PICO Burning Question

PICO:Burning Question

PICO:Burning Question

Thecrisis of schizophrenia disorder

Thecrisis of schizophrenia disorder captures the aspects of signs,symptoms, causes, and effects. This discussion engages in discussingpossible measures to be undertaken to address persistent occurrenceof the disorder. Schizophrenia is a challenging illness that makes itdifficult to distinguish between what is real, think clearly, manageemotions, and functioning emotions. The study of schizophrenicdisorder becomes the interesting point of focus because it leads toenormous effects such as splitting of personality. Another point ofinterest is that the schizophrenic disorder can be confused withother psychotic disorders, medical conditions, mood disorders, or post-traumatic stress disorder (PSTD).In order to understandschizophrenic disorder well, there is need to formulate a burningquestion inform: In schizophrenic patients taking anti-psychoticmedications, is consistent follow-up communication in addition tostandard care more effective in increasing patient medicationapproval when compared to standard care alone? The article providesan analysis of whether consistent follow up communication in additionto recommended care, can be productive in improving patientmedication adherence to schizophrenic patients taking anti-psychoticmedication more than usual care alone. The paper will also discussEBP (evidence based procedures), literature search, as well as levelof evidence and grades of recommendation.

Identificationof burning question using PICO

Awell constructed question should include four parts commonly referredto as PICO that involves aspects of population, intervention,comparison, and outcomes (Ackley 2008). For instance, the burningquestion is in schizophrenic patients taking anti-psychoticmedications, is consistent follow-up communication in addition toaccepted care more effective in increasing patient medicationapproved when compared with standard care alone? In the above burningquestion: population is schizophrenic patients taking anti-psychoticmedications, intervention is consistent follow-up communication inaddition to standard care, comparison is standard care alone, andoutcome is effectiveness in boosting patient medication adherence.

Comparisonand contrast between Evidence based practice (EBP) models.

Prongedexposure (PE) Therapy for Posttraumatic Stress Disorders is acognitive-behavioral treatment schedule for adult men and women whohave go through single or aggregate continuous traumas and haveposttraumatic stress disorder (PSTD). The program comprises of acourse of individual therapy designated to help their clients’process traumatic events and reduce their PSTD symptoms, as well asdepression, anger, and general anxiety. Multidimensional TreatmentFoster Care (MTFC) in community-based intervention for adolescentsmainly those between 12-17 years of age, is most preferably used.The patients who opt to use MTFC have severe chronic delinquency thatmostly affects the family members. Youth, for instance, are relatedto MTFC after failure of mental health organizations (Beck, 2011).The main agenda of MTFC is successfully to help patients in theircommunities while also advising the communities concerned about themeasures to be undertaken to deal with certain disorders.

Thereoccur a similarity between Multidimensional Treatment Foster Care(MTFC) and Prolonged Exposure (PE) Therapy for Posttraumatic StressDisorders. The similarity is that both of them involve the members ofthe communities in the rescuing mission patients who seems tonon-recovering from disorders. The difference that occurs between thetwo is that in MTFC, the emphasis is on the juveniles, but PEconcentrates on treatment that encompasses adults

Apatient of schizophrenic disorder should be directed to bothProlonged Exposure (PE) Therapy for Posttraumatic Stress Disordersand Multidimensional Treatment Foster Care (MTFC). Because of this,the schizophrenic patient can either be an adult or youth. Both EBPsemploy community involvement in the treatments. Both the treatmentshould be accorded Schizophrenic patient (Beck, 2011).


Literaturesearch is crucial in the development of burning question. Computerdatabase searches are the most efficient as compared to publishedstudies. There are several methods to make literature search to beeffective and efficient. One of the methods is qualitative research.Qualitative research is important as it takes into considerationaspects of perceptions, attitudes, and beliefs uncontrolledobservational studies. Schizophrenic patients and their familiesexperience the impacts of the disorder. Each one of them has a variedopinion on how to deal with the circumstance (Castle, 2011. Cohortstudies/ case studies can be done to established causes of thepersistent schizophrenic condition. Discrepancies in inclusion ofthe history are resolved by discussion and re-reviewing (Polifko,2010). Through systematic reviews of the randomized controlledtrials (RCTs), the burning question above can be formulated. RCTsshould be devised to determine the effectiveness for anti-psychotictreatment (DiCenso, 2005). For the detection to be fertile, keysearch terms have to be employed. The describing key search term inthe burning question about schizophrenia include schizophrenicpatients, anti-psychotic medications, standard care, and alternativesto medications.

Levelof evidence and grades of recommendations on the search of theburningquestion

Fromthe burning question above, level of evidence has been noticed. Forissues of therapy and treatment of schizophrenia disorder, thehighest level of evidence is a systematic review of the randomizedcontrolled trials or an individual randomized controlled trial. Onthe other hand, for the effects of the anti-psychotic medications,the highest possible level of evidence is a systematic review of thecohort studies (Ackley, 2008). The grade of recommendations thataided in the search for the burning question is grade (A), meaningthere is a sustaining evidence to recommend that a new pattern ofcare should be undertaken to increase patient adherence. Thelimitation of the burning question is that it does not uphold expertopinion. It only relies on personal experience. The possiblerefinement to address the issue is to discard elements ofsubjectivity and uphold objectivity in research.


Strategiesin the above discussion have an impact on clinical practice such thatclinical experts will get the knowledge of getting relevantinformation on how to address the problem (Castle, 2011). All thiscan be done by formulating a reasonable burning question of therelevant area of focus such as schizophrenic disorder.EBP model, onthe other hand, provide an analyzed route on which option clinicalexperts should undertake to deal with a specific disorder (Ackley,2008). Burning question condenses everything about a particulardisorder and the clinical experts will manage a specific issue asoutlined in the burning question.


Inconclusion, from the burning question above, schizophrenia disordercan be addressed by incorporating various aspects of society. Through literature search, clinical practice improves which thendirects a patient to use an individual EBP model (Ackley, 2008). Itcan include involvement of the community itself while encouragingclinical practice to do more research on how to assist schizophrenicpatients. When there is a holistic combination effort of the membersof the society and clinical experts, patientsof schizophrenic disorder will be have a reason to smile as they willhave an immediate response to their problem when they want it.Schizophrenicpatients, for instance, should be advised to exercise PE for them tohave medication adherence.


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