NUR172: What is your EBP research topic? MeSH? Identify the client or population? PICO? What learning gap have you identified? What are your teaching strategies, including modalities? How do you evaluate client learning? by Lili https://padlet.com/li_kang/NUR172Fall2018 Brainstorm and identify the right key concepts en-us 2018-09-04 17:08:56 UTC 2018-09-05 18:08:55 UTC hello@padlet.com Lili's Sample: Managing Sacroiliac joint pain/lower lumbar pain in middle-aged Asian females li_kang https://padlet.com/li_kang/NUR172Fall2018/wish/277665506 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...

add

]]> 2018-09-04 17:15:44 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277665506 Liver Failure https://padlet.com/li_kang/NUR172Fall2018/wish/277748988 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]]> 2018-09-04 20:27:32 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277748988 Hypertension https://padlet.com/li_kang/NUR172Fall2018/wish/277749058 MeSH:

PICO:


]]> 2018-09-04 20:27:44 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749058 Endometriosis https://padlet.com/li_kang/NUR172Fall2018/wish/277749073 MeSH: 

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

]]> 2018-09-04 20:27:48 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749073 Deep Vein Thrombosis https://padlet.com/li_kang/NUR172Fall2018/wish/277749086 MeSH: Venous Thrombosis

P: post surgical patients
I: TED hose and SCD's
C:
O: treatment of DVT]]> 2018-09-04 20:27:50 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749086 Diabetes Mellitis https://padlet.com/li_kang/NUR172Fall2018/wish/277749112
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
]]> 2018-09-04 20:27:54 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749112 lower back pain https://padlet.com/li_kang/NUR172Fall2018/wish/277749148 2018-09-04 20:27:59 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749148 Multifocal Motor Neuropathy https://padlet.com/li_kang/NUR172Fall2018/wish/277749170 2018-09-04 20:28:03 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749170 Schizophrenia https://padlet.com/li_kang/NUR172Fall2018/wish/277749216 2018-09-04 20:28:10 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749216 COPD https://padlet.com/li_kang/NUR172Fall2018/wish/277749230 MeSH: Pulmonary disease, emphysema
PICO:
Patient -68 yr old female
Intervention -Movement/Activity/Pulmonary Rehab
Comparison -Medication
Outcome - ]]> 2018-09-04 20:28:13 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749230 Neuromuscular diseases https://padlet.com/li_kang/NUR172Fall2018/wish/277749293 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. ]]> 2018-09-04 20:28:25 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749293 Asthma https://padlet.com/li_kang/NUR172Fall2018/wish/277749305 MeSH: 

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

]]> 2018-09-04 20:28:28 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749305 HIV/ AIDS https://padlet.com/li_kang/NUR172Fall2018/wish/277749319 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 , ]]> 2018-09-04 20:28:30 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749319 Thyroid Cancer https://padlet.com/li_kang/NUR172Fall2018/wish/277749408 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 



]]> 2018-09-04 20:28:43 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749408 Valley Fever https://padlet.com/li_kang/NUR172Fall2018/wish/277749409 MeSH: 
 

Coccidioidomycosis 


PICO
Patients diagnosed with valley fever 
Intervention: anti-fungals 
Comparison: alternative medicines 
O: management/treatment of Valley Fever  
]]> 2018-09-04 20:28:43 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749409 Hyperthyroidism https://padlet.com/li_kang/NUR172Fall2018/wish/277749483 2018-09-04 20:28:56 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749483 Leukemia https://padlet.com/li_kang/NUR172Fall2018/wish/277749571 2018-09-04 20:29:13 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749571 Emphysema https://padlet.com/li_kang/NUR172Fall2018/wish/277749599 2018-09-04 20:29:20 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749599 osteoporosis https://padlet.com/li_kang/NUR172Fall2018/wish/277749643 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]]> 2018-09-04 20:29:29 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749643 LVAD dressing change https://padlet.com/li_kang/NUR172Fall2018/wish/277749698 P LVAD patients
I Aseptic dressing change
C clean dressing change
O Infection free woud]]> 2018-09-04 20:29:42 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749698 Ovarian cysts https://padlet.com/li_kang/NUR172Fall2018/wish/277749750 MeSH: PCOS and Endometriosis
PICO: young female patients with ovarian cysts (PCOS and endometriosis) ]]> 2018-09-04 20:29:53 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749750 electrolyte imbalance https://padlet.com/li_kang/NUR172Fall2018/wish/277749789 2018-09-04 20:30:00 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749789 Diabetes Mellitus https://padlet.com/li_kang/NUR172Fall2018/wish/277749945 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 
]]> 2018-09-04 20:30:37 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277749945 Peripheral Vascular Disease https://padlet.com/li_kang/NUR172Fall2018/wish/277750169 MeSH:

PICO: 
P:
I:
C:
O:

]]> 2018-09-04 20:31:26 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277750169 Bulimia Nervosa https://padlet.com/li_kang/NUR172Fall2018/wish/277750374 MeSh:

PICO]]> 2018-09-04 20:32:01 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277750374 Glioblastoma https://padlet.com/li_kang/NUR172Fall2018/wish/277752627 2018-09-04 20:40:26 UTC https://padlet.com/li_kang/NUR172Fall2018/wish/277752627