Evidence-based clinical practice 021511 wo pics

Evidence-based - 1 EVIDENCE-BASED CLINICAL PRACTICE(EBCP Lia M Nightingale Ph.D PASS THE BUTTER*Disclaimer – this was an email I received It is

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Unformatted text preview: 1 EVIDENCE-BASED CLINICAL PRACTICE (EBCP) Lia M. Nightingale, Ph.D. PASS THE BUTTER *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.” PASS THE BUTTER “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 Patient values Current best evidence EBCP FIRST TRI STUDENTS Clinical expertise Patient values Clinical expertise Current best evidence EBCP TENTH TRI STUDENTS 2 Patient values Clinical expertise Current best evidence EBCP DOC IN PRACTICE FOR 20 YEARS Ask Clinically relevant question Assess patient dilemma Reflection of process steps Acquire Best available evidence Appraise Quality & importance 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 ACQUISITION OF EVIDENCE PAY ATTENTION IN INFO LIT!!!!!!!!!!! SCIENTIFIC INFO IN THE NEWS 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 RED FLAGS Testimonials Disreputable sources Dramatic results Lack of evidence from supporting studies RED FLAGS 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. 3 SCIENTIFIC INFO ON THE INTERNET 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? SCIENTIFIC INFO ON THE INTERNET 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? SO HOW DO WE KNOW WHAT ARE GOOD RESOURCES?...
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This note was uploaded on 01/07/2012 for the course PHCH 51311 taught by Professor Nightingale during the Summer '11 term at Palmer Chiropractic.

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Evidence-based - 1 EVIDENCE-BASED CLINICAL PRACTICE(EBCP Lia M Nightingale Ph.D PASS THE BUTTER*Disclaimer – this was an email I received It is

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