The Canon of Medicine

Question 3 Do you think Mr. Harding’s leg ulcer and amputated toe is related to his diabetes? Explain. (5 Marks) In my opinion, Mr. Harding’s leg ulcer was due to peripheral vascular disease (PVD) and his amputate toe was due to both diabetes and PVD. In terms of this patient’s ulcer, it appeared on the lower left leg and this is one of the most common areas to have an ulcer when presented with peripheral vascular disease. This disease is a chronic limb ischemia due to atherosclerosis of the…

Thus far we have learned a great deal about the development and implementation of the evidence based practice (EBP) guidelines, now the next important step would be how to effectively apply the EBP to clinical practice. According to Field and Lohr (1990), "Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." (p. 38). What I liked most about this statement and would…

Evidence base practice has been applied in all health care setting, every day nursing practice. Nursing and all professional are encourage to incorporate and utilized the available resource and guideline to their practice for quality patient outcomes. Evidence base practice is vital in nursing practice and it evident in quality care. For the following reasons, the process of EBP has to be monitored through ongoing quality monitoring and improvement. Another evidence-based practice currently…

There are eight evidence based practices (EBP), however some would argue as few as six (Bond, 2002) and possibly more than ten (Dixon et al., 2010). They all have their place and vary in amount of evidence and have certain circumstances in which they can provide the best results. The eight EBP discussed are: cognitive behavior therapy (CBT), weight management, skills training, token economies, family psychoeducation, assertive community treatment (ACT), supportive employment (SE), and…

Research shows an improvement in patient outcomes when nurses practice in an evidence-based manner. Described by Black, Balneaves, Garossino, Puyat, and Qian (2015) as “a problem-solving approach to clinical care that incorporates the conscientious use of current best practice from well-designed studies, a clinician’s expertise, and patient values and preferences,” evidence-based practice (EBP) has been shown to increase patient safety, improve clinical outcomes, reduce healthcare costs, and…

EBP Project Development: Conclusion from the article # 1 Although the research article “Opioids, Substance Abuse & Addictions Section: Changes in Prevalence of Prescription Opioid Abuse after Introduction of an Abuse-Deterrent Opioid Formulation.” did not specifically pertain to the nursing practice. Never the less, the results of this observational, a cross-sectional study revealed very important data pertaining abuse-deterrent formulations (ADF) of opioids, including control-release (CR)…

Evidence based practice is the foundation for growth in clinical practice. Any procedure cannot be deemed effective unless it has undergone objective studying. Health care providers may complete tasks that are a part of clinical tradition, rather than helpful for patients. In some cases, certain procedures, such as rectal tubes and urinary tract catheters, can cause harm to patients. Determining if a procedure is harmful or beneficial comes from the findings of studies done in clinical…

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…

When providing patients with acute care in a hospital setting it is imperative to know the type of care that is required for each patient and ensuring you have the evidence and practice in order to implement the care efficiently. As part of the Nursing Integrating Concepts this semester there has been a huge emphasis on evidence and how this backs up the type of care, we as nurses should provide to patients. In this essay I will be discussing what evidence is in the form of infection control in…

Introduction The practice of evidence-based medicine entails treatments and assessment that have been verified to be in effect through research. Research on pain management has revealed that a combination of diverse types of treatments cab be incorporated for optimal effectiveness. The level of pain that a patient is undergoing is determined by evaluating the patient using a number of methods including Revised Faces Pain Scale, the Numerical Ratings Scale and others. It is also important that…