PICO Case Study Essay

Human-papillomavirus (HPV) DNA testing has been proposed as an alternative to primary cervical cancer screening using cytological testing. Review of the evidence shows that available data are conflicting for

Bessel van der Kolk (2014) in his groundbreaking book, “The Body Keeps the Score,” explores how trauma memories are stored nonverbally in the physical body and brain. He recommends yoga as one pathway to release that somatic memory and re-establish equilibrium. Many of the benefits of art therapy are also associated with yoga. They are both experience-based, guided by intention, promote self-awareness, encourage a state of flow, activate the limbic brain, reduce stress, encourage observation rather than judgement, are adaptive, and encourage change and healing (Gibbons, 2015). Yoga stretches can be incorporated into art therapy sessions to address the large muscle movements associated with the ETC kinesthetic component and to reduce tension. Yoga can also induce a state of body-based present-moment awareness and sensory calm.

I believe to design a study in which my pico question can be addressed is very easy to perform. I performed a data based search using the terms central line, dressing change and risk of infection. The data based showed more than hundred results of study focusing on the topic of infection control in patient with central line.

My Bachelor’s in Exercise Science has equipped knowledge of the human anatomy and physiology, and exercise testing and prescription for people of different ages and health conditions. During my attendance at the University of Texas at Arlington, I joined the Little Mavs Movement Academy directed by Dr. Priscilla Cacola. I volunteered for a year in this program; while in the program I had the opportunity to learn about developmental coordination disorder (DCD) and how it interferes with activities of daily living and learning of

Yoga has been shown to be effective as an adjunctive treatment for a wide variety of disorders, including epilepsy, diabetes, heart disease, insomnia, and chronic pain (Streeter et al., 2012; van der Kolk, 2014). Streeter et al. (2012) propose that yoga is helpful in such a wide variety of conditions because it reduces allostatic load in the stress response symptom, decreases sympathetic nervous system activity, increases parasympathetic nervous system activity, and increases gamma amino-butyric acid (GABA) levels. Overall, yoga is a practice that may help the body return to a more optimal state of

Olama, K.A., & Thabit, N.S. (2010) performed a randomized controlled trial to determine the efficacy of whole body vibration (WBV) and a designed physical therapy program versus suspension therapy and the same designed physical therapy intervention in balance control in children with hemiparetic CP. Criteria for inclusion for the study were children with hemiparesis cerebral palsy from both sexes ages 8 to 10 years old, able to understand commands given to them, able to stand and walk independently with frequent falling, and balance problems ( as confirmed by the Tilt Board Balance Test). The exclusion criteria consisted of presence of any medical condition such as vision and hearing loss, cardiac abnormalities, and musculoskeletal disorders. Children who met the criteria (n=30) were recruited from the outpatient clinic, College of Physical Therapy, Cairo University The randomization was done according to the Gross Motor Function Classification System (GMFCS). Treatment allocations were done by the selection of a closed envelope randomly selected. Parents and children were informed of the treatment allocation after the selection, procedures were explained to both of them and signed assent and consent were obtained.

Yoga is one kind of exercise which relaxes our mood, body, and mind. It consists of different body movement like stretching, keeping, different posture, and as well as meditation. Within the article "Efficacy of the get ready....a pretest -posttest control group design “the authors are trying to portray the effects of yoga on children with autism. I chose this article because my son also has autism problem. He is in first grade, and he gets occupational therapy, physical therapy, and speech therapy in school. Furthermore, this article would be beneficial in helping me understand how to help my son. Moreover, I expect as a future certified occupational therapy assistant that I may do this kind of work.

The study by Lee, Kim, and Na (2014) compared HT and a horseback riding simulator concerning their effects on static and dynamic balance in children with CP. This study consisted of 26 children ages 8-12 randomly divided into a HT group and a horseback riding simulator group. Both groups completed one hour of exercise, three days a week, for 12 weeks. The intervention consisted of anterior-sitting, posterior-sitting, and side-sitting exercises for ten minutes each. Both groups also received 20 minutes of physical therapy per session. This study used BPM software to measure static balance and the Pediatric Balance Scale (PBS) to measure dynamic balance, pre and post intervention. Data showed significantly decreased sway lengths in static balance

All selected articles are relevant to the PICO question as they share a common objective, to evaluate the efficacy of health coaches on chronic disease self-management, and evaluated in each study either as a primary or secondary outcome; all studies were experimental designs – RCTs; two are pragmatic design studies, a design which enhances external validity thereby extending generalizability to the PICO population, Wayne et al. (2015), and Ma et al. (2013), researchers in these two studies were interested in evaluating if a coaching intervention would work in real life, and whether the intervention worked in a way that mattered to the study participants.

The special needs children I was working with struggle to stay focused and sit still during class time. The addition of school based physical therapy helps to control their focus and allows them to keep up with the other students. A lot of the students I observed in this setting lack genuine human contact outside their home. Physical therapy gives them a place where they are they are most important and everything is individualized to their needs. Working with these kids was exceptionally rewarding and sparked so many ideas on how to incorporate the things that kids love and get excited about into their treatment. Making an effort to be available for my patients with questions and concerns is important. I will do my best to ensure that my clients and patients are interested in the exercises I give them to promote adherence and importantly,

An observation was held in the alpert Jewish community center. A variety of children between the ages of three to five were observed in activities ranging from physical and motor to social and cognitive development “The Gross Motor Function Measure was designed specifically to evaluate change in gross motor function in children with CP (Russellet al1989). It consists of 88 items

Other preliminary research indicated that yoga could be a useful supplementary treatment to reduce the general psychopathology of schizophrenia, and may have positive effects on mental health, although the quality of research to define these effects is low.

Yoga's psychological benefits include; improvement of anxiety, depression, stress tolerance, addictive disorders, bi polar disorders, eating disorders, insomnia and overall emotional balance. Physical benefits include; improvement of chronic pain, reduction of heart rate and blood pressure, increased circulation, and function. The benefits continue; improvement in venous return of the

However, what if chronic back pain could be managed by adding alternative therapies such as yoga to modern treatments? Yoga is an additional therapy that decreases chronic back pain by promoting movement and decreasing pain medication dependence (Lee, Crawford & Schoomaker, 2014). This could radically reduce the dependence on drugs for pain relief and lead to a movement where pain is managed with the help of both modern medicine and affordable alternative remedies. With this in mind, promoting alternative therapies, such as yoga, in collaboration with modern treatments provides a larger range of options with different efficiencies for those with chronic back pain.

The health behavior that was chosen to promote during our campaign was yoga. We encouraged students, staff, and faculty members at Knox College to partake in yoga classes offered by the school in order to reduce stress and target a particular health/illness outcome. The main physical health/illness outcome targeted in this campaign was reduced blood pressure. Yoga is also seen to improve cardiovascular health. We chose to focus on the benefits of yoga to improve blood pressure and cardiovascular health instead of just one or the other because most of the studies that we found while researching mentioned both decreased blood pressure and improved cardiovascular health occurring from practicing yoga.