Controlled Substances Act

Introduction It is fundamentally important for nurses to develop and appreciate the process of integrating evidence and research conclusions into their clinical decision-making. Evidence-based practice (EBP) is one reliable process that assists in efficient clinical decision-making (Wong & Myers, 2015). This process has emerged as a means of improving clinical practice from a culture of nursing guidelines derived from authoritarian traditions, to practice developed upon the current…

Balance Assessment in Parkinson’s Disease Using Virtual Reality Evidence-based practice includes the integration of patient values and focuses on the most appropriate course of action through clinical expertise and best available research. In order to produce the best research a clinician must form an adequate question and search strategy, critique the research found, critically interpret the findings, and apply them to each patient scenario. For instance, a clinical scenario could be, “Gerald…

WAD stands for whiplash associated disorder. WAD is a neck injury resulting from rapid acceleration followed by deceleration, and is commonly caused by traffic accidents. The actual pathology is a bit abstruse and lacks a thorough understanding, because the exact cause of the symptoms are controversial. WAD symptoms are subjective, yet highly prevalent.1 Although the pathology is controversial, there are four widely used grades of classification developed by the Quebec Task Force.2…

Cold Bupivacaine Vs Magnesium Sulphate added to Room Temperature Bupivacaine in Sonar guided Femoral and Sciatic Nerve Block in Arthroscopic ACL Reconstruction Surgery Ashraf E Alzeftawy (MD) and Ahmad A El-Daba (MD) Assistant professor of Anesthesia and Surgical Intensive Care Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine,Tanta University. Abstract PURPOSE: The aim of this prospective randomised study was to compare the effect of cold bupivacaine 0.5% and…

arthroplasty, this article was chosen due to the quality of study and higher level of evidence demonstrated by the study. 2. Study Design and Level of Evidence: The study design was based on the systematic review with meta-analysis of 23 randomized controlled trials (RCTs) of pre-operative interventions for 1461 participants with hip or knee osteoarthritis awaiting joint replacement surgery. Standardized mean differences (SMD) were calculated…

differences were not statistically significantly for any pregabalin dosage (table ). FIQ pain scores for all three pregabalin treatment groups were numerically but not significantly greater than the placebo treatment group (table 1). Two randomized controlled trials by Sañudo et al, (2010-2011) showed significant improvements in health status in patients assigned to the exercise group over the control group. Significant improvements were seen in FIQ pain score after the 24-week intervention…

It was also reported that exercise that includes balance exercise is consistently recommended for falls prevention program. The authors established their recommendation from findings produced from randomized controlled trials of multi-component fall-prevention programs, and the controlled trials…

Recommendations (Proposed change) The findings of this literature review demonstrate that a variety of factors have influenced adherence towards HAART. The use of critical analysis and CASP tools to the chosen 10 articles has addressed a number of weaknesses and strengths for each article, and has projected two consistent themes; complexity of drug regimens and symptom experiences of HARRT. As previously discussed and outlined (see appendix 3), the evidence within both themes is of good quality,…

2014). The independent variable that is discussed in this report is aromatherapy, while the dependent variable is pain intensity that is felt by the women during the active stage of labor. The design for this quantitative report is a randomized controlled trial that has a level II evidence. The sample that is included in this report is women who are primiparous, >36 weeks gestation, single pregnancy, and at least 3-4 cm dilated. The methodology for this report used an aroma group and a…

According to Joint Commission (2015), “every year in the United States, hundreds of thousands of patients fall in hospitals, with 30-50 percent resulting in injury. Injured patients require additional treatment and sometimes prolonged hospital stays. In one study, a fall with injury added 6.3 days to the hospital stay. The average cost for a fall with injury is about $14,000” (Joint Commission, 2015, para 1). “An accidental fall has been defined as a sudden and nonintentional change of posture…