Evidence-based clinical practice 021511 wo pics 2 sld

Evidence-based clinical practice 021511 wo pics 2 sld -...

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1 E VIDENCE -B ASED C LINICAL P RACTICE (EBCP) Lia M. Nightingale, Ph.D. P ASS THE B UTTER *Disclaimer this was an email I received. It is in no way factual. “Margarine was originally manufactured to fatten turkeys. When it killed the turkeys, the people who had put all the money into the research wanted a payback, . . . so they added yellow food coloring and sold it as a butter replacer.”
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2 P ASS THE B UTTER “Eating margarine can increase heart disease in women by 53% over eating the same amount of butter, according to a recent Harvard Medical Study. Eating butter increases the absorption of many other nutrients in food. Trans fats increase the risk of cancers up to five fold. Margarine is one molecule away from being plastic.” Patient values Clinical expertise Current best evidence EBCP
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3 Patient values Current best evidence EBCP F IRST T RI S TUDENTS Clinical expertise Patient values Clinical expertise Current best evidence EBCP T ENTH T RI S TUDENTS
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4 Patient values Clinical expertise Current best evidence EBCP D OC IN P RACTICE FOR 20 Y EARS Ask Clinically relevant question Assess patient dilemma Reflection of process steps Acquire Best available evidence Appraise Apply Evidence in patient care Evidence based clinical practice is “…the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. ~David Sackett, MD
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5 A CQUISITION OF E VIDENCE PAY ATTENTION IN INFO LIT!!!!!!!!!!! S CIENTIFIC I NFO IN THE N EWS Sometimes to try to get ahead, they report on info before it had been replicated, peer-reviewed or correctly interpreted Media makes big deal out of findings that are not statistically significant or flawed studies
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6 R ED F LAGS Testimonials Disreputable sources Dramatic results Lack of evidence from supporting studies R ED F LAGS The words ‘ contributes to ,’ ‘ is linked to ,’ or ‘ is associated with ’ does NOT mean ‘ causes ’. Be skeptical of doctors who prescribe megadoses of supplements over eating a healthy diet.
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7 S CIENTIFIC I NFO ON THE I NTERNET Is the website selling a product? Is the author identified? Does the author have credentials listed? Is there a means to contact the author? Can you determine who paid for or sponsored the website? Is any financial conflict or bias explained? S CIENTIFIC I NFO ON THE I NTERNET When was it last updated? Is the info still relevant? Does it list references?? Is the grammar incorrect or contain typos? Does the info go against common sense? If you are allowed to give input, is there a security statement?
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