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MeSh:

PICO

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MeSH:

PICO:
P:
I:
C:
O:

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MeSH: Diabetes Mellitus Type 1
PICO:

Patient: Female, 11 y/o
Risk factors: family history, race
Interventions/Surgery: insulin, diet & exercise
Comparison/Alternative treatments:  excessive thirst, fatigue, hunger, or sweating
Comparison/Diet/Nutrition Supplements: foods that are lower in saturated fat, sugar and salt
Others: chronic, no cure
Outcome: Type 1 diabetes can be managed with proper treatment, like taking insulin, having a healthy diet, and getting exercise. People who manage their diabetes can live a healthy life.

Learning gap:  90 percent of the body's insulin-producing cells have been destroyed
Teaching strategies: how to manage Type 1, diet that manages blood glucose levels with insulin and carbohydrates

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Mesh: bone loss prevention
post menopausal osteoporosis
P: female over 60
I: education about food and activities that decrease the rate of bone loss
C:nursing intervention vs. medication treatment
O: dexa scan will show rate of bone loss has decreased

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P LVAD patients
I Aseptic dressing change
C clean dressing change
O Infection free woud

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MeSH:  "Thyroid neoplasms"
PICO:
Patient- Females with thyroid cancer, 40+years, in the United States
Risk Factors- radiation exposure, iodine deficiency, breast cancer, gender (women are 3 times more likely to get thyroid cancer)
Intervention/Surgery- Removing parts of thyroid gland
Comparison/alternative
Treatments-chemotherapy,
removal of cancerous parts of thyroid,  Percutaneous ethanol injection may be considered as the first-line treatment for recurrent benign cystic lesions, while in non functioning nodules, thermal ablation techniques performed with laser or radio frequency provide significant shrinkage,  HIFU, a noninvasive treatment based on the use of high-intensity ultrasound waves,
Comparison/diet/nutrition/supplements- iodine supplements
Outcome- patient free of cancer

Learning gap- which surgery is the best option?
Teaching strategies- increase iodine in patient's diet by supplements or increased intake of tuna, eggs, iodized salt, prunes
Ways to evaluate- check iodine levels in patient and assess for family hx of thyroid cancer or breast cancer

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MeSH: PCOS and Endometriosis
PICO: young female patients with ovarian cysts (PCOS and endometriosis)

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MeSH:

Coccidioidomycosis

PICO
Patients diagnosed with valley fever
Intervention: anti-fungals
Comparison: alternative medicines
O: management/treatment of Valley Fever

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MeSh:  human immunodeficiency Virus, HIV infection,   T-Lymphotropic Virus Type III Infections, Acquired immunodeficiency Syndrome

PICO
P:Patients w/ HIV
I: intervention: Preventing AIDS and prevent spread
C: Compare
O: Manage HIV, become undetectable ,

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MeSH:

PICO:
Patient: Child age 11
Intervention: albuterol inhaler
Comparison:
Outcome:

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MeSH: any dysfunction of the muscles being directly or indirectly caused by pathologies of the nerves or nervous junctions.

PICO
Patient: autoimmune disorders, environmental factors, genetic disorders.
Intervention: drugs and physical therapy.
Comparison: no intervention.
Outcome: management of neuromuscular diseases to ensure highest level of independence.

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MeSH: Pulmonary disease, emphysema
PICO:
Patient -68 yr old female
Intervention -Movement/Activity/Pulmonary Rehab
Comparison -Medication
Outcome -

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Excess sugar in blood

MeSH: Adult onset diabetes mellitus, Diabetes mellitus type 2
Excess sugar in blood

Initial damage includes damage to blood vessels in eyes and nephrons in kidneys

PICO:
Patient: Female, 30's, Hispanic
Risk Factors: Obesity, family hx of diabetes, hypertension and cardiac disease
Interven

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MeSH:

PICO:
Patient: female patients with endometriosis
Intervention:
Comparison:
Outcome:

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MeSH:

PICO:

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Elevate ammonia levels

MeSH: None

PICO:
Patient: Patients with liver failure
Intervention: Lactulose therapy
Comparison: No intervention
Outcome: Reduced ammonia levels in patients treated with lactulose

Learning gap: How to manage ammonia levels day-to-day

Teaching strategies: literature, videos

Ways to evaluate: Blood draw

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MeSH: Venous Thrombosis

P: post surgical patients
I: TED hose and SCD's
C:
O: treatment of DVT

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Lili's Sample: Managing Sacroiliac joint pain/lower lumbar pain in middle-aged Asian females

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Lili's Sample: Managing Sacroiliac joint pain/lower lumbar pain in middle-aged Asian females

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Sacroiliac joint pain/lower lumbar pain

MeSH:  Sacroiliac joint, inflammation = LUMBAR VERTEBRAE,

Sacrum,

Low Back Pain

PICO:

Patient: Female, 50s , Asian
Risk factors: osteoporosis, feet with bunion
Interventions/Surgery: Radiofrequency Ablation OR Denervation
Comapriison/Alternative treatments: exercise (weight lifting, swimming, Pilates, Yoga), acupuncture, physical therapy, ...
Comparison/Diet/Nutrition Supplements - Turmeric, prenatal vitamins, MoveFree, more dairy intake ...
Others: Adjustable workstation, ball chair, donut cushion, Dansko shoes, cold/heat pad,
Outcome: pain reduction or relief

Learning gap: which surgery is the best option? Is swimming helping or harming?
Teaching strategies: videos, demo
Ways to evaluate: check for certain postures, pain levels...

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