Evidence Based Practice and Applied Nursing Research Western Governor’s University Evidence based practice and applied nursing research encompasses selecting a perioperative procedure such as routine shaving of a surgical site which is something you would commonly find on a surgical floor. The process of shaving a perioperative site includes cleansing and shaving the site that is to be operated on. Clipping the surgical site of hair is more appropriate
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Evidence-based practice is “the conscientious‚ explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D‚ 2000). That is do the best in the client care and service delivery‚ and stay in contact with the literature to use it in the clinical decision making. Evidence-based practice weighing the value of the
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JAN ORIGINAL RESEARCH JOURNAL OF ADVANCED NURSING A randomized controlled trial of self-management programme improves health-related outcomes of older people with heart failure Jung-Hua Shao‚ Anne M. Chang‚ Helen Edwards‚ Yea-Ing Lotus Shyu & Su-Hui Chen Accepted for publication 2 February 2013 Correspondence to Su-Hui Chen: e-mail: sophee@gw.cgust.edu.tw Jung-Hua Shao PhD RN Assistant Professor School of Nursing‚ College of Medicine‚ Chang Gung University‚ Taiwan Anne M. Chang PhD RN
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Situation: Two patients in their 70s present to the office at different times today‚ each with documented heart failure: one diastolic and the other systolic‚ and both are hypertensive. First‚ discuss the difference between systolic and diastolic heart failure‚ providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity
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Research Analysis #1 Significance & Contribution The article by Britz & Dunn (2010)‚ Self-care and quality of life among patients with Heart failure‚ has significant implications for practice. Britz & Dunn (2010) clearly express the ominous situation between self-care deficit among heart failure patients and decreased quality of life. They report that heart failure: can be extremely costly -with repeated hospitalizations‚ claims the lives of many and patients have very poor quality of life. The
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end world changes and with the change comes new methods to do things‚ which necessary doesn’t mean that we must change our old methods. Sometimes it is needed to seek for new information‚ so nurse can give best care to their patients. 2. Issues Evidence based nursing seems to be something that not every nurse necessary prac-tice and there are several reasons for that. I think that the biggest thing is this is the fact that most of the nurses are older people that have gotten their degree in dec-ades
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The term “heart failure” sounds as if the heart has already failed. This can increase a person’s anxiety especially in the aging population that is a targeted community for this disease assuming that the failure is equivalent to death. Heart failure is actually the decline in the hearts ability to sufficiently pump oxygenated blood to the rest of the body. Many people can live with heart failure and are able to manage it through lifestyle changes‚ prescribed medication compliance‚ and regular physician
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PH210 PHARMACY CLERKSHIP HOSPITAL PUTRAJAYA Case 5 Congestive Cardiac Failure Nephrotic Syndrome Community-Acquired pneumonia Siti Hasmah Bt Mohd Suffian (2006200606) CASE SUBJECT Name: MAM Gender: Male Age: 24 years old Race: Malay Weight: 138 kg BMI: 55 (morbidly obese) Height: 159cm DOA: 21st March 2010 SUBJECTIVE Chief complaint: • bilateral lower limb swelling for the past 2 weeks. • scrotal swelling for the past 3 days but noted on DOA had progressively
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female patient who is suffering from congestive cardiac failure. She has past medical history of hypertension‚ chronic renal failure‚ type 2 diabetes mellitus and hyperlipidaemia. She has been admitted in hospital several times recently and she was discharged 11 days ago from emergency department. Now she is suffering from dyspnoea and she feels like she can not catch her breath due to congestion of lungs. Congestion of lungs occurred due to congestive heart failure. Her lower limbs feel like tree trunk
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Heart Failure Heart failure is an ailment where the heart is not able to pump the required amount of blood to the body. Left-sided heart failure is described as when the heart cannot pump enough oxygenated blood to the body while Right-sided heart failure is when the heart cannot fill with the appropriate amount of blood.1 One or both of these may occur with heart failure. In the United States‚ 5.8 million people have heart failure and this number is continuing to grow.1 With the number of people
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