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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. ...
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