Caregiving (10)

Evidence-based practices, (EBP) is the integration of the [best available research] with [clinical expertise] in the context of [patient characteristics, culture, and preferences]. This definition of EBP closely parallels the definition of evidence-based practice adopted by the Institute of Medicine, “Evidence-based practice is the integration of [best research evidence] with [clinical expertise] and [patient values].”

Wednesday, 29 January 2020 03:51

PathologyPrevention With Examinations

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   Preventive medicine can be categorized as primary, secondary, or tertiary. Primary prevention aims to remove or reduce disease risk factors and is the principle activity of the Health Guardian. Secondary prevention techniques promote early detection of disease or precursor states normally beginning with a holistic health assessment. Tertiary prevention measures are aimed at limiting the impact of established chronic disease through strategic lifestyle changes.

   The steps of EBP, which the Health Guardian masters, centers around cultivating a spirit of inquiry. They must ask compelling and provoking clinical questions. The objective is the finding and identification of relevant evidence used to answer these clinical questions. The Health Guardian must critically appraise the gathered evidence, become an expert in the art of moving evidence to a sustainable effort of change. Many times, success revolves around the ability to create and sustain a culture and environment for long-term evidence-based caregiving.

Wednesday, 22 January 2020 22:20

PathologyPrevention By Piloting Change

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   In some cases, the Health Guardian is out of touch with weakness or emerging threats. This is made possible by not pushing your current limits. In a lifestyle of complacency, it can be very difficult to identify weakness, and it's only when we attempt doing activities out of the norm that we discover we could use some strengthening in a particularly under used organ system.

Friday, 17 January 2020 22:50

PathologyPrevention With Evidence

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   Given the consistent need for current information in Healthcare, frequently updated databases that hold the latest studies reported in journals are the best choices for finding relevant evidence to answer compelling clinical questions. It is imperative that all Health Guardians have some connection with librarians and access to databases.

Friday, 17 January 2020 01:23

PathologyPrevention With Clinical Strategy

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   Within the Health Guardian’s Clinical Strategy, the ‘burning clinical question’ needs to be stated to drive clinical investigation, diagnostics, and care practice. This ‘burning clinical question' needs to be stated in PICOT format, or Patient population, Intervention or issue of interest, Comparison intervention or group, Outcome, and Time frame. This is to assure that the Health Guardian’s practice yields the most relevant and best evidence from a search of existing literature. The strategy should include a prioritization method for multiple questions, and prevents biased decisions based on that which the Health Guardian is most familiar with, or that which provides the least path of resistance. But rather, points the Health Guardian to the best and most relevant randomly controlled trials or other evidence.

Thursday, 09 January 2020 02:45

PathologyPrevention Using Physical Therapy

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   The Health Guardian works with individuals to prevent the loss of mobility before it occurs, by developing fitness and wellness-oriented programs for healthier and more active lifestyles. They provide services to individuals and families to develop, maintain and restore maximum movement and functional ability throughout the lifespan. This includes providing therapeutic treatment in circumstances where movement and function are threatened by aging, injury, disease or environmental factors. Functional movement is central to what it means to be healthy.