients. However, it is not stated in the article if any clinician, in particular, has practiced the methods during the time of this article. This article can still be used as a reference for the physicians who do not know how to address the issues in this article properly. As stated in the "clinical implications" section of the article, "This presents sleep clinics with the opportunity, and perhaps even the obligation, to make a difference through helping to identify patients who are at risk using an evidence-based screening tool such as PHQ-9, the Columbia suicide severity rating scale and other recommended methods and refer them for further treatment. Although the literature on screening is still insufficient, it is the current best practice, and research has shown that asking about suicide will not increase risk, but may reduce suicide risk. We hope that this article will assist sleep clinics in adopting suicide risk screening practices by providing useful suggestions for where these clinics can start to be in line with best practice."

This nurse currently works at a Behavioral Health clinic where we conduct a daily systematic assessment of suicide risk in both new and returning patients using a questionnaire. We screen the patients for any sleep disturbance, suicide/homicidal thoughts or ideation, hallucinations/delusion, depression and anxiety rate, etc. Multiple studies have proven the close link between patients with sleep problems and suicide risk and the development of psychiatric illness. The screening for suicide risk helps to promote patients safety by identifying the warning signs mostly among those with a history of mental health disorder and chronic medical conditions for further.

Question 2 - Applied statistics of health care professionals

Please respond the below statement -200 words with reference.

The Aphasia Research Laboratory, Speech and Hearing Sciences in Boston University, MA completed a research project titled, The Intensive Cognitive-Communication Rehabilitation Program for Young Adults with Acquired Brain Injury. The research study focused on 6 young adults in the New England region and were selected through referrals from physicians, speech pathologists, neuropsychologists and by word of mouth. The requirements for the study were as follows, between the ages of 18 and 36 years, brain injury onset was after adolescence, after the onset of adolescence, interest in post- secondary education, had cognitive and/or linguistic deficits that precluded enrollment in postsecondary education as well as adequate vision and hearing for functional reading . The 6 participates were then selected. Out of the 6 who were selected, 4 participated in different durations of intensive therapy and the remaining 2 control subjects did not partake in the therapies however took the standardized test, Cognitive Linguistic Quick Tests-Plus (CLQT+) at the beginning and end of the 12 week study. 3 of the 4 participants completed 3 concurrent semesters and the remaining 1 participant completed one semester. At the conclusion of the study, all 4 of the participants demonstrated significant improvements on the standardized cognitive linguistic test while the 2 controlled subjects did not progress. The data was collected using the method of standard cognitive linguistic tests, CLQT+ that focuses on attention, memory, language, executive functions and visuospatial skills. According to American Journal of Speech-Language Pathology, "There is a gap between the large population of young adults with acquired brain injury who wish to return to higher education and a lack of rehabilitation programs supporting reentry into academic environments; ICCR is a first step in reducing that gap." (Gilmore, 2018)

This research study was very intriguing to me because of my current position on a rehabilitation unit. We attempt to rehabilitate patients to a safe level in which they can advance to a less acute level of care or that can be managed at home. I don't often hear about The Intensive Cognitive-Communication Rehabilitation Programs offered at discharge but feel it would be helpful for those who are looking to transition back into what their previously 'normal' lives were or the new normal will be.

Question 3 - Applied statistics of health care professionals

Please respond the below statement -200 words with reference.

The Intensive Cognitive-Communication Rehabilitation Program for Young Adults with Acquired Brain Injury was a study conducted that indicated young adults who attend intensive cogitative-communication rehabilitation programs have improved cognitive-linguistic functioning demonstrated Cognitive Linguistic Quick Tests-Plus (CLQT+).

Identify three key questions:

• Do participants progress toward personal and physical goals in addition to cognitive goals the course of treatment? This question is important because physical and personal goals can help attribute cognitive achievements. According to Effects of Physical Exercise on Cognitive Functioning and Wellbeing, "It has been showed that moderate intensity exercise is related to increased performance in working memory and cognitive flexibility, whereas high-intensity exercise improves the speed of information processing." (Chang and Etnier, 2009). So increasing the cognitive therapies will help the subject acknowledge and realize potential goals therefor working towards evolving goals.
• Do participants show increased activity and participation during the course of the program? This would be important to assess during the study as the brain heals in different stages. At the point in which the subject would be participating in this therapy would be at one of the later stages. In the later stages, inconsistent behavior is common. The subject may have difficulty paying attention, agitation, nervousness and restlessness.
• Is the quality of life improved as a result of this program? This is important as this is the ultimate goal of the program. To get people in an advanced condition cognitively and physically.

Question 4 - Applied statistics of health care professionals

Please respond the below statement -200 words with reference.

Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims.

This study was to test the automated telephone self-management (ATSM) as an innovative HIT strategy to enhance health outcomes for patients with chronic disease and limited health literacy (LHL). To evaluate the accuracy of ATSM in assessing chronic diabetes medication adherence within a vulnerable population. The population used for the study eligibility criteria included: English-, Cantonese-, or Spanish-speaking adults (age ≥ 18) with diabetes and ≥ 1 primary care visit in the preceding 24 months to one of four SFDPH clinics. Members who were pregnant, lacked a touch-tone phone, reported plans to leave the region, or were unable to provide verbal consent were ineligible.

Does the researcher appear to have an agenda?

• I do not believe the researcher has an agenda. This study is about general medication compliance for chronic disease such as diabetes and hypertension. This is an important question to ask when reviewing research because if there is an agenda there is a chance that they research is bias to benefit a population or company. This doesn't necessarily mean that the research is not accurate. It does, however, raise the bar for peer review and replication.
• Is the quality of life improved as a result of this study? This is important to help determine the correlation between medication non-adherence and the progression of chronic disease. If this study helps make awareness of the importance of medication compliance, then the study was a success.
• Has this study appeared in a research journal? Yes, this study was in BMC Health Services Research is an open access journal publishing original peer-reviewed research articles in all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems.

Attachment:- Assignment File.rar