Evidence Based Practice by

marlonsimbajon — 2023-03-14 23:38:47 UTC

Based on the findings, .....
Analegsics, paracetamol and ibuprofen are equally effective
No clear evidence that ibuprofen is superior even if doctors prefer them
K(C)urrent research says that paracetamol is effective against soft-tissue injury pain
Let patient know that even if ibuprofen is safe, it is contraindicated to patients with bronchospasm, cardiac and renal failure
Encourage that paracetamol is more suitable for asthmatic patients
I will adhere to the NMC code of conduct at all times

marlonsimbajon — 2023-03-14 23:46:19 UTC

Based on the findings..
A lack of knowledge by healthcare workers of ASD could be a barrier to patients with ASD and wanting to access mental health support
Understand that healthcare workers may need autism-specific communication training
Tell patient that if ASD patients are less likely to seek help if disregarded
Inform patients who are previously diagnosed with Asperger Syndrome before 2013, suffers from misconception that they have learning disability, but this is not true but they may problems understanding and processing info
Support for mental health and treatment may help patient's wellbeing and improve behaviour
Make sure I adhere to the NMC code of conduct at all times

2023-03-15 11:47:34 UTC

- I will inform Tanveer that based on research findings bed side handover is the preference for adult patient and also most of nurses
-I will inform Tanveer that patients feel involved in their own care during bedside handover, supporting the two-way communication.
-I will advise Tanveer the preference of the patient to have two nurses at the bedside handover. I will inform that patient would like to have a Family member as well but from the nurses side this was not considered relevant
-I will explain that the sensitive information to be handover away from the bedside.
-I will advise Tanveer that bedside handover is important to improve the implementation of the patient-centred safety in hospital.
-I will make sure to adhere to the NMC code of conduct at all times

2023-03-15 12:03:55 UTC

Based on the findings.
-I will explain that the lack of information come from healthcare professionals about ASD are likely to be a barrier for a patient who seek for a mental health service.
-I will consider the need for additional training from the professional who is caring of a patient with autisms.
-I will explain that the people who are carelessness by a healthcare professional are less likely to seek for help
-I will inform that research findings shows patients who have Asperger's syndrome before 2013 do not have learning disability however they might still having difficulty in processing and understand information.
-I will consider that mental health support intend to help patient's overall wellbeing and improve of a self-injury behaviour
-I will adhere to the NMC code of conduct at all times.

Bedside Handover

2023-03-15 12:27:27 UTC

I will inform Tan that based on the research the adult patient and nurses both prefer handover at the bedside rather than somewhere else.
I will inform Tan that patients find the bedside handover beneficial as they feel they are involved in their own care and supports two-way communication.
I will advise Tan that patients prefer to have a family member, carer or friend and 2 nurses instead of nursing team during bedside handover however having a family member, carer or a friend was considered not important by nurse's side.
I will explain to Tan, that the patient agreed for sensitive information to be handed over quietly in the bedside but was strongly disagreed by nurses who preferred handing the sensitive information over verbally away from bedside.
I will advise Tan that the implementation of important patient-centred safety could be improved by developing the design and process of bedside handover.

Cervical Screening

2023-03-15 12:45:19 UTC

• I will explain briefly in regards to necessity and article summary and instructions of practice which aid in to cervical Screening
• I will explain the causes and causative organism which involves in the health condition which is HPV.
•I will encourage Roshni to get the test done as early as possible,to identify the clinical manifestations of HPV to find the risk of cervical cancer which will take to develop in time period of 10 to 20 years in future.
•I will provide the awareness regarding the cervical cancer which will be peaker in the middle age of life with who is having cervix.
•I will deliver the attention to the concern of Roshini by providing psychological support, family involvement, adequate informations and other non pharmacological measures to relieve the anxiety.
•I will advice Roshini in regards to attend the screening according to the time period that is, 3 years until she turns 49 and every 5 years until advised to do so and after 65 years either no screening or need to attend the screening if there is evidence of abnormal previous result.

2023-03-15 12:48:05 UTC

-I will inform Tan that based on research nurses and adult patient prefer handover at the bedside rather than somewhere else.
-I will inform Tan that patients find bedside handover beneficial as they feel involved in their own care and supports two-way communication.
-I will advise Tan that patients prefer to have a family member,carer, friend and 2 nurses present rather than the nursing team however nurses didn't consider important the present of family member, carer or friend.
-I will explain to Tan that patients agreed for the sensitive information to be handed over quietly, on the other hand nurses strongly preferred handing the sensitive information verbally away from the bedside.
-I will advise Tan the implementation of this important patient-centred safety can be improved by developing the process of design of bedside handover.

2023-03-15 13:03:45 UTC

I will assess thoroughly the patient condition, his capability to move, his ability to change position by him self and the reasons that impedes his movement.

I will inform the patient and the NOK that based on studies it was proven that having a specific foam preventive dressing applied to the sacrum reduced 10% of pressure ulcer occurrence.

I will inform though that being on a foam dressing causes skin irritation but assure him that it is a rare care.

I will re-enforce to the patient that a regular skin inspection, log rolling, being hydrated and indulging to a healthy diet helps in the preventing the development of pressure ulcer.

2023-03-15 13:04:59 UTC

I will explain to Charlie that a lack of knowledge and understanding of ASD by healthcare workers could be a barrier to those people who have ASD and seek for treatment and mental health support.
-I will consider the importance of additional training for healthcare workers to be able to communicate with people who have ASD
-I will explain that if ASD patients feel disregarded by Healthcare workers they are less likely to seek help.
-I will inform Charlie that the patients who were diagnosed with ASD before 2013 are affected by misperception that they have learning disabilities but that is not true, however they may still have difficulties understanding and processing information.
-I will consider Leslie's wellbeing and his self injury behavior improvement can be helped by treatment and mental health support.

2023-03-15 13:07:06 UTC

I will inform to the patient that he will be referred to a Tissue Viability Team for further discussion on how to prevent meticulously through some aids like foam dressing and others.

I will advise to him that being male is more at risk in developing pressure sore but will re assure that as long as proper body mechanics, positioning and moving will help him to avoid pressure sore.

Sindhu, Swarna, vinta

bodiswarnasucharitha15 — 2023-03-15 13:21:26 UTC

* I will explain briefly that there is a relation between poor diet and physical inactivity might result in Diabetes.
* I will ensure the patient understand importance of physical activity to prevent the progression of T2Dm

* I will explain the risk of high intake of sugar, red meat and fried food that will increase the risk of insulin resistance which will develop Type 2 diabeties
I will advice for lifestyle modification and environmental factor that causing type 2 duabeties

2023-03-15 13:23:57 UTC

• I will explain to Selai that fever will not cause harm but rather a defense mechanism in children for fighting infectious illness.
• I will advise Selai that it is beneficial to reduce the temperature using cooling techniques.
• I will instruct Selai to give Ibuprofen, but the child has to eat prior giving the medication since this causes gastric side effects. However, it is also safe to administer Ibuprofen without food for short term (up to 1 week).
• I will remind Selai that when the child has asthma, both Paracetamol and Ibuprofen can worsen the respiratory symptoms.
• I will inform Selai that in general, both Paracetamol and Ibuprofen is safe tp be given to children to treat fever.
• I will note that it is perceived for Ibuprofen to create more side effects than Paracetamol but it has not been proven yet as they still lack evidence to support this claim.

. I informs Bindhu's daughter regarding research studies that showed immense benefits on dementia patients who had undergone atleast five music therapy sessions.

2023-03-15 13:25:00 UTC

. I describes to Bindhu's daughter that not much evidence is available for music therapy as symptoms of agitation get resolved.

. I explains that present research studies suggests some proof of music therapy effects on dementia patients as they probably can improve depression and act as a rationale for implementing the therapy.

. I informs her that music therapy provides an overall quality of life for individuals with dementia but evidences are not much reliable than depression.

.I explains to Bindhu's daughter that clear and valid evidence is not there to provide information regarding the duration of effects created by music therapy till the activity stops.

• I will elaborate the importance of regular intake of cranberry juice to Freda that there is some research that shows that it might help prevent UTI causing bacteria from sticking to the walls of bladder and other urinary tract linings.

2023-03-15 13:25:06 UTC

• I can assure Freda about the importance of cranberry juice that it's unlikely to cause nausea.
•I will let Freda know that cranberry juice might not prevent UTI in all individuals as some groups were excluded from the study.
•I can inform Freda that antibiotics can't be replaced with cranberry juice as there's no available evidence.
•I will indicate Freda regarding the potential conflict of interest of the cranberry juice manufacturer as the research study was funded by him.

I explain Bharva about the condition based on the article summary,it's main findings and make it as a reference for future recommendations.

2023-03-15 13:26:41 UTC

I explain Bharva about the importance of compassionate communication as it prevents the need for restrain.

I consider the physical restrain as an option to ensure the safety of staff and individual unless there is none effective.

I will inform Bharva that the physical restrain may leads to sense of fear in patients and distress among staffs.

I recognise that the physical restrain can be perceived as a power that staffs display over their patients.

I explain that the use of physical restrain can be a threat that breaks trust between patients and staffs realtionships.

2023-03-15 13:32:58 UTC

>I summarise the main findings, make conclusions and recommendations for practice.

> I explain that mild skin irritation is a very rare side effect of foam dressing.

>I will advise patient that risk of developing a pressure sore is higher in male than female.

> I explain to the patient that regular skin inspection, changing position, staying hydrated and maintaing balanced diet will help in preventing pressure ulcer.

>I inform the patient that foam dressing may aid in the prevention of pressure sore, further discuss this with tissue viability team.

>I inform the patient that specific foam dressing applied to person's sacrum reduces pressure ulcer development by 10%, however even dressing is applied, pressure ulcer may develop later.

-I will make conclusions of main findings and make a summary in order to make proper referrals .

2023-03-15 13:34:01 UTC

-I make referrals clear and legible.

-I will recommend to the patient an alternative way of reaching the level of satisfaction as smoking, for example using of e-cigarettes.

- I will explain to the patient that evidence based study concluded that e-cigarette is more likely to cease smoking than nicotine replacement .

-I will advise that nicotine replacement therapies are more likely to cause nausea.

-I will tell the patient that face-to face support is important for a higher efficacy and effectiveness of treatments.

- I will acknowledge positively the patients will to stop smoking and offer support and encouragement.

Swarna Sindhu vinta

2023-03-15 13:37:44 UTC

I will summarize the findings from article summary given in the scenario and make recommendations
Sub points:
I will the recognize the MI symptoms correctly in order to seek prompt medical care
I will make sure that my patient understands that this condition may or may not cause her to experience chest pain
I'll explain the patient about the possible symptoms such as nausea and back, shoulder, throat/neck, cheek/teeth and arm pain and enquire if the pain is radiating.
I make sure that I'll emhasise my patient to report any symptoms that she's experiencing.
I'll encourage the patient to call 999 immediately if she experiences any of the above symptoms.

I consider the main findings of the article summary and it's conclusion to make recommendations in future practice

2023-03-15 13:53:04 UTC

I inform Fiona that the incidence of wound infection when cleaned with sterile water or tap water has got zero difference.

I inform Fiona that there is no evidence to confirm the effectiveness of water or saline on wound healing.

I inform Fiona that there is no difference in patients feedbacks in both groups.however ,there is lack of evidence that states patients experiences pain on advere effects.

I highlight Fiona that there is no standered guidelines for assessing wound infection across the trials, which limited the results.

I explain Fiona that tap water is recommended as a cost effective option for wound healing.

i will summarize the main finding from the article summary and draw conclusions making recommendations.

2023-03-15 14:04:42 UTC

i will write clearly and legibly

i will inform the patient that use of medical grade honey has no current conclusive evidence to improve outcomes of patients with chronic venous leg ulcers.

i will inform the patient that one large study found no reduction in size of ulcer or healing time with honey compared with standard treatment.

2023-03-15 14:26:35 UTC

i will advised the patient in the same study, reported an increased rate of pain.

in will explain that another study suggests that honey may have antimicrobial properties that may help patient with chronic venous leg ulcers which have a methicillin-resistant staphylococcus aureus infection however there is a very small study, and more research is required.

i will inform the patient that using medical grade honey has no cost effective evidence in the treatment of chronic venous leg ulcers

i will recommend further study is needed to prove that honey can trat chronic venous ulcers based on current evidence based trust protocol.

2025-01-30 10:13:34 UTC

Diet may be a factor. Eat regularly.

Insulin is not prescribed so less likely for blood sugar to drop, but need monitoring

Always be aware of carbohydrate intake

Blurred vision, excess sweating, new confusion and feeling faint may be signs of low blood sugar. Check asap!

Eat sugary food or drink if having low blood sugar

Tell friends to call 999 if blood sugar goes very low

Episode of acute illness may change sugar levels

Safely monitor blood sugar levels regularly