Many people with intellectual and developmental disabilities communicate pain and other ailments through their behavior.

Many people with intellectual and developmental disabilities communicate pain and other ailments through their behavior.

Many people with intellectual and developmental disabilities communicate pain and other ailments through their behavior. To the unaware family members or caregivers, this may result in treatment of a perceived behavioral issue rather than the underlying medical issue that maybe the course of the behavior.

It starts with the family members, and caregivers knowing the baseline, detecting changes, and communicating the changes to nurses and other healthcare professionals.

Family members and caregivers will therefore need to be educated. This nursing education to family members and caregivers will provide them with the education of common medical behaviors that should prompt nursing care.

Educating parents and caregivers is the solution to this problem!!!

Assignment;

Develop a paper that addresses the clinical need to educate family members and caregivers, discusses the nursing guideline, and critically analyze three (3) research studies that support the guideline.

Following this you will present the intellectual and developmental disability clinical setting and discuss how you might implement the guideline within that setting. You are not required to implement, just formulate a plan.

Review a variety of web sites such as:

Agency for Healthcare Research and Quality https://www.ahrq.gov National Guideline Clearinghouse https://www.guideline.gov

FINDING THE EVIDENCE
https://hsl.uw.edu/ Clinical Practice Guidelines https://libguides.rutgers.edu/clin_practice
Best Practice Guidelines https://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133 RCN Clinical Guidelines https://www.rcn.org.uk/development/practice/clinicalguidelines Nursing Best Practices https://www.nursing.uiowa.edu/hartford/best-practices-for-healthcare- professiionals

Look for the best NURSING guideline that will provide the solution and evidence-based interventions for the identified clinical concern and that will provide the support for the development of this evidence-based assignment.

The important deciding factor is whether the intervention is something registered nurses have decisional control over. Be careful NOT to choose an intervention that is a medical intervention that is simply carried out by nurses. You need to find a guideline that supports nursing actions and nursing sensitive outcomes.

Steps;

1. Establish the Research Support

Using the existing nursing research protocols, the clinical guideline you have designed, identify at least three (3) research articles from references of the nursing research protocol, clinical guideline, or best practice.

Look for meta-analyses, integrative reviews of research, clinical trials, and quasi-experimental studies related to your topic.

2. Once you find the research studies, you will examine EACH source/study and describe the SETTING, PURPOSE, RESEARCH DESIGN, SAMPLE, FINDINGS, AND LIMITATIONS. This will be quite easy to do as it should be clearly identified in the study. Fill this in the REVIEW OF THE EVIDENCE FORM (attached) for each study. PLEASE USE THE FORM PROVIDED – IT IS REQUIRED AND SHOULD BE IMBEDDED WITHIN YOUR PAPER as shown in the attached sample paper.

3. Then note the levels of evidence for each study. Use the table attached. USE THIS TABLE TO MAKE A JUDGMENT AS TO THE LEVEL EACH RESEARCH ARTICLE FITS.
Rating System for the Hierarchy of Evidence/Levels of Evidence;

Level I Evidence for a systematic review or meta-analysis of all relevant RCTs or evidence-based clinical practice guidelines based on systematic reviews of RCTs.

Explanation & Answer

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