Evaluation and Judgment using Internal and External Evidences
The patients’ examination and judgment is an evidence based evaluation that leads to viable decision making process in provision of medical services to the involved patient. …
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The evidence based decision making process can also be applied in other clinical processes especially by clinical experts towards improving the output services provided to the patients and also to improve relevant policy making processes that are effected by national and local government legislators in conjunction with health administrators (Wolberg, 1995). Nonetheless, the evidence based decision making process to addressed in this essay are those that involve patient diagnostic health concerns towards improving then health status of the involved patient.
In the evidence based evaluation of the medical conditions of a patient, the doctor or involved practitioner is required to adopt both internal and external evidence based examinations. The internal evidence are usually based on the knowledge acquired from formal education experiences and trainings with accumulated practice experience obtained from daily practices and or specific experience individually gained from clinical patient relationship (Wolberg, 1995). In other words, the internal experiences in any practice or profession are those experience gained from educational and work backgrounds. On the other hand, external evidences are the knowledge acquired through extensive research on a particular field of interest.
Nonetheless, both internal and external evidences should be examined critically towards evaluating patients’ medical conditions none of which quality medication may be difficult to come by from such evaluations (Wolberg, 1995). Additionally, determination and application of relevant methods of evaluation is vital towards effective judgment. All the issues affecting a patient must be examined closely from multiple sources. It is worth noting effective evidence based decision making in the medical practice can only be achieved through sound application of both internal and external evidence based decisions. In examining patients, the only sure ways of determining their medical conditions may be either asking questions or conducting diagnostic tests on them. The interviews aimed at determining medical conditions are usually structured and aim at determining health problems that the patient is undergoing. Notably, only with internal evidence that a doctor or involved practitioners can related to the answers provided by the patient to the actual medical condition the patient; otherwise, wrong decisions that may further affect the patient’s medical condition may emerge from such evidence based evaluations. Additionally, from the same interviews, the involved medical practitioner may use the information provided by the patient through answering questions and link them such answers with internal evidence and arrive at an amicable medical report (Wolberg, 1995). Medical conditions of similar characteristics usually related to nearly the same medical condition. However, if the doctor or the involved medical practitioner has some slightest doubt, he or she may embark on additional examination to ascertain his or her doubts. In essence, in the evidence based examinations, doctors among other medical practitioners must find the finest and relevant as well as accurate information towards arriving at the conclusive judgments. The other sure way of ascertaining the medical conditions or evidences that are provided by the patient in an interview is conducting medical testing (Wolberg, 1995). Medical testing also requires interval evidence practice experience; otherwise, wrong result may be reported from the test. Therefore, doctors among
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