In Search of Benzodiazepine Guidelines

2020 ◽  
pp. 216-236
Author(s):  
Jo Ann LeQuang
Keyword(s):  
Decision Making ◽  
Bipolar Disorder ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Chronic Condition ◽  
Shared Decision ◽  
Clinical Support ◽  
Benzodiazepine Use ◽  
Decision Making Model

Benzodiazepines are widely prescribed and used, but there is a paucity of guidance about their use. There are indications for benzodiazepine use, but they are often inappropriately prescribed (such as for posttraumatic stress disorder and bipolar disorder)/ Benzodiazepines are indicated for short-term use only and should not be continued beyond two to four weeks. Although benzodiazepines are indicated for treating insomnia, insomnia tends to be a chronic condition; benzodiazepines are not appropriate for long-term use. Discontinuing benzodiazepines can be challenging and should be accomplished using a shared decision-making model, a tapering plan, and good clinical support throughout.

scholarly journals Model Pengambilan Keputusan Meningkatkan Akseptor Keluarga Berencana Metode Kontrasepsi Jangka Panjang

2013 ◽  
Vol 7 (11) ◽  
pp. 483 ◽  
Author(s):  
Suryani Manurung
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Counseling Services ◽  
Shared Decision ◽  
Contraceptive Methods ◽  
The People ◽  
Secondary Health Care ◽  
Development Goals ◽  
Decision Making Model

Pada periode 2002-2012, tren angka fertilitas total mengalami stagnasi sekitar 2,6. Milenium Development Goals (MDGs) menunjukkan kemajuan yang baik, tetapi masih memerlukan kerja keras untuk mencapai target tahun 2015. Khususnya upaya untuk mencapai target 102 per 100.000 kelahiran hidup. Metode keluarga berencana (KB) yang banyak digunakan pasien pascapersalinan saat ini adalah metode kontrasepsi jangka pendek seperti pil dan suntik. Sedang metode kontrasepsi jangka panjang seperti intra uterine device dan implant cenderung turun satu poin dari tahun 2002 hingga 2007. Upaya mengatasi masalah yang sedang dialami masyarakat Indonesia saat ini meningkatkan akseptor KB metode kontrasepsi jangka panjang (MKJP). Model pengambilan keputusan adalah alat yang dikembangkan untuk meningkatkan kualitas pelayanan KB di tingkat pelayanan kesehatan primer dan sekunder. Alat tersebut dapat membantu meningkatkan kepuasan pasien, penggunaan jasa konseling, dan pemilihan penggunaan KB MKJP yang aman dan efektif. Model shared decision ma-king adalah model pengambilan keputusan yang banyak digunakan, bermanfaat dalam memotivasi pasien memilih perawatan yang tepat dan mem-pertahankan hubungan terapeutik. Diharapkan jumlah akseptor KB MKJP dapat memenuhi target MDGs 2015. Trends in total fertility rate from the year 2002-2012, amounting to 2.6 stag-nated. Targets of the Millennium Development Goals (MDGs) have shown good progress but still needs to work hard to achieve in 2015. MDGs particular purpose, efforts are needed to achieve the 2015 target of 102 per 100,000 live births. Family planning method that is widely used today are short-term contraceptive methods such as pills or injections. Being a long-term contraceptive methods (LTM) such as intra uterine device and implants tend to go down one point from the year 2002 to 2007. Efforts to address the problems being experienced by the people of Indonesia is currently im-proving family planning acceptors LTM. Decision making model is a tool de-veloped to improve the quality of family planning services at the level of pri-mary and secondary health care. This tool can help increase the patient satisfaction, using counseling services, and the selection use is safe and effective of contraceptive LTM. Model of shared decision making is a decision making model that is widely used, useful in motivating patients choose the proper care and maintain a therapeutic relationship. Expected number of family planning acceptors LTM can meet MDGs targets by 2015.

Effects of antipsychotic medications on physical health

2017 ◽  
Author(s):  
David J. Castle ◽  
Peter F. Buckley ◽  
Fiona P. Gaughran
Keyword(s):  
Decision Making ◽  
Side Effect Profile ◽  
Shared Decision ◽  
Short Term ◽  
Antipsychotic Medications ◽  
The Core ◽  
Decision Making Model ◽  
Crucial Part ◽  
Medication Choice

Antipsychotic medications are a crucial part of the core platform upon which effective treatments for schizophrenia are built. While the marketed agents have established efficacy for reduction in the symptoms of schizophrenia, they all carry some side effects. Such effects differ across medications and between individuals. Prescribers need to be aware of the side effect profile of the medications they use, and ensure patients are also aware, so that a true shared decision-making model can be followed in terms of medication choice. Appreciation of long-term risk is required, with treatment choice in the short term having a view to the long term.

scholarly journals Longitudinal Examination of Posttraumatic Stress Disorder as a Long-Term Outcome of Iraq War Deployment

2016 ◽  
Vol 184 (11) ◽  
pp. 796-805 ◽  
Author(s):  
Jennifer J. Vasterling ◽  
Mihaela Aslan ◽  
Susan P. Proctor ◽  
John Ko ◽  
Brian P. Marx ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Iraq War ◽  
Stress Disorder ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Longitudinal Examination

scholarly journals Refusal to Travel in the National Ambulance Service. A Patient Care Report examination.

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Eamonn Byrne ◽  
Sasha Selby ◽  
Paul Gallen ◽  
Alan Watts
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Shared Decision Making ◽  
Vital Signs ◽  
Ambulance Service ◽  
Guidance Document ◽  
Shared Decision ◽  
Clinical Guidance ◽  
Decision Making Model

<p><strong>Introduction</strong></p><p>Every patient has the right to refuse treatment and, or transport (RTT) to hospital (1). The National Ambulance Service (NAS) has operated under a clinical guidance document that requires an assessment of patient capacity and a baseline amount of data to be gathered on every patient to facilitate the patient making an informed decision (2,3). An increase in the rate of non-conveyance of patients and refusal to travel calls as well as an increasing number of complaints prompted a quality improvement initiative based on improving and facilitating a shared decision-making model.</p><p><strong>Aim</strong></p><p>For patients who RTT, to establish a baseline quality of information collected and recorded on a Patient Care Report.</p><p><strong>Methods</strong></p><p>All NAS incidents closed with a refusal of treatment or transport, from 1<sup>st</sup> Jan 2017 to 9<sup>th</sup> November 2017 were identified from National Emergency Operation Centre (NEOC). A random selection of 75 Patient care reports (52 Paper and 23 Electronic) were identified and reviewed. Compliance with the refusal to travel guidance document was measured.</p><p><strong>Results</strong></p><p>31% of paper PCR’s reviewed were missing a complete set of vital signs. An average of 48.4 % (Median 48.4% Range 36.5% to 61.5%) were missing a complete second set of vital signs. 17.3% of combined forms were missing the patient’s chief complaint and 38.7% had no practitioner clinical impression entered. 24% had no capacity assessment completed.</p><p><strong>Conclusion</strong></p><p>Clinical information recorded by NAS staff did not meet the clinical guidance document requirements. It is impossible to assess what information was given to a patient to facilitate a shared decision-making model. The quality of NAS documentation can be improved for patients who refuse to travel.</p>

Shared Decision Making and Long-Term Outcome in Schizophrenia Treatment

2007 ◽  
Vol 68 (07) ◽  
pp. 992-997 ◽  
Author(s):  
Johannes Hamann ◽  
Rudolf Cohen ◽  
Stefan Leucht ◽  
Raymonde Busch ◽  
Werner Kissling
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision ◽  
Term Outcome ◽  
Long Term Outcome
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