Introduction
Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population. Stated uses:
The Mendelsohn Maneuver is a swallowing technique used to increase the upper esophageal sphincter (UES) opening and used to normalize the time of the pharyngeal swallow. This technique helps to elevate the larynx and open the esophagus during swallowing(Carrau, 2006).
Population:
The Mendelsohn Maneuver is implemented on individuals with reduced laryngeal movement and discoordinated swallow (Carrau, 2006). This procedure is difficult and may not be suitable for children younger than 8 years of age due to the position of the larynx. At birth the larynx sits high in the neck(Logemann, 2000).
Generalization:
This technique can be used with adults and children(preferably 8 and over who are aware of the laryngeal movement) with reduced laryngeal movement and discoordinated swallow (Logemann, 2000). Lazarus, Logemann and Gibbons(1993) research explained that there are times when children with brain tumors experience impairments with laryngeal motion and cricopharyngeal opening. In cases like these the Mendelsohn Maneuver is used. However these are not common cases( as cited in Logemann, 2000).
Outcomes: Are outcomes clearly stated?
The outcomes of the Mendelsohn Maneuver are clearly stated. The a...
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...atory muscle strength training. Journal of Speech, Language, and Hearing Research, 51(5), 1072-87
Logemann, J., A. (2000). Therapy for children with swallowing disorders in the educational setting. Language, Speech & Hearing Services in Schools, 31(1), 50.
McCabe, D., Ashford, J., Wheeler H. K., Frymark, T., Mullen, R., Musson, N., Hammond, C., & Schooling, T.. (2009). Evidence-based systematic review: Oropharyngeal dysphagia behavioral treatments. Part IV-Impact of dysphagia treatment on individuals' postcancer treatments. Journal of Rehabilitation Research and Development, 46(2), 205-14.
Murry, T., & Carrau, R. L. (2006). Clinical management of swallowing disorders (2nd ed.). San Diego, CA: Plural Publishing.
Website
American Speech-Language-Hearing Association
http://everything2.com/title/Compensatory+swallowing+strategies
Evidence-based practice (EBP) entails the use of explicit, reliable, and judicious evidence to make effective decisions about the care of patients. This DNP student will introduce EBP with the IOWA model. The IOWA model applies to this DNP proposal. The IOWA model is an EBP applicable in healthcare setting and implemented to show the applicability of evidence in nursing to give the best outcome. Doody and Doody (2011) noted that the IOWA model focuses on problem-focused triggers and knowledge in undertaking quality improvement study. The steps involved include topic selection, team formation, evidence retrieval, grading evidence, developing an EBP evidence, implementation of EBP, and evaluation of the progress. These steps apply to this DNP proposal, showing best practices, guidelines, procedures, and policies
Evidence Based Practice (EBP) is useful to practice because it aids practitioners development and widens their knowledge and insight, therefore enhancing the experience of the practitioner. This ensures that the best quality of care is given to the patient (Duncan, 2006).
A cosmetic surgery procedure designed to reduce puffiness/bagginess under lower eyelids and hooded skin on upper eyelids
Evidence-Based Practice is a methodology, framework, gathering of ideas or concepts, adopted principles and strategies supported by research (Fixsen et al.,
The Web. The Web. 10 Mar 2014. The "Cleft Lip and Cleft Palate." Monroe Carell Jr..
Pryor, L. S., Lehman, J., Parker, M. G., Schmidt, A., Fox, L., & Murthy, A. S. (2006). Outcomes in Pharyngoplasty: A 10-Year Experience. Cleft Palate-Craniofacial Journal, 43(2), 222-225. Retrieved from EBSCOhost.
Support of our patients, our colleagues and of our own practice through evidence based practice techniques and scientific fact can be the most comforting evidence in this particular change proposal as it supports the PICO question, “In terminally ill patients, does early admission into a hospice program, versus those who are admitted later, result in more effective pain control at the end of life?” The answer, based in evidence is yes.
Using a bucket that held about 3 gallons of water, the bucket was filled up with 6-7inches of water. This allowed enough room for the subject to fully submerse the face to ensure stimulation of the vagus nerve. The water was then chilled to 15 degrees Celsius. iWork’s Labscribe 3 software was used to record the subject’s data using a pulse plethysmography and a respiration monitor. This was plugged in and activated to ensure functioning before patient arrived.
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
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
What are the best ways of achieving this in the reality of the modern NHS? To conclude, Evidence Based Practice is a process of building up accurate information from medical research which has been correlated and assessed. From this, the nurse is capable of advising the best plan of care. For nursing standards to improve, it is vitally important that the nurse is given the time to research and the trust to start off the process of change for better care. References Cullum, N., Ciliska, D. and R. Haynes, Marks (2008).
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
...sive procedure, Balloon Sinuplasty, as it may be a better fit for them over the traditional Functional Endoscopic Sinus Surgery. (Balloon Sinuplasty)
This treatment entails using various kinds of braces, in conjunction with minor oral surgery. A few considerations are:
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...