Evidence-Based Practice & Applied Nursing Research Western Governors University BSN Program Karolina O’Loughlin Student ID: 256940 Type of Sources / Appropriateness of Sources / Classification of Sources American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides …show more content…
As such, the diagnosis and management of AOM has a significant impact on the health of children, cost of providing care, and overall use of antibacterial agents (AAFP, 2004). Watchful waiting can have many benefits for the children and the provider if used properly. Diagnosing AOM can be tricky. The signs and symptoms can also be related to other illnesses such as an upper respiratory virus. Throwing antibiotics at any illness use to be the course of action. However, now that there is evidence that bacteria have become resistant to some antibiotics, clinicians are testing out other means of treating illnesses. If the child presenting with symptoms of AOM has no underlying conditions and has means to follow up with the doctor if the symptoms progress, watchful waiting is an appropriate approach for treating the child. According to the research, placebo controlled trials have shown that children have responded well without antibacterial intervention. Giving the opportunity for the illness to resolve without antibacterial intervention not only benefits the child but, the caregivers and the clinician. It benefits the child by not being exposed to antibiotics that are not needed, therefore creating a potential resistance to that antibiotic. It benefits the caregiver by not spending money on a medication their child does not need. Last, it benefits the clinician by preventing resistance to an antibiotic that may be useful in the near future.
Running Head: EBT TASK 2 1 Research Integration EBT Task 2 Western Governor’s University EBT TASK 2 2 Review and Classification of Evidence Source Type Appropriate Type of (American Academy of Pediatrics; American Academy of Family Physicians, 2004) or inappropriate Filtered Appropriate: This article establishes diagnosis and
MEMO TO: FROM: DATE: SUBJECT: Mrs. Jane Smith, CEO, Jinkie Pops Toy Co. Amy Hance, Elementary Division Manager August 22, 2012 Constructive Discharge Claim of Mr. William Fleck
I performed a SWOT analysis on the current AEnergy technology infrastructure. A SWOT analysis is a technique and opportunity for a thoughtful overview of where things are good and where things need improvement. SWOT stands for Strengths, Weaknesses, Opportunities, and Threats. I’ve reviewed our system for all four of the SWOT attributes to give the following summary and suggestions.
The nursing director, chief of surgery, and medical director for the O.R. are responsible for developing a policy that meets the needs of the current facility. Nursing, anesthesia, and surgical staff should have input into the policy. The policy change should be approved by hospital administration.
After Columbus mistakenly discovered the Americas in 1492, European countries were soon setting out to establish themselves in this new world. Spain was first to establish itself in the new world, using their powerful military and their navy. The new colonies were completely dictated by the king of Spain, such one of his policies allowing colonists to use the native tribes for forced labor. France was the second major power to establish itself. Their main focus was fur trapping and fur trading. The French quickly learned to work with the Native Americans. The few French settlers, who did come to America, were focused on fur trapping and trading. Because of this, most French settlements were either military forts or trading posts. England
Social responsibility in business can be defined as the obligation an organization has to minimize its negative social impact on stakeholders and to maximize its positive impact. In this case study we are introduced to a small local grocery chain referred to as Company Q. Located in a major metropolis, Company Q has recently closed some stores in areas of the city with higher crime-rates. They have started to stock a very limited amount of organic and health-conscience products after years of requests from their customers. Management has declined participating in a program to send expired food to a local food bank based on fears of employee theft by means of taking advantage of the situation. Based on the
Willow Bend Hospital’s compliance does indeed have multiple deficiencies and is in need of review as many were updated in 2009 and 2010. All information on deficiencies would be found on the latest updated version of the Joint Commission Information Standards. This should be located within the Corporate Compliance/Risk Manager’s office. As this information is not currently available to this writer without a subscription and fee, I must use the information available to me. So expansion and explanation of policy details are limited.
Nestled in Southern Indiana just west of Louisville, Kentucky and south of Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the towns of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly School of Business, 2014). Over fifty-two percent of the population consists of adults ranging from 25-64 years of age (Kelly School of Business, 2014). The leading cause of mortality in this county is heart disease, cancer, suicide and injuries (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011).
The United States faces many social problems. One of these problems is child hunger. It has sociological origins and challenges for government and citizens alike.
This evidence meets the criteria for a filtered source. It was sourced online from the Official Journal of the American Academy of Pediatrics and Family Physicians. Specialists from multi medical disciplines assembled to create an integrative systematic study and review of the current evidence- based literature available for the treatment and management of Acute Otitis Media (AOM). The conclusions and findings were utilized to devise guidelines and a practice protocol that recommended early diagnosis and makes
Acute Otitis Media (AOM), inflammation or infection of the middle ear, is an illness most parents have had experience with. Countless hours of lost sleep and worry secondary to their child’s pain and distress can keep even the most seasoned parents awake at night. Before the age of 36 months, 83% of children will experience 1 or more ear infections and AOM is the most common reason for office visits of preschoolers in the United States (Zhou, Shefer, Kong & Nuorti, 2008). The graphic below serves as a review of evidence and explores the usefulness of the information in relation to the option of watchful waiting in the management of AOM.
Otitis Media with Effusion (OME) can be defined as, “The presence of fluid in the middle ear without signs or symptoms of acute ear infection” (Pediatrics, 2004). It can be said that OME is an invisible disorder, as there are no immediate signs or symptoms of an acute ear infection such as ear pain, fever, or displeasure (Williamson, 2007). However, OME can have very significant consequences in the life of a child. Early identification and monitoring of OME can combat against possible speech and language delays, as well as protecting against further structural damage to the middle ear. From a diagnostic standpoint, OME must be differentiated from Acute Otitis Media (AOM), as the appropriate treatment will depend on if a child is suffering
When a patient presents with otitis media it is important to distinguish if the diagnosis is acute otitis media or otitis media with effusion (Woo & Wynne, 2012). According to Woo & Wynne (2012) acute otitis media also known as AOM can be recognized as a fluid that becomes present in the middle ear that is commonly associated with fever, otalgia, otorrhea, or an immobile tympanic membrane. Otitis media with effusion presents with the fluid in the middle ear but is absent of other symptoms of illness as described above. Due to the fact that otitis media only assumes a viral role about 35 percent of the time and it can clear up within 7 to 14 days without treatment, it is important to assess the patient’s true risks and benefits with antibiotic
These are often for local newspaper ads. The downside to the supplier is that their competitor may also offer an advertising allowance and receive a more desirable location within the ad. This is something that would have to be clearly negotiated.
According to carman, children are more susceptible for acute otitis media because the shortness and horizontal positioning of their Eustachian tube, limited response to antigens, and lack of previous exposure to common pathogens or the immaturity of their immune system (Carman, 2016).