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33 Cards in this Set
- Front
- Back
evidence based practice
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The integration of best research evidence with clinical expertise and patient values
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three pillars of ebp
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Best research, clinical expertise, patient values
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ebp "process"
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The patient encounter, formulating clinical questions, searching evidence, approaching evidence
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patient encounter
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HOPS
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clinical questions
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PICO
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evidence
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Research and pre appraised resources
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6 steps of ebp
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*****: the patient; Ask: formulate questions; Acquire: evidence; Appraise: the quality and relevance; Apply: the results; *****: the outcome
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ebp always...
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Starts and ends with the patient
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assess
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Clinical/medical evaluation; clinical problem/question
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ask
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Well built clinical questions: background and foreground
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background
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About disorder, test, treatment, eval; heavy questioning; research treatment; 6 W's
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foreground
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About patient care and actions; receiving answers; PICO
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acquire
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Select appropriate resources/conduct a search;
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primary
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Direct literature
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secondary
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Pre-appraised or EBP resources
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cochrane library
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Systemic reviews; finding all the best literature and combining the info into one big lit piece
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appraise
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Critically question validity and accuracy
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apply
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Clinical decision making based off of research
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outcome assesment purpose
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Maintaining idea that it is ALL about the patient; patient and practitioner perspective
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outcome assessment definition
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Study of the end results of health care - patient experiences and what they value
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outcome assessment theories
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Health related quality of life - how do you feel
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disablement model
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Pathophysiology, impairment, function limitations, disability, societal limitations
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pathophysiology
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Cellular
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impairment
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Body; (decrease strength in hamstring)
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functional limitations
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Whole person (inability to throw at max effort)
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disability
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Persons relation to society (inability to fill his role as starting pitcher)
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societal limitations
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Barriers (loss of athletic scholarship)
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types of evidence
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Disease oriented evidence, patient oriented evidence
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types of outcome
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Clinician based, patient based
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patient status and progress
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Global rating of change & minimal detectable difference
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global rating of change
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From a to b; any difference?
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minimally clinically important
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What was the minimal change that was important to the patient?
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minimal detectable difference
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What was the minimal detectable difference by you
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