Evidence Based Intervention Case Study

Initial approval of short-acting opioid prescriptions for the treatment of pain related to post-surgical procedures is limited to a maximum of 14 days of therapy for patients of all ages. Renewal approval of short-acting opioid prescriptions is limited to patients younger than 18 years of age and may not exceed 7 days of

Talking to the doctor about all the choices available will ensure the method of pain management which suits the patient best to be chosen. Discussing any side effects of opioid use can determine whether or not prescription painkillers are the right option for the patient (CDC, 2017). Furthermore, pharmacists can help patients understand opioid use and how they should be taken (NIDA, 2017). Following the pharmacist’s instructions, a patient will understand when to take opioids, how much to take, proper storage, and proper disposal (CDC, 2017). The increase of communication amongst these people can allow patients to safely take opioids, minimizing the risk of

Evidence-based practice is a decision making process in which you combine scientific data with clinical expertise, patient values and circumstances of the patient. (Hoffmann, Bennett 2017). The World Health Organisation (WHO) defines chronic diseases as those which are caused by non-reversible pathological changes in the body, are permanent and leave a lingering disability, those that require ongoing rehabilitation or care. Indigenous Australians experience very high prevalence, morbidity and mortality from chronic health conditions such as diabetes, cardiovascular, renal and chronic respiratory disease. Multi morbid and comorbid chronic diseases are increasingly placing a greater burden on individuals, communities and health care services

Responsibility lies on all parties to be educated on the risks of prescription drugs such as painkillers. Strict guidelines for physicians who aggressively treating patients’ pain. For example, a gateway to other resources for patients that may develop any physiological or psychological issues while being treated for chronic pain. Continue background check of patients’ medications, length of use of opioid pain meds, effectiveness of pain treatment, alternative treatment services, and number / kind of pain meds prescribed with a three to six months’ time

When the most precious thing of the parents, their children have a condition such as type 1 diabetes, life is changed and their first reaction is anger, denial and doubt, and ask each other why my son? It is very important that parents understand that their child's condition is manageable and with good habits it can be controlled. The availability of evidence-based practice is a tool we can use to demonstrate parents that what we have told them has scientific evidence and it has been proven that with a medical follow up, monitoring and proper diet their child can have a normal lifestyle and a good quality of life. Having in mind the recommendations and guidelines that are provided to the feelings of grief, anger, denial and frustration will

In medicine today it is becoming essential to remain on the journey to best possible practice, which “involves implementing available evidence into practice” (Dogherty, et al., 2013, p. 129). Dogherty, et al. (2013) researched the facilitation of evidence based practice by selecting 20 nurses “to attend an interactive knowledge translation symposium to examine what has worked and what has not in implementing evidence in practice.” Results from the study showed both many positive and negative facilitation experiences. “Successful implementation (of evidence based practice) is associated with focus on a priority issue, relevant and easy to use evidence, development of strategic partnerships and a multidisciplinary project team including

Study shows that around 25% of adult patients experience severe and moderate pain that leads them to request medication such as opioid. Health Care Professionals (HCPs) sometimes has difficulty to offer other options in treating pain. HCPs had to assess patients and can only rely on the information provided by patients such as its side effects. If opioid is commonly prescribed for uncontrolled pain, how can HCPs assure it is use in a timely manner, or only as prn, and even to avoid misuse or abuse?

Evidence-Based Nursing is a form of Evidence-Based Practice, which is defined as the integration of best research evidence with clinical expertise and patient values(CITATION DELETED). There are five steps that evidence based practice consists of: assess the patient, ask a searchable clinical question, acquire the best evidence to answer the question, appraise the evidence, and apply it to the patient(CITATION DELETED). I have chosen to write about evidence based nursing practices that can help prevent ventilator- acquired pneumonia. Ventilator-acquired pneumonia is responsible for 90% of nosocomial infections (NI) in the mechanically ventilated population(Grap, Munro, Elswick, Sessler, & Ward, 2004, 83-91) [Click and drag to move] and occurs

The value to using specific approaches such as CBT is that they are evidence based interventions that teach the client a better way to think which then leads to making better behaviors and choices. If a social worker uses their own approach as an intervention, then the outcome to the treatment may not be a proper one. Barth et. al (2011), explain that evidence based approaches are not always used by social workers in their interventions even though it is important to do so. On the other hand, I think that using common factors approach gives social workers a chance to be more original in their practice and give flexibility to their interventions. It provides the client with a more unique treatment that was customized for their own needs. Barth

Shirey, et al, (2011) did an excellent job breaking down the differences between Quality Improvement (QI), Evidenced Based Practice (EBP) and Research. The terms QI, EBP and research are often erroneously used interchangeably. Frequently it seems as if nurses don't know which method to use to address the practice problems they are trying to solve. As someone, who is responsible for implementing QI projects on a regular basis and has also mentored nurses in doing both EBP and research, I found the clarity of the descriptions enlightening, an addition to my knowledge base and will also help me in my practice. The description used of a three-legged stool where QI, EBP and research as the legs all play an integral, yet individual, parts in

Drug use amongst young teenagers develops different effects upon their lives. The different effects include brain defects along with memory loss. (TeenRehabCenter, 2016) This fifteen-year-old is already experiencing issues within his health. Each morning he has to meet his dealer to fulfill his needs, which is a major problem for his age. As a social worker this issue alarms me, therefore I have recognized that he needs help. Through recognizing this issue with this client I realized it was best to use the “evidence-based practice” skill to evaluate the needs of this client.

EBIs to reduce disruptive behavior and increase academic achievement can include trainings and implementation support at the school, class-wide, and individual student-level, and are often either academic or behavioral in nature. Overall, implementation of both universal (i.e. class-wide) and targeted (i.e. student-level) interventions have demonstrated positive impacts on decreasing disruptive behaviors and increasing student academic achievement (Flower, McKenna, Bunuan, Muething, & Vega, 2014; Vannest, Davis, Davis, Mason, & Burke, 2010).Ross, Romer, and Horner (2012) also found that teachers in schools implementing Positive Behavioral Interventions and Supports with high fidelity

Opioid-free anesthesia, as the name indicates, is the avoidance of opioids in pain treatment pre-operatively, intra-operatively, and post-operatively in an attempt to reduce opioid-induced respiratory complications without sacrificing patient comfort. Some of the reasons to avoid opioids, besides respiratory depression, include: “muscle weakness, excessive somnolence, post-operative nausea and vomiting, ileus and constipation, urinary retention, dizziness, obstructive breathing, negative inotropism, and the possibility of tolerance and addiction” (Mulier, 2012). Post-operatively, the patient’s respiratory system may be too depressed to pass extubation criteria. If able to extubate, early mobilization may be difficult if the patient is too

As part of the rehabilitation process following a stroke, patients must relearn voluntary control over the affected muscles. The standard therapies typically used in the relearning process include both physical (PT) and occupational (OT) therapies. These routine stroke recovery therapies involve repetitive task specific practice over a long period of time and often result in delayed to moderate functional improvement (Yin, Hsueh, Yeh, Lo, & Lan, 2016). Sadly, many patients fail to reach their maximum recovery potential using PT and OT alone (de Rooij, van de Port, & Meijer, 2016).

It was nice reading from your posting, and that was very thoughtful of you on how nurse leader uses strategies in the implementation of Evidence-Based Practice (EBP) as you said the nurse leader should present any problem to the team in order to find solution to solve the problem. It is a very good idea for leaders to work as a team with their employee to find solutions to problem rather than seeking it themselves, like the saying goes that, “problem share is half solve”. The nurse’s leader should also create awareness and train staffs on new and best available information present on EBP web site to care for patients Huber (2014).