Critique of an evidence-based practiced guidelines Essay

Critique of an evidence-based practiced guidelines - Essay Example The recommendation places a strong reliance on the standardized tools over the nurse’s observations as the tool for determining the patient’s condition, and the action to be taken. For instance, under the recommendations, nurses and medical staff charged with rendering care to a patient suffering dementia, delirium and depression in older adults should rely on the standardized tools for determining cognitive changes in the patient to substantiate their clinical observations. This recommendation is rated with the highest rating of A. It is the first and foremost recommended method under the rating scheme as it is the only recommendation to be identified by a A in the ‘strength of evidence.† The B rated recommendations are those observations of the patient’s condition as observed by the nursing team, and which observations are subject to the nurse’s understanding of the identifying factors associated with the conditions of delirium, dementia and depression as pertains to older adults. The C rating recommendation are those aspect of observation and response made and taken by the nurse that do not rely on the standardized tools, but only on the nurse’s observations and how the nurse might interpret and apply individual understanding to their observations. The strength recommendations puts the heaviest weight on the standardized tools for both determining the cognitive level versus condition, and the action that level and condition warrants in referral or intervention according to the standardized tools. On page 15, under the subtitle Guideline Development Process, the method of guideline validation employed the collective review of the guidelines by a team of medical personnel and experts, whose collective expertise has involved a focus or specialty in geriatric mental healthcare. In assessing the guidelines, the