Verified Document

Pneumonia Evidence Based Problem Essay

Related Topics:

Evidence Based Problem: Article Reviews According to standards of evidence, the highest level of quality (Level 1) is that of a systematic review involving randomized controls to eliminate bias. On a lower level of quality (Level 3), that of systematic reviews of lower-quality studies, different types of methods may be used. In answer to my question regarding the Fowler’s positioning of mechanically-ventilated patients to reduce the risk of pneumonia on medical-surgical units, I first consulted a systematic review of the risks of pneumonia in general for patients. In a Level 4 systematic review conducted by Almirall (et al., 2017) of risk factors for community-acquired pneumonia (CAP), 29 observational studies including cross-sectional, case-control, and cohort studies were reviewed to assess risk factors for adult hospitalized patients for developing pneumonia. The studies all attempted to study different, albeit similar, risk factors.

In the Almirall (et al., 2017) review, the confirmed risk factors included advanced age; being a smoker; a history of environmental exposure to negative toxins; malnutrition; a history of previous CAP; and respiratory complaints like bronchitis, COPD, and asthma. Other exacerbating factors included poor dental health and having being treated with certain kinds of classes of pharmaceuticals, such steroids and gastric-acid or immunosuppressive...

This is useful to determine the highest-risk patients and to see which patients might show the greatest benefits from repositioning to preventative care. Other factors which were subject to scrutiny but on which no conclusive evidence emerged include gender, weight, alcohol use, vaccination status, and other chronic ailments such as diabetes and cancers.
Along with a systematic review, another study which was consulted included a Level 4 peer-reviewed single quantitative study by Kubota, Endo, & Kubota, (2013) which involved the positioning of patients in Fowler’s position to reduce the risk of cardiovascular events through improved cardiac regulation. In contrast to a systematic review, which involves multiple studies, this review merely involved a single study. The study hypothesized that slight postural differences would make relatively little difference on the health of patients, based upon the fact that blood volume distribution would not change very much with increases in upper torso flexion. Measurements of 12 patients in the study included respiratory sinus arrhythmia (RSA) and sequence baroreflex sensitivity (sBRS).

The subject population of the study was relatively limited, however, and was healthy rather than had a history of previous complaints. The findings yielded suggested vagal nerve activity was increased…

Sources used in this document:

References

Almirall, J., Serra-Prat, M., Bolíbar, I., Balasso, V. (2017). Risk factors for community-acquired pneumonia in adults: A systematic review of observational studies. Respiration, 94:299- 311

Kubota, S., Endo, Y., & Kubota, M. (2013). Effect of upper torso inclination in Fowler’s position on autonomic cardiovascular regulation. The Journal of Physiological Sciences, 63(5), 369–376. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751277/


Cite this Document:
Copy Bibliography Citation

Related Documents

Evidence-Based Solution to Reducing Incidence the Goal
Words: 2666 Length: 7 Document Type: Research Paper

Evidence-Based Solution to Reducing Incidence The goal of this assignment is to increase my ability to appraise and synthesize evidence to provide experience a logical argument in support of a proposal for practice change, and to provide experience in designing a detailed implementation and evaluation plan for my project. I need to discuss my project plan with you. An evidence-based solution to reducing incidence of hospital acquired infections through indwelling medical

Evidence-Based Educations Programs As They
Words: 997 Length: 3 Document Type: Essay

The hospital used for the study already had protocols in place to prevent patients from getting pneumonia. Published data was provided and posters were placed in all units. However, the nurses chose not to follow the protocols set forth. This is the reason the study was conducted. The nurses confessed that they felt oral care was more of a comfort to the patients than a preventative measure to pneumonia. The

Evidence-Based Practice in Nursing and Health Care
Words: 2673 Length: 8 Document Type: Research Paper

Methicillin-Resistant Staphylococci (MRSA), most common Healthcare Associated Infections The PICOT question to be discussed is: For adult patients using catheters, does the use of sterilization practices reduce the future risk of health associated infections like MRSA compared with standard procedure in one week? The answer is yes. The support given to answer the question will be based on peer-reviewed journals and scientific literature. A summary of the evidence will be availed in a

Mobility Evidence-Based Practice Progressive Mobility Protocol This...
Words: 1626 Length: 5 Document Type: Capstone Project

Mobility Evidence-based Practice Progressive Mobility Protocol This paper is a project based on PICO. The clinical question that serves as the foundation for this data-based design is; for immobile critical care patients, does the use of a nurse driven progressive mobility protocol reduce ICU LOS compared to every hour of repositioning? In this paper, the adult patients admitted to an ICU represent the population (P) of interest. The nurse driven progressive mobility

Practice Holistic, Evidence-based Nursing Care
Words: 945 Length: 3 Document Type: Essay

Introduction Nurses in all settings are tasked with providing care in a caring manner with attention to all aspects of the person, health, and environment. Through uniting all risk factors that affect the health of the patient, nurses are expected to provide a holistic nursing care, which is a comprehensive model of care. A holistic approach means that the nurse is informed about a patient's whole life situation. Discussion Description   Holistic care includes a

Pneumonia in Children Young Children
Words: 604 Length: 2 Document Type: Term Paper

The best nursing practice in the specific case would be not only the direct care of the young patient, but also the inclusion of the family in the in house hospital care as to provide an example of what is to be done at home in order to prevent relapse. Many family members might mistakenly believe that their own form of care will be sufficient in the case of a

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now