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					Unit 2, assignment 1 worksheet

Unit 2 Assignment 1 Worksheet
An electronic version of this worksheet is available on the APPLE website.

1. The Clinical Question You are given 3 clinical scenarios. From these, identify the clinical question that accurately reflects the scenario, including the PICO elements. i. Day hospital care versus inpatient care for patients with acute psychiatric disorders  What clinical question would you want to raise about this case?

…………………………………..…………………………………………………………………………………… ………………… ………………………………..……………………………………………………………………………………… ………………… What are the PICO components of your question/s? Intervention or exposure Comparison intervention or exposure (if there is one) Outcome/s



Patient or problem



What type of question is it?

……………….…………………………………

ii. Risk factors for eating disorders in 11-18 year old girls  What clinical question would you want to raise about this case?

Unit 2, assignment 1 worksheet

…………………………………..…………………………………………………………………………………… ………………… ………………………………..……………………………………………………………………………………… ………………… What are the PICO components of your question/s? Intervention or exposure Comparison intervention or exposure (if there is one) Outcome/s



Patient or problem



What type of question is it?

……………….…………………………………

iii. What is the most effective way of diagnosing depression in young men in a primary care setting.  What clinical question would you want to raise about this case?

…………………………………..…………………………………………………………………………………… ………………… ………………………………..……………………………………………………………………………………… ………………… What are the PICO components of your question/s? Intervention or exposure Comparison intervention or exposure (if there is one) Outcome/s



Patient or problem



What type of question is it?

Unit 2, assignment 1 worksheet

……………….…………………………………

Unit 2, assignment 1 worksheet

1. Electronic information sources An electronic version of this worksheet is available on the website. Choose three sources you would use to find evidence for the questions. Review appropriate usage of the sources, using the questions below as prompts. Ensure you choose three different sources.
Question: Suggested source:

What subjects does the source cover?

What type of information does it provide access to?

Give two examples of when you would use this source.

Unit 2, assignment 1 worksheet

2. Searches for evidence For this part of the assignment you will undertake two searches on MEDLINE and The Cochrane Library for evidence (not necessarily both for each question). For each of the scenarios below, you will need to: 1. Plan your search strategy, choosing which source to use, using the Planning a search strategy sheet in the appendix. (An electronic version is available on the APPLE website.) 2. Search MEDLINE and The Cochrane Library for evidence and print out your search history. 3. Evaluate your techniques for each search using the Search evaluation questions. Evidence Submit the following evidence with this worksheet:    Your search strategy Your completed search history Your search strategy evaluation

Question 1: In patients with fibromyalgia, is exercise training effective for improving symptoms? A local GP has a patient with fibromyalgia - symptoms of persistent pain, fatigue, poor sleep patterns. The GP has heard of the use of exercise as a treatment for these symptoms but is unsure of the effectiveness of exercise. He has asked you to search for evidence to inform his decision with the patient. Question 2: Can local anaesthetic agents make a tracheostomy patient more comfortable? Staff at the Intensive Treatment Unit at your hospital have a patient who has just had a tracheostomy tube fitted. He is restless and finding it uncomfortable.

Unit 2, assignment 1 worksheet

4. Evaluate evidence Read the scenario below and the paper included in your Offprints collection. Evaluate the key features of the article, using the Basic Evaluation checklist in topic 5. Remember that in this unit, your main focus of evaluation is the method used to undertake the research.

At your local GP practice, they have seen a rise in patients reporting the symptoms of stress. One of the GPs has heard of other practices using therapeutic massage to treat stress. You have been asked to find evidence on the effectiveness of this as an intervention. You find the following paper: Hanley J, Stirling P, Brown C. Randomised controlled trial of therapeutic massage in the management of stress. British Journal of General Practice 2003 20 – 25. Based on your evaluation of the paper, decide:   Whether therapeutic massage is an effective treatment for stress Whether you would support its implementation in the practice.

Evidence Submit the following evidence with this worksheet:   Your evaluation of the key features of the evidence you have found. Your answer to the question.


				
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