Evidence Based Practice Worksheet Complete the following table for each of the diseases assigned to you in NFS 715. The purpose of this assignment is to teach you how current research and evidence summaries are used to influence patient care. Intern Name Taylor Zinke Disease State Category Gastrointestinal (Chron’s) 100-word summary of your patient’s medical diagnosis, care, prognosis, and nutrition needs. USM students MUST submit a copy of their actual chart note and NCP form for this patient in NFS 567L. The patient presented to the hospital with an exacerbation of Chron’s disease and chronic diarrhea. The nutrition department was consulted for the patient’s length of stay of seven days to determine the patient’s nutrition status and …show more content…
However, all of the patients examined did exhibit a decrease in severity of the disease (P<0.0001). Additionally, the Children’s Hospital of Philadelphia reported a retrospective study determined that 65% of 23 patients reporting with active Chron’s reached remission with enteral nutrition therapy when 80-90% of total calorie intake received was from a semi-elemental tube feeding formula and was administered for a minimum of 12 weeks. Multiple randomized control trials examined the effects of partial enteral nutrition on Chron’s disease in adults, following a relapse of the disease. The study design consisted of 50% of total calories was to be delivered from enteral nutrition and the remaining 50% consisted of a free diet intake. It was determined that a low-fat diet and use of an elemental enteral nutrition formula for a minimum of one year, decreased the amount of disease reoccurrence. It was observed that 5% of the participants on partial enteral nutrition experienced a relapse; where as 35% of individuals on the free intake diet experienced relapse (P=0.048). 100-word summary of the EAL, Cochrane, or ASPEN evidence summary of the nutrition related guidelines DF: Gastrointestinal Disease. (n.d.). Retrieved October 23, 2017, from
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Is there a Literature Review? What kind of information is found in this section? How current is and
Nutrition Intervention: It is crucial for Mrs. Joaquin to have the adequate amount of kcalories implemented into her diet because if energy needs are not met via dietary intake, then the body will start using "body protein" to meet its' energy
This patient also had a gastrostomy tube placed due to being unable to tolerated feeding by mouth. He receives formula feedings through this tube for nutrition. Along with this patient coming in due to undetectable Tacrolimus levels, he has also come in for Failure to Thrive. With this, it means that he was either incorrectly being fed or not being fed at
Evidence based practice is an important priority in nursing because it ensures that the best quality and most effective care is being used. Restraint use is an intervention that is being minimized more and more. It can be an important intervention when necessary but there are specific circumstances and guidelines that must be followed. Evidence based practice is proving that restraint use may be eliminated due to safety concerns and more beneficial interventions being used.
Dr Rose blast 's review was an imperative normal trial for evaluating the long haul impacts of starvation on consequent eras. Be that as it may, the program didn 't talk about whether these sickness affiliations happen simply after outrageous caloric limitation or whether they could apply to typical varieties in mother 's eating routine.
Evidence based practice is the combination of clinical expertise, patient values and the best research evidence into the decision making process in order to have a better care for the patient. It’s a patient focused practice so the clinician should make use of the best recent evidence from the research along with patient’s preferences. According to Fineout-Overholt and Stillwell (2015), “formulating the clinical question is like identifying the characteristics of the needle”(p.25). The clinical research question asked ideally defines the best research design for the study. To ease doubt and facilitate getting the right information at the right time, EBP stresses first asking a well-built question, then searching the literature for an answer
Evidence based practice is more likely to take hold in an environment that is supportive and understanding that change although may be necessary is typically difficult to implement without some resistance. Evidence based practices are crucial in improving patient outcomes and having healthier patients at discharge. This in turn can reduce re-hospitalizations, allow for better participation in rehab if needed and promote better disease self management along with cost savings at the hospital. In order to provide this, the floor nurses need to be educated on the new process and fully understand why it is better then how it was previously being done. Resources should be readily available be it extra staff, supplies or constant and continuous education
Evidence based practice in nursing research has changed the era of nursing. Every nursing intervention is evidence based. I have not served on a research/EBP council at work but I have written a nursing research paper based on evidence based practice. The title of my paper was hand washing with soap and water vs. hand sanitizer. I found out that using hand sanitizer is efficient to kill germs but hand washing with soap and water in between after 4-5 application of hand sensitizer will improve results. Hand sensitizer will kill 99.99% germs but the residue stays in the hand. Hand washing with soap and water will flushes the residue away. So, practicing both technique will help prevent infection and cross
Within this assignment it will be exploring the care of a patient using evidence based practice. The patient being explored is one met during a community nursing placement, though all identifying evidence will either be changed or not used to keep the patient’s confidentiality (as with the nmc code). The patient is currently residing in a residential home in Derbyshire. The patient is a man who is in his fifties. He had been put into the residential care following a hospital admission for a brain tumor, a family member living with the patient had flagged patient safety issues at home and social workers thought it be best for the family to have a respite period and to give the patient more care in a residential home for an undetermined amount of time. The patient themselves seemed very happy to accept this. The patient’s current medical history is that he suffers from diabetes which is kept under control through two insulin injections a day, morning and afternoon. As previously mentioned above he also suffers from a brain tumor, at the moment the effects of this on himself are unknown. It has been recorded that the patient has some difficulties in maneuvering himself and needs some assistance as well as assistance and prompting to eat and drink. Due to the patient’s current medical history three care aspects have been chosen to explore that are considered relevant to this patient. The following are - Infection control / standard precautions, medicine
The five day dietary assessment gave us a chance to see what the patient was consuming and how often. Five to six days a week the patient had fruits, juices, eggs, meat, fish, poultry, and vegetables other than starches during a meal time. Just as often she was having, milk, yogurt, potatoes, rice, other starches, cheese, and soda with sugar with both meals and snacks. In between meals she was enjoying cookies, cake, pies, and pastries at least three times a week, and sugar free gum every day. A few times a month the patient would have Coffee or tea with added sugar or flavorings, sports or energy drinks, and candy during both meals and snacks. Three things that she never consumes are cereals, diet soda, and gum with sugar. C.S. states she
In Nursing, one must provide the best patient care possible. Using evidence-based care when practicing is one way to ensure that a patient is receiving the best care. Research is often performed to find up to date evidence based care techniques in different articles. Processes have been developed to nurture the knowledge and guide nurses with research reviews, such as the PICO model. The first step to any type of research, is to develop a focused clinical question or hypothesis to reflect on throughout the evaluation of the information. This will help organize the research to provide better analysis and utilization of the PICO model. PICO stands for population, intervention, comparison, and outcomes. The purpose of this paper is to discuss the use of the PICO model in the article, A Systematic Review of the Interventions for Nipple Trauma in Breastfeeding Mothers.
Over the years nurses have relied on utilizing nursing interventions founded only on tradition. By following this trend nurses aren’t giving the best care, but the most popular care to patients. By choosing to care for patients using evidence based practice, nurses are giving the interventions they use credibility.
The Ganz et al. (2009) research was performed in order to evaluate the ICU nurses oral care routines and if they were using appropriate, up-to-date evidenced based techniques and lastly if evidence-based practices (EBP) was associated with personal demographics and professional characteristics. Ganz et al. (2009) had found that previous research and studies has shown that poor oral hygiene may contribute to greater risks for pneumonia which results in an increase in mortality and morbidity (Ganz et al., p 133). In fact some of the research studies had stated that there was no documentation of the nurses oral care practices and these practices were not even up-to-date with recent evidence (Ganz et al., p 133). In addition to that, ventilator-associated
The tool was created to help practitioners figure out if a statement about clinical practice was based on research or it is based on other reliable evidence.
According to the Crohn’s and Colitis Foundation of America, Crohn’s disease (CD) may affect as many as 780,000 Americans1. The exact time of the onset of the disease is unknown, but it often starts between the age of 15 and 35 for both men and woman. Currently, the diagnosis, etiology, treatment, and cure of CD remain undefined. However, recent research suggests that hereditary, genetics, and/or environmental factors play a role in the development of CD. Also, recent research also suggests that poor diets and high-stress levels aggravate the symptoms, but there is not significant evidence to support the claim. Hence, the objective of this literature search is to highlight the role of nutrition therapy as part of the process in prevention, treatment, and recovery of the patient in regards to CD, because the incidences of CD in the U.S. are on the rise. Therefore, the value of nutritional support in the prevention and treatment of malnutrition of the patient with CD is essential, even though the essential role of medical nutrition therapy (MNT) for CD is still debated. Is important to mention that based on the evidence of controlled trials, MNT, and specifically enteral nutrition, remains one of the most accepted treatments for CD, demonstrating that enteral nutrition induces the same remission rates as well know pharmaceutical therapies.