HLSC122 Evidence for Practice

Published : 17-Sep,2021 | Views : 10

Question:

Green Tea has been used for medicinal purposes in Asia for thousands of years. Current claims of the benefits of green tea include improving mental alertness, relieving digestive symptoms and headaches, promoting weight loss and as a preventative measure for heart disease and cancer. Krishna is a 25 year old whose family has a history of cancer. She has previously consumed normal (black) tea and wants to know if there is any evidence about the preventative
value in drinking green tea to prevent cancer.

In young women will drinking green tea prevent cancer compared to drinking black tea

What is the effectiveness of silver dressings compared to Manuka honey in young men following traumatic injury.

Answer:

The moment medications are utilized well, they have the potential to alleviate symptoms which can compromise the physiological and physical health of an individual. Sometimes medications are not utilized appropriately leading to complications. Osteoarthritis is a conditions which affect joints and it forms part of painful experiences among old women. (Hill, et al., 2015). However, fish oil has omega 3 supplements which studies have shown to ease osteoarthritis. Even though its effectiveness is still under debate most people who have used fish oil have recorded some great improvements (Chen, et al., 2016).

The study will be based on the table of Richardson-Tench et al. (2016) and different parameters will be used to come up with search criteria. Two types of search databases will be used. These are EMBASE and Medline. Their effectiveness will be outlined in regards to the clinical scenario of Peggy who is suffering from osteoarthritis. In addition, the clinical question which will be handled is if fish oil an effective treatment option in older women with osteoarthritis

P	Knee pain, hand pain, Work-related joint muscle pain	Primary prevention, secondary prevention
I	ALA, EPA/DHA Osteoarthritis, omega 3	Strength training of the painful muscle,
C	Diets, other oils (isocaloric)	Rest, exercise, surgery, herbal medicine, traditional physiotherapy
O	Pain relief, improvement in walking condition	Decrease joint stiffness, decreased joint tenderness, Side effects Belching, heartburn, stools, rash, and nosebleeds). Elimination of NSAID

ACTION		SEARCH MODE	RESULTS	LIMITERS/EXPANDERS
S1	therapy	“Therapy interventions”, and, or	834	Age group, Research

S2	prevention	“Prevention strategies” and, not, or	943	Publication date, Age group, Evidence based practice
S3	diagnosis	Or, not, and	738	Research
S4	prognosis	And, not	1344	Evidence based practice
S5	drug therapy problem	And, not “drug therapy problem”	646	Publication type, Evidence based practice
S6	chronic care improvement"	And, or	890	Age group, Evidence based practice

The two search databases are Medline and EMBASE

Medline

This is one of the best search databases which offer the best outcome. It is a national library of medicine which has a wide coverage since 1946. It has got over 22 million records from 5600 of which majorly comes from the United States journals. It covers medical and biomedical sciences thus providing a quick search for information related to fish oil. It has high-quality scientific content which is fed based on the guidelines outlined in NLM fact sheet (Ji & Yen, 2015). In addition, this particular database is directly searchable via NLM as one of the subsets of PubMed. It is very unique from the other databases because it has the added value of utilizing the NLM controlled vocabulary for such as medical subject headings. It is available through subscription of a number of interfaces

Embase

It has a wide coverage back to 1947 and selectively to 1902. This particular database contains more than twenty-nine million records from more than 8500 journals which are gathered from more than 90 countries in the world. It encompasses all Medline and other two thousand extra titles which also include more than 260000 conference contracts (Qi et al., 2013). The database covers journals with subjects in such as medicine, pharmacy, and drug.

It is advanced search with guided mapping of main words to Emtree. It entails basic natural language search synonyms and relevance ranking. The database has got extensive limiting options which involve types of EBM, drug administration routes, and clinical trials. It has other features such as emails alerts, RSS feeds and save searches. However, it is very possible for one to export citations to Endnote. One is able to pick the recent articles and even the conference papers with extensive search limitation options.

Relevance

The outcome indicated that there are lots of literature which can be found to support the idea of using fish oil in relieving osteoarthritis among older women (Hamlin et al., 2016). In regards to PICO, the search articles had terms such as pain, ALA, EPA/DHA Osteoarthritis, omega 3 and NSAID. The database had limited options and this offered refined search criteria for the information. Phrases and connectors were used as search modes and it assisted in getting information much quicker (DiCenso et al., 2014)

Conclusions

The use of fish oil is a fundamental approach by Peggy to solve her issue on osteoarthritis. Different databases have a different outcome but ultimately, the one with the reliable outcome is the most preferred one. In regards to the used databases, it is important to note that they offered a variety of results which were reliable and come up with much evidence that Peggy was on the right intervention strategy.

However, Medline and Embase databases had distinctive features which excluded them from the other search data bases. For instance, Medline very unique from the other databases because it has the added value of utilizing the NLM controlled vocabulary for such as medical subject headings. It is available through subscription of a number of interfaces. Embase, on the other hand, encompasses all Medline and other covers journals with subjects in such as medicine, pharmacy and drug.

References

Chen, J. S., Hill, C. L., Lester, S., Ruediger, C. D., Battersby, R., Jones, G., & March, L. M. (2016). Supplementation with omega-3 fish oil has no effect on bone mineral density in adults with knee osteoarthritis: a 2-year randomized controlled trial. Osteoporosis International, 27(5), 1897-1905.

DiCenso, A., Guyatt, G., & Ciliska, D. (2014). Evidence-Based Nursing-E-Book: A Guide to Clinical Practice. Elsevier Health Sciences.

Hamlin, L., Davies, M., Richardson-Tench, M., & Sutherland-Fraser, S. (2016). Perioperative Nursing-EBook-epub: An Introduction. Elsevier Health Sciences.

Hill, C. L., March, L. M., Aitken, D., Lester, S. E., Battersby, R., Hynes, K., & Jones, G. (2015). Fish oil in knee osteoarthritis: a randomised clinical trial of low dose versus high dose. Annals of the rheumatic diseases, annrheumdis-2014.

Ji, X., & Yen, P. Y. (2015). Using MEDLINE elemental similarity to assist in the article screening process for systematic reviews. JMIR medical informatics, 3(3).

Qi, X., Yang, M., Ren, W., Jia, J., Wang, J., Han, G., & Fan, D. (2013). Find duplicates among the PubMed, EMBASE, and Cochrane Library Databases in systematic review. PLoS One, 8(8), e71838.