In order to the have a successful project, the plan is to individualize patient care by meeting the needs of the patient (Burmann, Robinson, & Hart, 2013). Evidence based practice incorporates clinical expertise with patient preferences (Burmann, Robinson, & Hart, 2013). References Burmann, M., Robinson, B., & Hart, A. M. (2013). Linking evidence-based nursing practice and patient-centered care through…
took in EBP- from framing the clinical question then performing the literature search in various electronic databases and applying the rules of evidence to establish validity of the study and finally to relate the findings to the patient’s clinical problem (Guyyat et al., 2000). The Clinical Question For this discussion, the author has formulated a foreground question (Jewell, 2015). The author wishes to study the effectiveness of a particular intervention. The clinical question is: Does the…
study was conducted to measure the effects of individual self-management education on clinical, biological, and adherence outcomes in asthma, using a prospective, randomized controlled trial of 65 adults with mild-to-moderate asthma, they examined whether an educational self-management intervention would improve adherence to inhaled corticosteroid therapy, decrease markers of airway inflammation, and improve clinical control [34]. Peak flow, symptoms, and adherence were monitored for 7 weeks.…
The Effectiveness of Deep Breathing Exercises on Pulmonary Function One of the first frameworks nursing students learn in school is the importance of assessing the patient’s airway, breathing, and circulation (ABCs). These three concepts are critical for survival, and alteration of any of these can result in death. Chronic obstructive pulmonary disease (COPD) involves two conditions: emphysema and chronic bronchitis. Emphysema is characterized by the loss of lung elasticity and destruction of…
and low C3 or C4 serum levels; exclusion criteria were severe lupus nephritis (proteinuria > 6 g/24 h or creatinine > 2 mg/dl), severe active neuropsychiatric lupus, potentially life-threatening SLE manifestations and ongoing or planned pregnancy. Clinical scores (i.e. SLEDAI-2K score, SELENA-SLEDAI Flare Index, SLICC/SDI score), daily prednisone intake, and laboratory parameters (i.e. white blood cells, anti-dsDNA antibody, C3 and C4 levels) were collected at baseline and at…
If the placebo doesn’t harm the subjects this clinical trial will help benefit future patients especially in poor countries. Also this trial does not withhold any treatment that subjects would otherwise receive so therefore a placebo should be used in a clinical trial. While the short-course drug program may be inferior to the treatment in rich countries it can still be better than the placebo especially…
arthritis, neuralgia and related conditions, chronic rhinosinusitis, cardiovascular disease, and urinary tract infections. However, U. dioica shows the most promise in treating BPH and has several clinical trials to support its use and prove its efficacy (Urtica dioica; Urtica urens (Nettle), 2007). In these trials it was found to relieve the symptoms that BPH causes in the lower urinary tract, including the constant urge to urinate, inadequate emptying of the bladder, reduced urinary flow, and…
General Medical Council (GMC) are the body which govern the registration of medical practitioners across the United Kingdom. In 2009 a 2nd edition of ‘Tomorrow’s Doctors’ [1] was published which outlined in more detail the GMCs standards of knowledge, clinical and practical skills and the behaviour expected of all undergraduate medical students. The job of the GMC regulations is ‘protecting, promoting and maintaining the health and safety of the public’ [1]. This ensures the best patient safety,…
One example that could have produced these kind of results is the placebo effect, where people improve because they expect to improve. In addition, anecdotes “may not be representative of most instances of a phenomenon” (Lilienfeld, & Landfield, 2008, page 1221). To support his claim, David Pickup must follow-up on his clients to see if these homosexual feelings have completely dissipated. This is necessary as there have been cases, including in the Spitzer Study, where some subjects stated the…
Introduction The Placebo effect, sometimes referred to as “sham effect,” is an advantageous effect produced by a fake treatment. It focuses on the minds ability to trick itself by using the individual's belief in that treatment. If the individual believes that a treatment will work, it can begin to seem as if it is actually working, and or actually work. It is seen more often than one would think and is normally associated with placebo pills and shots. These placebos do not contain any…