PICOT Evaluation for Evidence Based Practice
The case scenario selected for this PICOT evaluation, is scenario number three. This scenario basically involves the question one would ask as a clinician to a thirty-four year old women who has an extensive family history of breast cancer; as evidenced by the death of her mother at the age of forty-three and the diagnosis of her sister at age thirty-six. In this case, we must ask ourselves the burning question. “In women from the ages of twenty-five to thirty-nine, at high risk for breast cancer, is the use of mammography and MRI combined compared to mammography alone more accurate in the early diagnosing of breast cancer?’ As per Melnyk and Fineout-Overholt (2015) box 2.1, we must break down the …show more content…
by asking the how, what, when questions (p. 26). In this case scenario, we have common knowledge that the most common diagnostic test for breast cancer detection is mammography. We can ask generalized background questions such as. How is breast cancer diagnosed effectively? What population of women qualify for screenings? When should women get screened? Why should women be screened? The rational for asking this clinical question is clear. The patient’s immediate family has diagnosis of breast cancer. In our background, we were able to obtain knowledge of high risk factor, such as BRCA1 and BRCA2 gene mutations, which are hereditary. Our patient’s sister was diagnosed at age thirty six, which is premenopausal age, thus our patient is at high risk for breast cancer and early detection may save her life. We can now move to the heart of the PICOT question, which are the foreground questions. An example we would ask in this case scenario is. “In premenopausal women with high risk for breast cancer, is the combination of mammography and MRI more effective in early diagnosis than mammography by itself?”. In the background, we gained the knowledge that MRI, ultrasound and mammography are the three main none invasive diagnostics for the early diagnosis of breast cancer. Melnyk and Fineout-Overholt (2015) state there are five main types of foreground questions;
The case scenario selected for this PICOT evaluation, is scenario number three. This scenario basically involves the question one would ask as a clinician to a thirty-four year old women who has an extensive family history of breast cancer; as evidenced by the death of her mother at the age of forty-three and the diagnosis of her sister at age thirty-six. In this case, we must ask ourselves the burning question. “In women from the ages of twenty-five to thirty-nine, at high risk for breast cancer, is the use of mammography and MRI combined compared to mammography alone more accurate in the early diagnosing of breast cancer?’ As per Melnyk and Fineout-Overholt (2015) box 2.1, we must break down the …show more content…
by asking the how, what, when questions (p. 26). In this case scenario, we have common knowledge that the most common diagnostic test for breast cancer detection is mammography. We can ask generalized background questions such as. How is breast cancer diagnosed effectively? What population of women qualify for screenings? When should women get screened? Why should women be screened? The rational for asking this clinical question is clear. The patient’s immediate family has diagnosis of breast cancer. In our background, we were able to obtain knowledge of high risk factor, such as BRCA1 and BRCA2 gene mutations, which are hereditary. Our patient’s sister was diagnosed at age thirty six, which is premenopausal age, thus our patient is at high risk for breast cancer and early detection may save her life. We can now move to the heart of the PICOT question, which are the foreground questions. An example we would ask in this case scenario is. “In premenopausal women with high risk for breast cancer, is the combination of mammography and MRI more effective in early diagnosis than mammography by itself?”. In the background, we gained the knowledge that MRI, ultrasound and mammography are the three main none invasive diagnostics for the early diagnosis of breast cancer. Melnyk and Fineout-Overholt (2015) state there are five main types of foreground questions;