Critical Appraisal Of Evidence : Analysis

and C.I.L.T., was obtained via a variety of search engines and databases. The SUNY New Paltz Sojourner Truth Library online database yielded several articles, specifically through the CommDisDome research database. Other databases that were accessed for the purpose of finding scholarly, peer reviewed articles included: PubMed Medline, JSLHR, ASHA, EBSCOhost, Google scholar, and speechbite. General search terms that were key throughout the search process included: P.A.C.E, C.I.L.T., treatment, therapy, aphasia, “controlled trial”, random, and systematic. Once a systematic review for the C.I.L.T. approach was obtained via Cherney, Patterson, Raymer, Frymark, and Schooling (2008), many sources were extrapolated from the references section in order to provide information and/or support for the alternative therapy. The original searches yielded 24 articles. Upon further investigation of the

Yes, the researcher has got the ethical approval from the Hong Kong Polytechnic University’s ethical committees before the study. The participants were explained fully and the interviews are recorded. Confidentiality is also guaranteed. The participants can also leave the research whenever they want, so they are not forced to be interviewed, giving false answers.

Language is an ability that many of us take for granted in everyday life. For those with aphasia, it is a daily struggle to overcome and effective communication is a goal to strive for. Aphasia patients are able to think, perhaps as well as the average person, but they simply cannot convey their ideas or thoughts easily. The Boston Diagnostic Aphasia Examination is an excellent examination for the diagnosis of the presence and type of aphasia, and for the location of brain damage. The Minnesota Test for Differential Diagnosis of Aphasia has been shown to be the most comprehensive assessment of the overall patient’s strengths and weaknesses in regard to language; it also allows for physicians to predict recovery accurately. Though it is no longer as popular or applicable as newer diagnostic tests, such as the BDAE, it is still an accurate assessment for aphasia. I think this is the paradox in neurological assessment: as technological advances improve, older assessments are becoming invalidated- though they are not inaccurate assessments. New advances and knowledge are being acquired in medicine every day, therefore there is always room for improvement (Holland, 2008). One of the biggest cons to the two batteries I mentioned in this paper is the fact that they are both time consuming- for both the patient and the

On the other hand, Kathryn Schultz is a journalist and a creator. In Kathryn Schulz’s exposition, “Evidence” numerous analogies was given to portray what proof has on one’s sentiments and activities. Kathryn Schulz investigates why we find it so filling to be precise all the time hence irritating to be mistaken, and how this state of mind toward mistakes erodes our connections. Furthermore, she goes up against us on presenting different stereotypes, from the Salem Witch Trials to multiple choice test of what’s behind the picture, all swans are white, ninety-five percent lawyers are male, and Muslims are terrorists. Drawing on scholars and writers as diverse as Augustine, Darwin, Descartes, David Hume, Thomas Kuhn, and Albert Speer, she proposes

In this essay I will evaluate the David Bennett Inquiry Report, which was set up by the North, Suffolk and Cambridgeshire Strategic Health Authority (NSCSHA) to investigate the death of Mr David Bennett. I will define evidence-informed practice (EIP) and summarise the inquiry report. I shall highlight and critically analyse some of the key issues raised in the report in relation to ethnic minority issues. Finally, I will discuss the implications of evidence-informed practice for social work as well as my own future practice.

The evidence hierarchy is a ranking that distinguish the types of research evidence based on the strength of the evidence itself (Polit & Beck, 2012). It is mostly applicable to the research questions regarding the effects of clinical interventions. The evidence that are ranked based on the evidence that uses appropriate research methods, rigorously reviewed with minimized biases and has great clinical implications. The strongest evidence based on the evidence hierarchy is systematic reviews, which draws conclusions from many randomized controlled trails (Polit & Beck, 2012).

In a pilot randomized control trial by Palmer et al. (2012), participants who received computer-based treatment had greater changes in naming on trained items than the control group. Furthermore, the study claimed that the computer-based treatment was both cost-effective and clinically effective with positive language outcomes as patients were able to carry out more therapy practice as compared to the usual face-to-face services. However, one limitation was that the study had to be single-blinded since the group that received computer treatment might be influenced by their expectations (Varley, 2011). In other research utilizing phenomenological methodology, Swales, Hill, and Finch (2016) explored the preferences of 10 SLPs for computer-based aphasia therapy. By using qualitative thematic analysis to analyse the data, desired features were organised into five themes: therapy activities, stimuli, cues, access and progress data. These reflect the important components that SLPs seek in a traditional (face-to-face) therapy. This further supports the finding that even though Australian rehabilitation professionals believe that technology can potentially resolve delivery issues, SLPs often expect systems to be of a high standard so that the traditional treatment can be replicated (Graham & Cameron, 2009). As such, SLPs have yet to fully incorporate this technology into

Standardization of the revised Boston Diagnostic Aphasia Examination is based on a normative sample of 242 patients with aphasic symptoms tested at the Boston, VA. Medical Center between1976-1982.

My informational expert is the nurse educator of surgical services. She has a BSN in nursing and is knowledgeable of all the current policy and procedures and is responsible for educating all surgical staff on any new required procedures. She was in agreement that this project would benefit our organization as a whole and falls into the category of one of our National Patient Safety Goals. My first step was to get manager approval of the project which was granted. My nurse educator then advised me to use the WHO website and the Joint Commission website to get information on the required elements and expectations of a surgical time-out. After I gathered information form the websites and reference article we met again and I presented my findings and we discussed the

The use of Evidenced-Based Practice (EBP) is required by universities throughout Undergraduate programs in Communication Science-Disorders, Graduate programs in Masters of Arts or Science in Speech-Language Pathology, and during Doctor of Philosophy (PhD) programs in Speech-Language-Hearing Sciences. The implementation of EBP in all my assignments significantly increased during my first semester in the Masters of Arts program for Speech-Language Pathology at Lehman College. During the use of EBP for assignments, I have relayed on my clinical judgment to question: the methodologies, how and why certain groups were selected, the author/s’ purpose for writing the article, the most valuable piece of information, the inferences and conclusions, and how it will impact the field of speech-language pathology. I also used evidence-based research while writing reports and justifications for therapy techniques and goals; during the search for articles I had to consider how it would impact the client and his/her family, as well as the meaning it would add to the therapy session. Moreover, I encountered acronyms and new vocabulary that are currently being used in the field such as MGRs- Mental Graphemic Representations, and tDCS- transcranial Direct Current

A clinician, respectively, should produce the patient’s clinical history and results, as well as the measurement properties of the index, this well better format and put in place short- and long-term goals based on an individual-report functional scale like the LEFS (1). The intention of this research was to assess the reliability, construct validity, and sensitivity to change the Lower Extremity Functional Scale. This test was given to 107 patients with lower-extremity musculoskeletal dysfunction referred to twelve outpatient PT clinics. This index was dispensed during the patient’s initial assessment, 24 to 48 hours following the initial assessment, and then at weekly intervals for four weeks (1). A patient with an initial LEFS score of 56/80, an example of lower extremity functional scale is to create functional level, set goals, and track progress and outcome, based on the error at any specific position in time for the LEFS of five points, the therapist can be highly confident that the actual scale score is between 51 and 61 (1). The leeway, or error, associated with an assumed measure on the LEFS is about plus or minus five scale points (90% confident intervals). A clinician, ergo, can be moderately confident that an observed score within the parameter of five points of the patient’s “true” outcome (1). The short-form 36-health survey (SF-36) is a 36-item, patient-delivered

The effects of two treatments for word retrieval impairments in aphasic individuals. With the use of errorless naming treatment (ENT) and gestural facilitation of naming (GES). The effects of the two treatments that were used for a daily picture naming/gesture production probe measure and in standardized aphasia tests and communication rating scales were administered across phases of treatment. (p.235)

Evidence-based practice includes the integration of best available research, clinical expertise, and patient/client values and circumstances related to patient/client management, practice management, and health care policy decision making (American Physical Therapy Association (APTA), 2015, para. 9). It is based upon the notion that clinicians will seek out and use scientific knowledge in the pursuit of best practice for their patient (Zidarov, Thomas, & Poissant, 2013, p. 1571). In our quest to further improve our practice and take our profession to the next level, it is our duty to serve our patients with the best available evidence. Evidence in physical therapy guides us to look at valid and reliable examination measures for precise diagnosis, evaluate prognostic and risk factors that influence and affect outcomes, assess treatment interventions’ credibility and effectiveness, and weigh its benefits versus harm, review predictive factors and analyze relevance to patient, clinical setting and available resources, and consider outcomes of episode of care.

Yes. In the article, the aim of the research was to understand the experience of participants, their knowledge about type 2 diabetes, and the factors of medication adherence in Malaysia. According to Susan (2010), the five components of PICOT are population, issue, context, outcome, and time. According to Al-Qazaz et al (2011), the PICOT was presented by the researcher in the study were,

CRITICAL APPRAISAL OF A SYSTEMATIC REVIEW AND NARRATIVE REVIEW RELATED TO COMPUTERISED PHYSICIAN ORDER ENTRY SYSTEM