Post by Denise on Dec 13, 2004 20:48:11 GMT
A literature Review for Depression Following Spinal Cord Injury: Clinical Practice Guidelines for Primary Care Physicians, (1998)
In the United States the PVA in partnership with the Consortium for Spinal Cord Medicine released the document Depression Following Spinal Cord Injury: Clinical Practice Guidelines for Primary Care Physicians, (1998) which defines the basis of diagnosis and treatment of depression in SCI individuals in the community and is based on the whole on empirical evidence. The guidelines provide a comprehensive guideline that encompass most aspects of care stating…’also very important is the guidance to look for the specific stressors often found with persons with SCI. Inadequate housing, poverty-level income, or family dissolution are common conditions of handicap that result from the impairment of SCI. No prescribed drug will find the necessary resources to resolve these issues and get people moving with their lives. Following the guidance in this document will lead to a holistic approach to the person with the co-existence of SCI and depression and their additive effect on disability and handicap.’ (PVA, 1998 page 6). The guidelines are supported with scientific evidence classified within a hierarchy of 5 levels ranging from large randomized trials with certain results to case series with no controls. The strength of evidence was classified into 3 levels from a properly conducted scientific experiment with appropriate controls to expert opinion. An expert panel reviewed all the data and then classified its weight into strong medium and low.
Overall the guidelines are very relevant to this problem analysis in that they offer guidelines; such as assessments and review of symptomology, treatment strategies and contributing factors associated with depressive illness and SCI which have been utilised within areas of my own practice. They do not, however, address issues relating to the management of staff in this regard. Clearly further research and clinical support is warranted in this area. Currently free to download at the time this article was published. An excellent resource guide which can be downloaded on-line on the following link www.pva.org/site/News2?page=NewsArticle&id=7649
Denise Watling 20.10.2008.
In the United States the PVA in partnership with the Consortium for Spinal Cord Medicine released the document Depression Following Spinal Cord Injury: Clinical Practice Guidelines for Primary Care Physicians, (1998) which defines the basis of diagnosis and treatment of depression in SCI individuals in the community and is based on the whole on empirical evidence. The guidelines provide a comprehensive guideline that encompass most aspects of care stating…’also very important is the guidance to look for the specific stressors often found with persons with SCI. Inadequate housing, poverty-level income, or family dissolution are common conditions of handicap that result from the impairment of SCI. No prescribed drug will find the necessary resources to resolve these issues and get people moving with their lives. Following the guidance in this document will lead to a holistic approach to the person with the co-existence of SCI and depression and their additive effect on disability and handicap.’ (PVA, 1998 page 6). The guidelines are supported with scientific evidence classified within a hierarchy of 5 levels ranging from large randomized trials with certain results to case series with no controls. The strength of evidence was classified into 3 levels from a properly conducted scientific experiment with appropriate controls to expert opinion. An expert panel reviewed all the data and then classified its weight into strong medium and low.
Overall the guidelines are very relevant to this problem analysis in that they offer guidelines; such as assessments and review of symptomology, treatment strategies and contributing factors associated with depressive illness and SCI which have been utilised within areas of my own practice. They do not, however, address issues relating to the management of staff in this regard. Clearly further research and clinical support is warranted in this area. Currently free to download at the time this article was published. An excellent resource guide which can be downloaded on-line on the following link www.pva.org/site/News2?page=NewsArticle&id=7649
Denise Watling 20.10.2008.