Medline Search - Essay Example

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The clinical question was duly framed according to PICO guidelines by considering all its elements. The target patient population was confined…
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Due education and health in asthmatics Does education of the patient and the family in self-care management resultin improved health and functional status in adult asthmatics?
The overall effect of therapy in asthmatics depends on the regularity of medication and early treatment in case of an impending attack. The clinical question was duly framed according to PICO guidelines by considering all its elements. The target patient population was confined to adult asthmatics. The intervention studied was self-care management. Comparison was made between education of patient as well as family about the strategies to be adopted for therapeutic intervention and how the lack of education decreased compliance. Outcome to be evaluated was the effect of proper education of patients/family on self-care in the adult asthmatics.
The ‘Medline’ database was studied with directed and pointed queries in the main search box for terms related with the clinical question. The first query was made using a rather obvious sentence ‘improving functional status in adult asthmatics’ but it yielded no results. The search was repeated using a more targeted collection of terms ‘asthma control in adults’ which yielded some very good results. The primary papers shortlisted in this search which were somewhat relevant with the clinical question included papers on medical adherence amongst adult asthmatics residing in two inner city clinics, the beliefs of patients as well as physicians about asthma control and risks involved. Another search was conducted on the same website using ‘asthma self care’ as the key words. This yielded a number of hits and two papers talked about the impact of education on asthma patients, adults as well as children. Out of these, one was found to be highly relevant to the clinical question and is summarized below. Yet another search with the key words ‘asthma medication’ yielded quite good results and another paper was selected for discussion and summarization. In total 10 relevant studies were obtained in this search. The two selected studies had high relevance with the clinical question due to their focus on the impact of education on patient adherence with medication for asthma and are therefore summarized below:
1. A descriptive and correlative study tried to examine the impact of education, knowledge and patient characteristics on emergency visits to the hospital which can yield some fair knowledge about the clinical question (Emtner et al, 2009). In a year long study, 84 asthma patients and 52 COPD (Chronic Obstructive Pulmonary Disease) patients were interviewed on phone 4 to 6 weeks after an emergency room (ER) visit and followed up for one year to study the impact of patient knowledge about the respective disease. It was discovered that patients with asthma belonged to a younger age group and were more capable of handling their condition as compared to patients with COPD, who were older and had a number of comorbidities which complicated their situation. Although 80% of the patients had been educated about their diseases in rehabilitation programs, only Read More
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