Evidence Based Practice Case Study

It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive

SOAP Evaluation 1. Sign and symptoms/Clinical presentation of disease process a. How did your patient present: 62 y.o. white, female patient with past medical history of hypertension, diabetes mellitus, hypercholesterolemia, hypothyroidism, and obesity presented with chief complaint of a painful vesicular rash on her back down to her waist. “The rash is very painful. It’s a continuous stabbing, burning pain.” She rates the pain 8/10.

Jewell, D. (2014). Guide To Evidence-Based Physical Therapist Practice (3rd Ed.). Burlington, MA: Jones & Bartlett Learning. He important A book used by Western University in there DPT that discusses the tools needed and used to learn about philosophy, history, and importance of evidence-based practice.

In my opinion, to ensure that a treatment program is evidence based, a probation officer must know current “evidence-based practices” that already work in Probation and Parole supervision. They should have knowledge of evidence-based practices that apply to program providers, field officers, supervisors, and administrators. Ultimately, I believe that it is always necessary to improve one’s knowledge and skills, then apply them into practice, utilizing only what constitutes an evidence-based effective approach.

Evidence- Based Practice Evidence based practice has influenced the way that induvials view sexually transmitted disease. It allows us to look at the information we have gathered previously, interpret it and then determine what needs to be changed and what seems to be working properly. When looking at EBP, we can tell that with the use of protection such as condoms and dental dams, the percentage of STDs being transmitted has lowered. When sexually active individuals did not use preventative measure, the percentage of STDs grew. EBP also has proven to show that the more partners one has, the risk of catching an STD becomes higher.

Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse.

Evidence based practice is the act of incorporating clinical expertise, best research evidence and patient values and preferences in delivering care. This system, as opposed to previous methods that used the same standard of care for each patient, evaluates treatment plans based on research and the practioners own experiences. The usual workup of this type of practice is to ask a series of “why” questions and meticulously observe patient patterns to paint a better picture of the environmental factors surrounding the patient’s condition. This method advanced treatment modalities as practioners were able to better incorporate external factors in the assessment. Previous styles of care such as defensive medicine, forced providers to aggressively

The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to

Elizabeth Means is a 45-year-old female who comes in today with a 2 month history of increasing fatigue. The patient first started feeling tired when she was working for long hours to finish a job at work. The patient has been working her typical 8 hours daily for the past month and she has not recovered her

First discovered in 1935 by Stein and Leventhal, polycystic ovarian syndrome (PCOS) is a complex endocrine and metabolic disorder that is characterized by menstrual irregularity, subfertility and infertility, clinically obvious hyperadrogenism, and metabolic dysfunction in women (Azziz, 2015). Although the etiology of this complex condition is unclear, the prevalence is about 20-40% in women who have mothers and sisters with PCOS, strongly suggesting a genetic association (Azziz, 2015). B.L. presented to the clinic on 10/15/15 with a chief complaint of irregular menstrual cycle and seeking a referral to her OB-GYN for further evaluation and management. B.L. voiced concerns regarding her menstrual cycle and inability to conceive for the last year. Being a newlywed, she found this particularly distressing as she and her husband were hoping to start a family soon after they were married.

Early morning puffiness around eyes after a upper respiratory tract infection 2. Swelling of face, belly and feet. 3. Decreased urine output How is it diagnosed? Blood tests reveal low albumin, high triglycerides and cholesterol and urine tests reveal massive proteinuria Is the disease treatable?

It is applicable to all individuals who are unable to meet their self-care needs effectively and require nursing care (George, 2014). The applicability of Orem’s theory’s in various disciplines has been tested and illustrated in journals such as effect of Orem self-care program on the life quality on burn patients by Hashemi et al (2014) and application of Dorothea Orem's theory of Self-Care to the elderly patient on peritoneal dialysis by O'Shaughnessy (2014). The Orem’s theory directs nursing interventions that yields favourable and positive outcomes for the patients. The different nursing systems allow patients to be assessed and necessary interventions to be applied, allowing the individual’s health to be restored to meet the

Hormone Replacement Treatment How Effective Is It? Nicole Cilliers 14187494 Lara Tromp Shani de Jager Joni Rice Niccy Poteiter Dunique Swanapoel   DECLARATION Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Assignment Topic: ________________________________________ I declare that this assignment is my own original work.

Still, establishing a correct diagnosis may be impossible without performing a number of tests, which would exclude physical reasons from the number of possible reasons of the symptoms reported (Stonier et al, 2010). It is important to remember, that similar symptoms may have different causes and it takes a professional, deeply knowledgeable in their field, to set a correct diagnosis. In many cases such a professional will need information about other medical states of the patient, and in the most complicated cases several specialists may have to discuss the state of the patient. This is why relying purely on the results of a quick online test is not only unacceptable but should be considered unthinkable for any reasonable patient. Late diagnosis, misdiagnosis, not diagnosing existing states are all equally potentially dangerous to overall health state of a patient and it is important to realize these threads.

Also, visit your primary care physician. Blood work, a diagnosis and a medical plan of action are always essential for long-term stability. (-- removed HTML