Analysis and Application of Clinical Practice Guidelines

Analysis and Application Clinical Practice Guideline
Jesse Suarez
Chamberlain College of Nursing
NR 505: Advance Research Methods
02-16-17
Acute Pain Clinical Practice Guideline
Clinical practice guidelines (CPG) are multidisciplinary blueprints that guide best clinical practices for specified patient populations with a particular diagnosis(Amorin-Woods, Beck, Parkin, Lougheed, &Bremner, 2014).They additionally aid in the coordination and delivery of high-quality care.The guidelines are therefore documented sequentially through clinical interventions that help patients with specified conditions progressively through well-structured clinical experiences that achieve the desired outcomes. Predominantly, clinical practice guidelines are clinical audit tools that are based on clinical information that provides nurses with the opportunity to incorporate collaborative practice and team management procedures that maximize their expertise in multiple disciplines. This paper seeks to analyze an effective clinical practice guidelineACR Appropriateness Criteria® pediatric Hodgkin lymphoma that addresses pain management in children suffering from Acute Lymphocytic Leukemia (ALL).
Scope and Purpose of the Clinical Practice Guideline
Leukemia is a cancer of the white blood cells. All blood cells are produced and developed in the bone marrow, considered as a spongy substance found within the core of some bones in the body(Oscier et al, 2012). The bone marrow clearly contains red blood cells, which are tasked with carrying oxygen around the body, platelets, which help in the clotting of blood and in controlling bleeding, and the white blood cells that assist in the fight off infections. Two types of white blood cells include the lymphocytes and the myeloid cells. These white blood cells, therefore, work in preventing and fighting diseases and infections. Under normal circumstances, the white blood cells are known for their capacity to develop, repair, and reproduce themselves in an orderly manner. In Leukemia, the process gets out of hand, an aspect that results in the cells continuing to divide in the bone marrow and failing to mature. The immature divided cell, therefore, fills up the bone marrow, hence making it difficult in producing healthy blood cells(Choi, Kim, Chung, Ahn, Yoo, Park, & ... Oh, 2014).
The immaturity of the divided cells lacks the capacity to work properly, thus leading to increased risks of infections. Most hospitalized children suffering from ALL, in this case, undergo several procedures in managing pain that range from born marrow biopsies and aspirates, venipuncture and the insertion of intravenous catheters, operations, lumbar punctures, cardiac cauterizations, and dressing changes, with these interventions resultant to acute pains. In developing effective clinical practice guidelines that address the element of severe pain in children suffering from ALL, pain assessment and management remains a critical factor (Choi et al. 2014). A holistic approach in nursing, therefore, supports the need to establish a comprehensive clinical practice guideline to pain and its effects on all aspects of a patient and caregiver’s lives. Given this, an ongoing and thorough pain management procedure is considered necessary, hence depicting the need for early interventions in a bid to decrease the severity of acute pain in children suffering from ALL.
Stakeholder Involvement
Stakeholder support begins from program design and continuation all through to the evaluation phase, an aspect that is vital in theacute pain clinical practice guideline. Stakeholders, in this case, are involved in all the stages of the guideline with the aim of building support for it, provision of suggestion in its development, and participation in evaluation and continued quality improvement procedures. The stakeholders, therefore, include a medical institution's leadership, the provider community, physicians, the patients, and advocacy communitythe nurses and families are however excluded from this topic (Piano et al, 2013). The stakeholders can be engaged in the design and application of clinical practice guidelines aimed at managing pain among children suffering from ALL through the identification of the guidelines champions. This is considered as important since it assists in the rollout of the developed guidelines and in establishing its sustainability. The stakeholder’s involvement in the application of this guideline helps the staff and caregivers in planning, designing, and implementation of the clinical practice guideline.
Rigor of Development
The rigor of development, in this case, provides standards aimed at conducting literature searches in a bid to establish evidence-based procedures that impact the application of clinical practice guidelines. The inclusion of tests and procedures used in diagnosing childhood ALL with the aim of finding leukemia cells that spread to the other parts of the body incorporates several procedures that require evidence-based procedures(Traunecker et al 2008). Physicians and other medical practitioners, in this case conduct physical exams and histories to establish the general signs of health including checkups on the signs of the disease such as lumps that seem unusual. However, the need to conduct a differential blood count (CBC) in sampling the blood to determine the numbers of red blood cells and the numbers of white blood cells is essential in the diagnosis of this disease.
Physicians may also incorporate the blood chemistry studies, a procedure in which the patients’ blood sample is checked to determine the amount of particular substances released in the body organs and tissues. The bone marrow aspiration and biopsy is another procedure that entails the removal of the bone marrow through the insertion of a hollow needle into the hipbone in a bid to determine the signs of the disease. Children undergoing these procedures are bound to undergo pains that range from born marrow biopsies and aspirates, venipuncture and the insertion of intravenous catheters, operations, lumbar punctures, cardiac cauterizations and dressing changes (Amorin-Woods et al. 2014).
Guidelines typically take the consideration of diverse clinical questions that pertain to the identification of risk factor...