Weight loss therapies: An Evidence-Based Practice (EBP) approach Name University 22 March 2012 Table of contents Introduction 3 The Patient History 3 Answerable Questions 4 Evidence Resources and Search Strategy 4 Examining the Evidence 4 Evidence Appraisal for Validity, Importance and Applicability 8 Analysis of EBP Usage and Its Limitations 9 References 11 Introduction The notion of evidence-based nursing is an outgrowth from the evidence-based medicine movement…
This paper will apply EBP on the case of Betty. The Patient History Betty is 74 years old with history of hypertension since age 40. 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. Answerable Questions 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. Evidence Resources and Search Strategy 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 research, trials, and nursing interventions were selected. There were no restrictions placed on language and years of publication although articles from 2004 onwards were selected. Examining the Evidence Evidence is examined through evaluating the research design and findings, as well as conclusions. Evidence is also compared with other independent and original researches done by other scholars and in other journals. Pharmacological Treatment Pharmacological treatments have been shown to be effective in reducing body weight. Neovius and Narbro (2008) conducted a systematic review on the cost-effectiveness of pharmacological anti-obesity treatments, specifically sibutramine, orlistat and rimonabant. Fourteen unique articles were used with exercise and diet used as comparators. Manufacturing companies funded these studies, except three. Findings showed that sibutramine, orlistat and rimonabant were cost-effective pharmacological treatments. Another study indicates the role of psychology in the efficacy of drug treatments. Elfhag, Finer, and Rossner (2008) ...
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(Evidence Based Practice Essay Example | Topics and Well Written Essays - 1500 Words)
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This being the case, it becomes necessary to understand what exactly Evidence based practice (EBP) is and why it is such an important contribution in the medical field. To start with evidence based practice is a resource intensive method that allows medical practitioners make decisions that help them promote healthcare using available evidence.
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.
The clients of this facility are the elderly patients who require nursing care services. Those with physical disability are also attended to in this care home. Physiotherapy, independent living training and palliative care are the services offered in the care home (Care and Social Services Inspectorate Wales, 2012).
Furthermore, some interventions which reliable researches showed to have significant benefits have been largely ignored. By bringing together the results of research in a systematic way, appraising its quality in the light of question being asked synthesizing the results in an explicit way and making the knowledge base more accessible, it is hoped to foster a greater sensitivity to the evidence by researchers, policy makers, health practitioners and the public.
However, the use of the term "evidence based" had confused many practitioners. Several researches were done to clarify the term. Aside from misconceptions and misinterpretations, evidence based nursing practice is also plagued with debates and issues that need to be resolved.
Its goal is to eliminate unsound or excessively risky practices in favour of those that have better outcomes.
"Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners of all varieties to address healthcare questions with an evaluative and qualitative approach.
These companions could either be in the institution where the patient is, in a private home that offers care to such patients, or could be family members or other people paid to care for the patient (Klonsky 1039).
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
Similarly, evidence-based practice (EBP) is more of a specific approach, which can be part of the EBT (Spitz et al., 2007). The EBP approach involves the concerned family members through the treatment process, engaging with direct communication with the patient through
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