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/NUR172 Brainstorming - Finding the right inquiry scope and terms... en-us 2018-02-05 22:53:55 UTC 2018-02-06 23:46:24 UTC hello@padlet.com Sacroiliac joint pain/lower lumbar pain https://padlet.com/li_kang/NUR172/wish/228824361 Female, 50s , Asian
Risk factors: osteoporosis, feet with bunion 
Surgery: Radiofrequency Ablation OR Denervation
Alternative treatments: exercise - weight lifting, swimming, Pilates, Yoga; diet - Turmeric, prenatal vitamins, MoveFree...
Others: Adjustable workstation, ball chair, donut cushion, Dansko shoes


]]> 2018-02-06 19:44:31 UTC https://padlet.com/li_kang/NUR172/wish/228824361 Opioid abuse/chronic pain patient https://padlet.com/li_kang/NUR172/wish/228847391 45 y/o white male,
Risk factors: Family history of addiction/drug abuse, chronic pain often un-managed, occupation: flooring installer/manual laborer,
Family hx of ETOH and opioid abuse
Options for tx: quit taking opioids without alternative medications ("cold turkey"), buprenorphine, suboxone (buprenorphin and naloxone), Zubsolv, group therapy sessions (NA, AA), Naltrexone
Alternative therapies: music, art, equine, biofeedback, exercise, yoga/mindfulness, ultrasound therapy, hot/cold therapy, massage, chiropractor, meditation, acupuncture, pet therapy (service animal).


]]> 2018-02-06 20:22:22 UTC https://padlet.com/li_kang/NUR172/wish/228847391 Degenerative Disc Disease Pain Management https://padlet.com/li_kang/NUR172/wish/228847411 Patient: 34 y/o male; general contractor; very active and in good physical shape; married with two small (active) toddlers

Risk factors: Busy lifestyle; heavy lifting; large body type

Diagnostic tests: MRI revealed bulging disc 

Treatment options to consider: surgical intervention (spinal fusion); steroid injections; MSC injections (stem cell procedure); non-invasive pain management through stretching and exercise and physical therapy

Patient goal: Patient interested in determining optimal treatment options that fit within lifestyle and are lowest risk with long term results. 

Cultural Considerations: Patient is Bosnian-American and has a mentality of pushing through pain; refuses to take any opioid pain medications. Has a history of not following discharge instructions for allowing time to heal/rest/restrict activity. He is a busy business owner and sole provider in household; cannot take extended period of time away from work.

]]> 2018-02-06 20:22:25 UTC https://padlet.com/li_kang/NUR172/wish/228847411 Stroke/Cerebrovascular Accident https://padlet.com/li_kang/NUR172/wish/228847429 Population: white males age ranging from age 50-60 y/o.
Hypertensive, lifestyle, and history. 
Learning gap with damage to certain parts of the brain effecting speech, language, movement, ect. 
Teach using multiple methods to get use to individuals style of learning. Use photos or diagrams and demonstrate and have them teach back. ]]> 2018-02-06 20:22:27 UTC https://padlet.com/li_kang/NUR172/wish/228847429 Teaching about Duchenne's Muscular Dystrophy to the parents of a young boy who is newly diagnosed. https://padlet.com/li_kang/NUR172/wish/228847447 Fritz 22 months, caucasian male
Risk factors: mother is carrier of gene mutation that causes DMD
Presents as delayed development, weak muscles, disturbed gait, frequent falls, progressive muscle degenration
DMD is caused by an absence of dystrophin, a protein that helps keep muscle cells intact
Affects mostly males, most will not live past their early 20s
There is no cure, but physical therapy, occupational therapy, and medications, such as corticosteroids, can help control symptoms and improve quality of life.
Gene therapy and clinical trials are still being researched. ]]> 2018-02-06 20:22:29 UTC https://padlet.com/li_kang/NUR172/wish/228847447 Early Detection of S/S of stroke and use of Mobile Stroke Unit (MSE) https://padlet.com/li_kang/NUR172/wish/228847582 Metro Phoenix older adult population (55+)
Risk factor: Stroke Naive patients,  Low income
Learning gap: community awareness of  mobile stroke unit and improving long term outcomes  vs conventional ER visit and time it takes to get a diagnosis and treatment
Teaching: community meeting/presentation on the Mobile stroke unit, teaching s/s of stroke using a personal mirror and having patient perform impression of stroke s/s on own face. Possible broucher with information on MSE. Patients should be able to recreate stroke s/s. - Further research will be needed to evaluate long term outcomes of MSE exposure of use of the system vs convential ER treatment in the greater Phoenix area.
Cultural component: Older adult population tends to shy away from medical care, how would MSE promote early, safe, financially responsible and private care. 


]]> 2018-02-06 20:22:44 UTC https://padlet.com/li_kang/NUR172/wish/228847582 Chronic Obstructive Pulmonary Disease Self-care Techniques https://padlet.com/li_kang/NUR172/wish/228847609 Older adults 55+
Risk factors: lifestyle, environment, co-morbidity
Treatments/management: pharmacological, ]]> 2018-02-06 20:22:48 UTC https://padlet.com/li_kang/NUR172/wish/228847609 Traumatic Brain injuries in off-road racing https://padlet.com/li_kang/NUR172/wish/228847667 26 y/o male hispanic
1 previous concussion
risk factors: motocross racer
Teaching: helmet, neck brace, Post concussion education.
 Motor vehicle–related injuries (including off-road) are the leading cause of traumatic brain injury (TBI) and acute traumatic spinal cord injury in the United States. ]]> 2018-02-06 20:22:54 UTC https://padlet.com/li_kang/NUR172/wish/228847667 Postpartum Depression https://padlet.com/li_kang/NUR172/wish/228847763 female, 35 and older
risk factors: age, lifestyle, previous pregnancies, culture, race
treatments: medication or complementary or alternative ]]> 2018-02-06 20:23:04 UTC https://padlet.com/li_kang/NUR172/wish/228847763 Mobile glucose testing https://padlet.com/li_kang/NUR172/wish/228847810 DMII males, active
How to recognize alerts, calibrate as required, understand/read records (vs. A1C)Benefits; Long term management]]> 2018-02-06 20:23:09 UTC https://padlet.com/li_kang/NUR172/wish/228847810 Management of Valley Fever in Farmers of the Southwest US. https://padlet.com/li_kang/NUR172/wish/228847820 male, 55, caucasian
Risk Factors: multiple rib fxs, bilat. clavicle fxs, EtOH
surgery: possible lobectomy if VF is disseminated
Alt treatments: Cardiovascular exercise (indoors), IS
Others: rest, fluids, Diflucan (antifungal)

]]> 2018-02-06 20:23:10 UTC https://padlet.com/li_kang/NUR172/wish/228847820 Benefits of breast feeding education for low income, first time mothers https://padlet.com/li_kang/NUR172/wish/228847858 Are low income, first time mothers who receive breast feeding education more likely to successfully breast feed than those who don't receive education?
- Learning gap: low economic status, fewer resources, less access to consistent health care, possible educational deficits, financial struggles
-Teaching: hand outs for benefits of breast feeding, demonstration videos, resources for cheap supplies, rental pumps, etc.
- Are they more likely to choose breast feeding after the teaching and resources? Less likely? no change?]]> 2018-02-06 20:23:16 UTC https://padlet.com/li_kang/NUR172/wish/228847858 Benefits of Breastfeeding https://padlet.com/li_kang/NUR172/wish/228847963 2018-02-06 20:23:28 UTC https://padlet.com/li_kang/NUR172/wish/228847963 LGBT Sex Education for Teenagers https://padlet.com/li_kang/NUR172/wish/228847970 Do LGBT teenagers (14-18) who are given inclusive sex education report higher levels of confidence about protecting themselves from STIs? 
Learning gap: LGBT inclusive sex education is not provided in the majority of public/private schools that provide traditional sex education.
Teaching strategies, classroom setting, handouts...
Evaluate patient learning with a pre-test/post-test 

]]> 2018-02-06 20:23:29 UTC https://padlet.com/li_kang/NUR172/wish/228847970 Gastroesophageal Reflux Disease in Geriatric Patient https://padlet.com/li_kang/NUR172/wish/228848031 Male,  75, caucasian
Risk Factors: Diet, Alcohol, Stress, Genetic Predisposition
Medical Interventions: OTC drugs; Surgical interventions
TX: Dietary recommendations, stress management, lifestyle changes]]> 2018-02-06 20:23:35 UTC https://padlet.com/li_kang/NUR172/wish/228848031 Prenatal care https://padlet.com/li_kang/NUR172/wish/228848039

]]> 2018-02-06 20:23:36 UTC https://padlet.com/li_kang/NUR172/wish/228848039 Autism Spectrum Disorder https://padlet.com/li_kang/NUR172/wish/228848095 3 year old Caucasian male. Non-verbal
Diet education - casein-gluten-free diet
Support options for parents (financial & social)



]]> 2018-02-06 20:23:43 UTC https://padlet.com/li_kang/NUR172/wish/228848095 ETOH liver cirrhosis https://padlet.com/li_kang/NUR172/wish/228848251 Native American, male, 31 years old
Risk factors: family history, ETOH abuse, location (reservation)
Surgery: none; paracentesis (ascites)
Teaching: Alcohol cessation, diet]]> 2018-02-06 20:24:01 UTC https://padlet.com/li_kang/NUR172/wish/228848251 Breastfeeding https://padlet.com/li_kang/NUR172/wish/228848436 New mothers under the age of 25.
Hand-outs to take home, demonstration, teach-back
Learning gap: Feelings of invincibility, deficit in understanding the importance of breastfeeding education and support.

]]> 2018-02-06 20:24:23 UTC https://padlet.com/li_kang/NUR172/wish/228848436 Asthma https://padlet.com/li_kang/NUR172/wish/228848471 Population: young children with asthma 
Teaching strategies: use demonstrations, videos, handouts


]]> 2018-02-06 20:24:27 UTC https://padlet.com/li_kang/NUR172/wish/228848471 Lifestyle changes following stroke to prevent future strokes https://padlet.com/li_kang/NUR172/wish/228848499 70 year old male
Smoker, hypertensive, spider veins/varicose veins, poor mobility

]]> 2018-02-06 20:24:30 UTC https://padlet.com/li_kang/NUR172/wish/228848499 Hypertension w/ new diabetes II diagnosis https://padlet.com/li_kang/NUR172/wish/228848546 Female 65+
Risk Factors: diet, exercise
Surgery:  Atherectomy 
Alternative treatments:  Tai Chi, swimming, exercising, eating healthy, vitamins, limit sugar
Others: music therapy]]> 2018-02-06 20:24:36 UTC https://padlet.com/li_kang/NUR172/wish/228848546 Schizophrenia https://padlet.com/li_kang/NUR172/wish/228848923 24 year old male  

Psychosocial interventions 
Pharm and Nonpharm education
family interventions (supportive vs. non-supportive)
 

 
]]> 2018-02-06 20:25:22 UTC https://padlet.com/li_kang/NUR172/wish/228848923 Arnold Chiari Malformation https://padlet.com/li_kang/NUR172/wish/228848937 23 yr old female
signs & symptoms prior to decompression surgery 
Signs & symptoms post op decompression surgery
recovery time
risk factors of surgery
chances of reoccurrence 
quality of life pre & post op
medications to manage s/s
naturopathic options for treatment or s/s management  ]]> 2018-02-06 20:25:24 UTC https://padlet.com/li_kang/NUR172/wish/228848937 Discharge instructions post- Cerebrovascular/Stroke https://padlet.com/li_kang/NUR172/wish/228849053 Hispanic 
Male
80 years old
risk factors: type II Diabetes, history of alcoholism and smoking, quadruple coronary bypass, arteriosclerosis
treatments: physical therapy, speech therapy, occupational therapy, medications, pacemaker

]]> 2018-02-06 20:25:39 UTC https://padlet.com/li_kang/NUR172/wish/228849053 Post op teaching following open heart surgery https://padlet.com/li_kang/NUR172/wish/228849227 Male, 50+
risk factors: poor diet, no exercise, smoking, HTN, diabetes, overweight
teaching strategies: pamphlets/handouts, video, ]]> 2018-02-06 20:26:01 UTC https://padlet.com/li_kang/NUR172/wish/228849227 Teaching interventions for Anorexia Nervosa in teenagers https://padlet.com/li_kang/NUR172/wish/228849251 -warning signs, media exposure, behavioral therapies, nutritional therapies
-measured patient outcomes in terms of knowledge and behavioral modifications]]> 2018-02-06 20:26:03 UTC https://padlet.com/li_kang/NUR172/wish/228849251 Prenatal care https://padlet.com/li_kang/NUR172/wish/228849328 Population: Pregnant women under age 25
Learning gap: Learning deficit in the importance and prevention of pregnancy complication. 
Teaching strategy: Pamphlets, verbal discussion 
Evaluation: Client will verbalize the importance and understand the benefits. ]]> 2018-02-06 20:26:14 UTC https://padlet.com/li_kang/NUR172/wish/228849328 Lili's Sample: Managing Sacroiliac joint pain/lower lumbar pain in middle-aged Asian females https://padlet.com/li_kang/NUR172/wish/228851356 Sacroiliac joint pain/lower lumbar pain

MeSH:  Sacroiliac joint, inflammation = LUMBAR VERTEBRAE, 

Sacrum 


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

]]> 2018-02-06 20:30:49 UTC https://padlet.com/li_kang/NUR172/wish/228851356 newly diagnosed hypertension patient https://padlet.com/li_kang/NUR172/wish/228851912 prevention of type II diabetes
women over 60
Risk factors: overweight, high cholesterol,


]]> 2018-02-06 20:32:00 UTC https://padlet.com/li_kang/NUR172/wish/228851912 https://padlet.com/li_kang/NUR172/wish/228852237 45 y/o white male,
Risk factors: Family history of addiction/drug abuse, chronic pain often un-managed
Family hx of ETOH and opioid abuse
Options for tx: quit taking opioids without alternative medications ("cold turkey"), buprenorphine, suboxone (buprenorphin and naloxone), Zubsolv, group therapy sessions (NA, AA), Naltrexone, 



 add

]]> 2018-02-06 20:32:45 UTC https://padlet.com/li_kang/NUR172/wish/228852237