Putting it Together week 1-6

Question 1

3 parts of evidence based practice

Answer 1

1. clinical experience
2. research evidence
3. patient preference

Question 2

8 dimensions of patient entered care

Answer 2

1. patients preferences
2. emotional support
3. physical comfort
4. information and education
5. continuity and transition
6. coordination of care
7. access to care
8. family and friends

Question 3

evidence pyramid; what is at the top

Answer 3

top: meta analysis
then
systematic review
RCT
…

Question 4

necessary elements of treatment plan

Answer 4

-doctor name, address, number
-date
-patient name
-treatment suggestion (rational, benefits, side effects, costs etc)

Question 5

sleep and immune function

Answer 5

helps cytokine production, strengthen immune memory

Question 6

salt water gargle

Answer 6

hydrotherapy for sore throat

helps with symptoms, anti inflame, and changes pH

Question 7

obtaining informed consent

Answer 7

obtained and documented for every intervention: obtaining case history, performing physical exam/ testing, treatments, collecting health information accordance with regional privacy acts.

need to understand benefits, risks, alternative, costs

Question 8

record keeping

Answer 8

of strength and name of drug, dose, frequency, date, method, how treatment was tolerated

Question 9

nasal saline irrigation (neti pot)

Answer 9

distilled water and sea salt

for URTI, reduce viral load, symptoms

Question 10

bathing for skin disorder

Answer 10

warm, not hot

mechanical cleansing > antiseptic cleanser

adding oils is ineffective

pat skin dry

Question 11

colloidal oatmeal

Answer 11

in soap, shampoo, emollient, in bath water

avenanthramides are anti inflammatory; help with itching

may be prebiotic and improve dermal microbiome

Question 12

emollients

Answer 12

aka moisturizers

use always except for flare ups

use right after bathing to retain hydration

ceramide emollients work best (as effective as low-medium potency topical corticosteroid), glycerol based good

avoid olive oil

avoid parabens and other preservatives

Question 13

exercise, hydrotherapy and tai chi for joint pain

Answer 13

exercise to strengthen muscle, maintain bone strength
–>low impact i.e. cycling, walking, water

tai chi for osteoarthritis of the knee and in RA reduced pain

Question 14

hydrotherapy; when to do hot and when to do cold

Answer 14

Application of heat is an effective modality for the relief of joint pain and stiffness caused by RA and OA

Cold is preferable for treatment of an acutely inflamed joint to help decreased pain and inflammation

Question 15

low back pain

Answer 15

gentle exercise, not prolonged sitting, balance exercise, yoga, pilates

help with weight management, no smoking, massage, hydrotherapy

sleep not on stomach and pillows for support

Question 16

anxiety and depression

Answer 16

mindfulness, sleep, exercise, socialize, healthy eating, no drugs or caffeine