She has struggled to lose weight all her life and has given up on her attempts. She has remained active and fairly fit until the past two years. The approach to her hypertension is pharmacological, with metoprolol 100 mg bd, though in the past two years, her blood pressure increased to more than 160/90 in several instances. For the precedent year, she experienced repetitive chest and left arm pain with no evidence of ischaemia. She has had normal ECGs and troponin levels. She complains of increased shortness of breath and wheezing. These symptoms partially improved with inhaled beclomethasone diproprionate. She also has atrial fibrillation. Recent blood tests illustrate that her cholesterol is normal, but her fasting blood sugar is 6.1. Her full blood picture, urea, and electrolytes and liver function tests are normal. Betty also has a history of pernicious anaemia and osteoarthritis. Betty is divorced and has a 51-year-old daughter who also has hypertension. Betty is independent and has lately felt somewhat depressed because of her inability to do everything she would like to do at home without feeling exhausted and short of breath.
The questions for this case are: What is the efficacy of various therapies in producing weight loss in a person who has failed previous attempts? What is the best therapy for the patient? These questions fall into the therapy category. The selected therapy approaches are: pharmacological approach, behavioural approach, complementary and alternative medicine (CAM) approach, and integrated approach. Surgical approaches are no longer included.
The resources are academic medicine and nursing journals. EBSCO database is searched and related medicine/nursing journals are used. These keywords are used: “complementary and alternative medicine weight loss,” “behavioural therapy weight loss,” and “pharmacological weight loss.” The results are fewer than 50 and are no longer limited to research or interventions, although ...
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(Evidence Based Practice Essay Example | Topics and Well Written Essays - 1500 Words - 1)
“Evidence Based Practice Essay Example | Topics and Well Written Essays - 1500 Words - 1”, n.d. https://studentshare.net/nursing/495783-evidence-based-practice.
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This essay addresses the barriers that exist against using evidence-based practice in the treatment of atrial fibrillation. It will also evaluate different strategies that can be used to develop the use of evidence-based practice among critical nurses who tend to older patients suffering from atrial fibrillation.
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ed need for the increase in the number of Acute Care for the Elderly Units to allow for the provision of specialized quality care for this group of patients (Jaipaul & Rosenthal, 2009; British Geriatric Society, 2012).
With geriatric care being a key area of interest for me,
Thus, they ensure that the participants remain updated on any new occurrences during the research process.
Evidence-based practice is a critical approach to offer the unsurpassed quality care to patients as
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