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33 Cards in this Set

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