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Young woman with a urinary tract infection and abdo pain - Essay Example

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Evidence-based medical practices (EBP) have proven helpful in accurate diagnosis and management of most diseases and conditions. The practices entail the use of available research and findings to refine and enrich health care services offered. …
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Young woman with a urinary tract infection and abdo pain

Download file to see previous pages... The integration of evidence-based practices in health care facilities aims at providing external scientific evidence with regard to clinical settings as a way to improve quality of care offered to patients (Brusch, 2011). Advances in research technology, present new evidence on how to approach various human diseases and conditions. Therefore, consulting with recent finding provides timely and effective interventions to clients and patients who otherwise could have missed. Evidence-based practice involves four fundamentals that include formulation of a clinical query, research, and assessment of the information, and establishment of a clinical resolution. By posing a clinically driven and relevant question, health professionals can systematically form a diagnosis and recommend appropriate treatment. Clinical queries often include a description of patient’s indications of illness in order to formulate appropriate approaches for the resolution of the clinical problem. This paper seeks to illustrate the application of evidence-based practices in the comprehensive diagnosis and treatment of a urinary tract infection in a young female patient. In the case study, a young woman presents symptoms, which are indicative of UTI, she complained of abdominal pains, a burning sensation (dysuria) when emptying her bladder and pain in the lower back. In addition, she indicated an increase in the number of times she relieved herself, on examination, she was found to have fever and evidence of vaginal discharge. Although the clinical manifestations did not conclusively distinguish between upper tract infections from lower tract infections, systemic symptoms provided guidance during examination to indicate upper tract infection. This is likely to be more dangerous since unlike the lower tract, which affects the bladder and urethra, upper infections pose a threat to the kidneys and could result in kidney failure in the end if remedial action is not taken. In this case, the symptoms following patient assessment warranted further investigations for a comprehensive diagnosis and management. First, a differential diagnosis was carried out on the young woman that involved assessing the possibility of other underlying conditions or infections. Various pathogenic infections and disease entities mimic clinical manifestations involved in urinary tract infections. Such disease conditions include prostatitis, urethritis, vaginitis, trauma, intra-abdominal abscess, genitourinary tuberculosis, sepsis among others. In addition, several other factors had to be considered, her health history for one was thoroughly investigated. In case if she had had an injury affecting her urinary system or undergoing chemotherapy, this are some of the main reasons why someone of her age would be vulnerable to UTI. Consequently, to make a comprehensive resolution, a thorough examination of all aspects carried out to facilitate an accurate diagnosis on the patient. Since, in spite of the similarity in clinical manifestation, there exist degrees of variation as per the evidence-based treatment. She was examined using PQRST method for pain assessment that provides a platform on which clinical questions were answered systematically; thus ruling out infections and conditions that mimic UTI. She described the pain with respect to its provocation, quality, spread (radiation), severity, and duration. She complained of sharp abdominal pains radiating from the bladder to the lower back and a burning sensation while urinating. Based on this symptoms there is clear evidence to strongly suggest she may be suffering from a UTI, however, it was not a very acute case since that would likely be ...Download file to see next pagesRead More
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