Task Two Cathy Ann Wilson-Bates Western Governors

line dickens Cathy Ann Wilson-Bates Western Governors University EVIDENCE-BASED PRACTICE & APPLIED nursing RESEARCH EBP 1 Brenda Luther, PhD, RN January 25, 2012 Task Two Introduction What I keep l spikened about locking with children in a chronic healthc be picture like dialysis is that they are resilient beings with the thirst for rapid changes in their medical condition. Children virtu eithery ever so surprise me in their quaint description of symptoms and pain. Depending on their age, they whitethorn not be able to describe the symptoms they savour or tell me where it hurts.A simple ear ache whitethorn be depict as a drum in my ear or may be observed with non verbal cues like tugging on the ear. lancinate Otitis Media is seen quite often during the arctic and flu season. Recent clinical guidelines pop the question hold cardinal four to 70 two hours before beginning antibiotic th successionpy. Parents of children with symptoms of otitis media are accustomed t o receiving a prescription for antibiotics before they leave the medical routine. Adults as well are preconditivirtuosod for the microscopic white slip of paper from their atomic number 101.You notifyister read also Coronary arteria affection Nursing Care PlanWaiting twenty four to seventy two hours to measure the need for antibiotics ordain definitely tighten up the over-prescription of antibiotics as well as their efficacy. The delay and watching of rough(prenominal)(prenominal) days may seem like an eternity to a parent caring for a cast run into and crying child. Educating parents during routine visits to the physician office about the ventures of over-prescribing antibiotics will answer when the physician needs to discuss the possibility of hold and evaluating before prescribing antibiotics.Providing a list of nurture measures parents can follow may military service relieve the anxiety they get down in caring for a sick child. all(prenominal) comfort me asure taken to mow crying is helpful to the parent of a sick child, but mostly to the child. The hobby table and paragraphs will cover the results of how cardinal group of nurses at an outpatient clinic used clinical assure to manage this situation. Source flake of Resource Source captivate or Type of Research general training, contrary primary query evidence, filtered, or unfiltered evidence summary, evidence- ground guideline, or n unmatched of these American honorary society of paediatrics and American honorary society ofFiltered reserve Evidence-based guideline Family Physicians. clinical practice guideline diagnosing and management of sub shrill otitis media. actuating(prenominal) pathogens, antibiotic underground and Unfiltered Appropriate Evidence-based guideline therapeutic considerations in sagacious otitis media. paediatric infective Disease Journal. Ear, nose, and Throat, Current pediatric diagnosis and cosmopolitan In fascinate n one of these treatment. treatment of acute otitis media in an era of Filtered Appropriate Evidence based guideline increasing microbial impedance.paediatric Infectious Disease Journal Results from interviews with parents who keep brought Unfiltered Appropriate primary research evidence their children into the clinic for acute otitis media. Subcommittee on Management of Acute Otitis Media. (2004). American Academy of pediatrics and American Academy of Family Physicians. Clinical Practice Guidelines Diagnosis and Manegment of Acute Otitis Media. American Academy of paediatrics , Vol. 13 No 5 1451-1465. This word is an evidence-based clinical guideline. It is a systematic review making it a filtered resource which is very appropriate for this situation. The word describes the current, (as of 2004) recommendations for the diagnosis and management of Acute Otitis Media (Subcommittee on Management of Acute Otitis Media, 2004). These guidelines show several di fferent ways to treat acute otitis media depending on the symptoms of the child. It states that some clips waiting to get out antibiotics is good and sometimes waiting to demo antibiotics is not good. This article is appropriate and admits lucidness on the topic. Block, S. L. (1997).Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. The Pediatric Infectious disease Journal , muckle 16 (4) pp 449-456. This article discusses antibiotic resistance and describes the bacterial pathogens which are responsible for infections causing acute otitis media. This article is appropriate. It contains a comparison of studies performed based on the different examples of bacteria which driving acute otitis media. It stresses the importance of identifying the bacteria causing the infection before giving antibiotics so that number one the bacteria can be eradicated and other bacteria will not become resistant (Block, 1997).PE Kelley, N. F. (2006). Ea r, beak and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. This textbook source contains general information on the ear, nose and throat. There is frequently more information here regarding staple fibre anatomy and physiology as well as characteristics of the ear nose and throat. The information regarding otitis media is staple fiber and not an appropriate source of research in this situation for three reasons. spot one, the information is very basic, number two, it does not advance any up to insure information on how to treat this type of infection, and number three there is besides much non-relevant information.McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , plenty 17(6) pp576-579. This article is a review of the cognize etiologies that may cause acute otitis media. The article gives up to date information on therapeutic approaches when selecting an appropriate antibiotic therapy. We entert practice cookie eating utensil medicine. The same prescription is not always right for all patients or all communities where some bacterias may be more prevalent than others (McCracken, 1998). This is appropriate information for this group of people or community. media, P. o. (n. d. ).Interviews. (C. nurses, Interviewer) This set of interviews is simply raw data. General information can however provide great insight as to what is casualty out in the community. For example, this information force shed light on the point that if the parents are willing to hold off on antibiotics for example, would they be more probably to follow up and come linchpin into the clinic when asked? The re legal action of parents is dependent upon other several basic factors like finances, a article of faith system and possibly the capability to check transportation. Knowing how the community is going to reply to their choice may have a great effect on the decisions they make.When evaluating the findings of these sources cumulatively, one must first get hold the motor pathogens infecting patients in this given community with acute otitis media. After pathogen determination we can determine which antibiotics may be most recyclable in eradicating the given bacteria. Careful picking of antibiotic therapy will reduce the proneness for antibiotic resistance. wide-awake waiting may be a good affaire from the perspective of increasing microbial resistance however we must always evaluate patients on their respective(prenominal) needs or on a patient by patient case. One size doesnt always fit all. Patient grooming is the key to keeping the public advised of current practice.Physicians and Nurses need to be uniform in the lesson purpose shared with patients and hold on true to our scope of practice. Communication is prerequisite between the physician, nurse and other multidisciplinary police squad members in order to provide the trump out care. There are many considerations in assessing if patients are able to withstand the waiting and evaluation period. Low income families are one example of how the waiting and watching method might not work. Parents may have to take time off work to come to clinic with a sick child. They might struggle finding money for the special return trip to the clinic and may risk losing their job if they take more time off work.Many low income families may have already waited before seeking help thus creating their own sleepless waiting period. They also may not be able to afford antibiotics and as a result may not give the full dose if symptoms have subsided. The wisdom is that they will save the medication for the following time symptoms arise. Confidentiality might be an act in smaller communities. People endure to be concerned about neighbors and co-workers and some may not care to share their experience with others. This may be an tailor for parents w ho fagt share detainment as in the case of divorce. It is a greater issue when parents or partners dont share the same innate values, especially those related to healthcare. ConclusionWatchful waiting like the nurses in this clinic are looking at may be useful for some of the patients, but not all. Again, a one size fits all philosophy is not always appropriate in healthcare. Tools like algorithms may be helpful in determining the nicety for watching and waiting versus immediate action as determined by animal(prenominal) findings and social circumstances like agnate adherence for follow up and ability to afford treatment. Whatever course you choose, watchful waiting or immediate antibiotics the vanquish practice remains a plan of care based on the individual needs of our patients. References Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media.The Pediatric Infectious disease Journal , heap 16 (4) pp 449-456. Mc Cracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. The Pediatric Infectious Disease Journal , Volume 17(6) pp576-579. media, P. o. (n. d. ). Interviews. (C. nurses, Interviewer) PE Kelley, N. F. (2006). Ear, Nose and. In M. L. W. W. Hay, Current Pediatric Diagnoisis and Treatment (pp. 459-492). Lang. Subcommittee on Management of Acute Otitis Media. (2004). American Academy of pediatric medicine and American Academy of Family Physicians. Clinical Practice Guidelines Diagnosis and Manegment of Acute Otitis Media. American Academy of Pediatrics , Vol. 113 No 5 1451-1465.