FNP 591 Wk 1 Discussion 2

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School

United States University *

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Course

591

Subject

Nursing

Date

Apr 29, 2024

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docx

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6

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Clinical Guideline Importance The purpose of clinical guidelines is to guarantee that patients receive the right care and treatment. Guidelines constitute a component of an evidence-based practice tool that, when converted into practice recommendations, can enhance patient outcomes and the process of care meticulously synthesized by skilled clinicians (Pereira et al., 2022). Increased guideline adherence has been linked to better outcomes in patients with different illnesses and reduced morbidity or mortality. Patient care is inconsistent when current practice recommendations are not fully followed, which can lead to the adoption of interventions that have little or no value. Clinical guidelines play a crucial role in recognizing challenges, selecting, and executing focused therapies, and enabling the tracking and evaluation of patient outcomes. 5 different governing bodies for Clinical Practice Guidelines and discussion of a health condition that can be managed by the clinical practice guideline. Examples of five different governing bodies for clinical practice guidelines include the American Academy of Family Physicians (AAFP), the National Institute for Health and Care Excellence (NICE), the American College of Cardiology and American Heart Association (ACC/AHH), the Centers for Disease Control and Prevention (CDC), and the World Health Organization (WHO). As an example of a clinical practice guideline, the American Academy of Family Physicians (AAFP) provides evidence-based tools for family medicine to treat important disease processes, such as diabetes. According to AAFP, adults between the ages of 40 and 70 who are overweight or obese should get screened for type 2 diabetes (AAFP, 2023). The National Institute for Health and Care Excellence (NICE) offers recommendations and guidelines at the federal level to enhance health and social services. An example is that NICE offers clinical practice guidelines for the management of gestational hypertension which includes
assessing for proteinuria, managing chronic hypertension, managing preeclampsia, and treatment during the postnatal period (NICE, 2019). An example of clinical practice guideline I used during this program was the management of hypertension under the American College of Cardiology and American Heart Association (ACC/AHH). The clinical guideline of ACC/AHH is tailored to race-specific treatment management in patients with hypertension. These guidelines offer thorough guidance on the management, diagnosis, assessment, and prevention of high blood pressure. The Centers for Disease Control and Prevention (CDC) is the focal point for creating and implementing programs related to environmental health, health promotion, and disease prevention and control to enhance the health of Americans. An example of a clinical practice guideline that the CDC recommends is the management of Covid-19. CDC recommends those who test positive for COVID-19 should isolate themselves for at least five days as the first five days are the highest to be contagious (CDC, 2023). Lastly, the World Health Organization (WHO) aims to protect the vulnerable, advance global health, and maintain global security. An example of a clinical practice guideline that WHO provides is the non-surgical management of chronic low back pain in adults. WHO advises healthcare providers to prescribe planned exercise regimens that include a series of targeted movements meant to increase a patient's physical capability, along with instructions and supervision (WHO, 2023). Elaboration of Clinical Practice Guidelines Clinical practice guidelines provide detailed recommendations on how to care for patients with specific medical conditions. Clinical practice guideline begins with the background section that includes a detailed discussion of the purpose and dimensions of the disease or medical condition being treated, as well as data on its prevalence, personal impacts, and systemic implications (National Library of Medicine [NIH], 2020). There is a methodology section that
details the structured process of crafting a clinical practice guideline that considers expertise considerations with disclosure of potential conflicts of interest. This segment of the methodology may cover search tactics, criteria for study selection, and techniques for assessing evidence quality and relevance (NIH, 2020). There is a recommendation portion where specific suggestions for patient care encompass diagnosis, intervention, subsequent follow-up, and monitoring (NIH, 2020). There is evidence supporting the recommendations in the clinical practice guidelines referenced by systematic reviews, meta-analyses, and relevant studies or trials (NIH, 2020). Recurrent evaluation is encouraged by clinical practice guidelines to make sure they are current and applicable to clinical practices. Clinical Practice Guidelines for Sexually Transmitted infections in management for Syphilis and Chlamydia Clinical practice guidelines that would be used to manage sexually transmitted infection visits will be the Centers for Disease Control and Prevention (CDC). CDC offers the focal point for creating and implementing programs related to health promotion, disease prevention and control, and health education that aim to enhance the health of Americans (CDC, 2023). Screening for high-risk populations and pregnant individuals is part of the CDC's clinical practice guidelines for managing patients who present with Syphilis. Diagnosis and staging should be confirmed with two laboratory tests, the rapid plasma reagin and treponemal-specific tests (CDC, 2021). Penicillin G is the recommended medication for treating people with syphilis in all phases when given parenterally (CDC, 2021). The CDC advises screening for chlamydia in high-risk populations, pregnant women, and all sexually active people (CDC, 2021). Laboratory testing, including as specimen collection and nucleic acid amplification tests, is used to confirm the diagnosis of chlamydia (CDC, 2021). Treatment for Chlamydia includes an antibiotic such as
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