Analysis Of The PICO Question

The purpose of this study is to focus on an evidence based approach to reducing peanut allergies in children by introducing peanut based foods at an early age.

Dr. Jeff Roderick is an experienced chiropractor who is certified in the Active Release Technique and trained in the myofascial release modality. He also holds an official Certified Chiropractic Sports Physician designation. Over the course of his career, he has served as a chiropractic sports medicine physician at the Salt Lake City Olympics, the team physician for the Madison and South Fremont high schools, and a chiropractor with Madison Ridge Chiropractic. While working for Madison Ridge, Dr. Jeff Roderick earned special recognition for excellent service and dedication to the chiropractic profession from the Logan College of Chiropractic.

PICOT question: In elderly patient with congestive heart failure, how adequate multidisciplinary education compare with lack of education could reduce hospital readmission rates over a 6-month period? The research questions are: Does multidisciplinary education help elderly patient with CHF to adequately manage the disease at home? Does improve knowledge in the disease could decrease hospital readmissions in CHF patient? The hypothesis states that multidisciplinary approach and proper patient education will decrease readmission rate in elderly patients with CHF. The purpose of the study seeks to articulate the problem of lack of education for older patients with congestive heart failure regarding how to manage

• Assessment Method: The learner has presented their outline in the form of a table. The learner’s outline includes the main

This article takes a perspective of the patient approach, in how ultimately long term their health in their hands. How the physical therapists are there to guide and make small corrections,

According to Houser (2012), evidence Based Practice Nursing is the application of evidence based findings by nurses to steer the nurse toward integration of clinical expert opinion and experience with an unbiased comprehensive analysis of the best scientific evidence professional nursing care literature can provide while integrating patient principles and preferences. When planning for sustaining evidenced based practice, it is vital to adopt a methodical critical thinking decision making method, directed by deliberately adopting Evidence Based Nursing model pathway that encompasses searching, appraising, synthesizing, adapting, implementing, with a continuous evaluation of outcomes (Houser, 2012). Consequently, in an attempt to create or sustain an evidence-based practice, the plan must be well thought out, assessed, implemented and evaluated for desired outcome. My current area of nursing practice is in a Med-Surge/Orthopedic unit of an acute health care setting. We are specialized in Total Joint replacements, with an occasional spillover of Medsurg cases, who are admitted to the floor due to lack room at the specific units. My plan to create and sustain an evidence-based practice, will be in regards to creating and instituting a required pre-surgical class for patients who have elected to undergo a joint replacement.

The PICO question I am occupied with inquiring about is, for infants, does breastfeeding decrease the future risk of obesity contrasted to bottles formula? In particular, the P= Infants, I= Breastfeeding, C= Bottles Formula, and O= Decreased future risk of obesity. Indeed, I was keen on this theme on the grounds that, breastfeeding has been a well-researched subject as of late. Moreover, in the 21st century there is an ascent in obesity, particularly in kids. Accordingly, if this health issue can be resolved for infants, then this can diminish the obesity rate when older, simply through a one of a kind method of sustaining an infant. Besides, this exploration inquiry can be important in Obstetric nursing, and also, Pediatric nursing, since

The PICOT question: Population of patients, patient’s family in the Emergency Department (P), Workplace violence prevention program to reduce the rate of physical and non-physical violence to hospital staff (I), Patient or workmate, with a violence prevention program compared to violence prevention program (C), Reduction in physical and non-physical abuse to hospital staff (O), Within a period of 60 day trial (T)?

I interviewed Jimmy Johnson; he suffers from chronic pain from many years of work and hard labor. Jimmy was employed for 15 years at a factory that manufactures insulation; there he frequently lifted over 100 pound bags of material. After so much time had passed of heavy lifting Jimmy’s right shoulder tendons began to tear and fray terribly, which frequently happens to people who do hard labor over such a long period of time. Doctors performed surgery on Jimmy’s shoulder, at the age of 49 and left him with only ten percent of his arm and shoulder mobility and flexibility. The cause of his chronic pain is now due to the surgery and the tearing of his tendons in his shoulder: also, numerous other injuries he sustained over his lifetime. A time after his surgery he was prescribed Vicodin and today takes Oxycodone, which treats higher levels of pain than Vicodin. Without his medication of prescription pills Jimmy’s pain would be almost unbearable. He only takes the needed amount each day for his pain management and tries his hardest to not abuse the narcotic drugs like many do (Johnson).

For shoulder flexion 61% of the variance could be accounted for by the sit-and-reach. A correlation was also found between the modified sit-and-reach test and both the shoulder extension and hip flexion tests. For shoulder extension 33% of the variance was accounted for by the modified sit-and-reach and for hip flexion 22% of the variance was accounted for by the modified sit-and-reach.

Evidence- based practice is a trend both within the occupational therapy field and in the medical profession as a whole. It was first introduced in 1971 when Archibald Cochrane published “Effectiveness and Efficiency” where he suggested that because resources are limited clinical evaluation and treatment should be made based on sound evidence (Katsikis, 2014; Shah & Chung, 2009). The definition of EBP written by Sacket (1996) is still frequently quoted today; he defined EBP as "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research."

A lot of physiotherapists have restrictions in accessing high level evidence (as there is limited access to databases of clinical trials archives and reviews or even lack of awareness of these databases), which made them believe that there is no much evidences about physiotherapy interventions (Bithell 2000). There is a study which, found variations between disciplines’ use of online evidence and identified ease of access and time taken to locate the online evidence as barriers to evidence-based practice after interviewing Australian health professionals including some physiotherapists (Gosling et al. 2003).

Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they

The complete treatment for adhesive capsulitis remains unclear even though numerous interventions have been studied. Previously published prospective studies of effective treatment have demonstrated incompatible results for improving shoulder range of motion in patients with this condition (Ruiz, 2009). Non-operative interventions include patient education, modalities, stretching exercises, and joint mobilizations (Kelley et al., 2009). Levine et al. stated that 89.5% of ninety eight patients with frozen shoulder returned well to non-operative management (Kelley et al., 2009). Reviewed studies recommend that many patients have benefited from physical therapy and displayed reduced symptoms, increased mobility, and/or functional improvement (Cleland et al., 2002). However, a Cochrane Review by Green et al. says that there is, “no evidence that physiotherapy alone is of benefit for adhesive capsulitis” (Green et al., 2010).

To prevent frozen shoulder.This innovation will be an important tool in clinical nursing practice. Created and developed from reliable and modern evidence based practice. Include: 1) Care plan for patients undergoing breast surgery, 2) Daily recording form of arm and shoulder exercise,