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Application of Dikw
Evidenced Based Nursing: Effectiveness of Mechanical and Pharmacological methods for the Prevention of Venous Thrombosis in Special Populations
Sebastian Oviedo
Walden University
NURS 6052D-26
June 14, 2013

Summary
Venous Thromboembolism (VTE) also known as and often referred to as deep vein thrombosis is a high risk diagnosis that can often lead to Pulmonary Embolism, both of which can occur due to trauma or as a result from a complication due to a high risk surgery; both of which have a significant morbidity and mortality. Factors that contribute to this event are the slow venous blood circulation increasing the risk for blood clotting or endothelium trauma which also increases the risk for a thrombolytic event. The current treatment consists of mechanical compression to improve circulation by preventing venous stasis or pharmacological intervention in the form of anti-coagulants to inhibit platelet aggregation. The treatment with one of both of the above mentioned method can help to prevent the development of a thrombolytic event. Venous thrombolytic events are highly likely to happen following a surgical complication (Kakkos, 2012).
Key Questions
Question 1 What is the safety and effectiveness of using a mechanical compression devices and pharmacological methods to prevent the Venous Thrombolytic Events in a patient with major trauma?
Question 2 What is the safety and effectiveness of using mechanical compression devices and pharmacological methods to prevent VTE in a patient with major burns?
Question 3 What is the effectiveness of mechanical compression devices and pharmacological prophylaxis protocols in obese patients to reduce the risk of VTE?
Question 4 What is the effectiveness of mechanical compression vs. pharmacological prophylaxis interventions for patients in a critical care?
Question 5 What is the comparative difference between in safety between using mechanical compression devices vs. pharmacological interventions to



References: Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144 Kakkos, S. (2011). Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism in high-risk patients. Cochrane Database Of Systematic Reviews, (3), Library of Congress Online Catalog. (2008). Boolean searching. Retrieved from http://catalog.loc.gov/help/boolean.htm Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Shingler, S. (2011). Compression stockings for the initial treatment of varicose veins in patients without venous ulceration. Cochrane Database Of Systematic Reviews, (11), University of Oxford. (2005). PICO: Formulating an answerable question. Retrieved from http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e84.php

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