Evidence-Based Practice - Dissertation Example

Evidence-Based PracticePICOT Evidence-Based QuestionsPopulation: An obese African American (black) sixteen-year-old girl who has breast cancer attributed to her being obese is undergoing or considering losing some weight (Melnyk & Fineout-Overholt, 2011). This is by reducing her calories’ intake and exercising after undergoing mastectomy. Intervention: The doctors helping the patients lose weight after the mastectomy.Comparison: The doctors not helping the patient lose weight after the mastectomy.

Outcome: When the doctor helps the teenager lose weight after the mastectomy, the girl has a better chance of losing weight as well as reducing chances of the cancer spreading to other parts of the body. Time: The six weeks taken to recover after the mastectomy.1. PICOT Question: Does the obese African American (black) sixteen-year-old girl patient undergoing mastectomy and weight loss after surgery have a better chance of losing it that would result to the cancer not spreading to other parts after mastectomy if doctors assist her in losing weight compared if they do not intervene? 2. Intervention Question: In obese African American (black) teenage patients with breast cancer (P), how effective is weight loss after mastectomy compared to mastectomy without any weight loss (C) in minimizing the chances of the cancer spreading to other body parts after treatment (O) during and after the recovery and weight loss period? 3. Therapy Question: How long does it take a patient to lose weight (O) when the patient is an obese African American (black) teenage girl with breast cancer (P) whose doctor assists her in losing weight (I) as opposed to the patient whose doctor does not assist her in losing weight (C) after the six weeks recovery period (T)?4.  Etiology Question: Are obese African American (black) teenage girls (P) whose doctors assist in weight loss (I) lose weight faster and reduce chances of the cancer spreading to other body parts (O) compared with obese African American (black) teenage girls (P) whose doctors do not assist in weight loss (C) after the six weeks recovery period (T)?5. Diagnostic Question: Is doctors assisting their patients lose weight after mastectomy (I), for obese African American (black) teenage girls (P) a better way of avoiding the cancer from spreading to other body parts (O) compared with doctors who do not help their patients lose weight (C)? 6. Prevention Question: In obese African American (black) teenage girls with breast cancer (P) what is the probability of the cancer spreading to other body parts after the mastectomy (O) when the doctor assists in the weight loss (I) and when the doctors do not assist in the weight loss (C) after the recovery period (T)?7. Prediction/ Prognosis question: Does the doctor helping the patient lose weight (I) in obese African American (black) teenage girls with breast cancer (P) reduce the chances of the cancer spreading to other body parts after mastectomy (O) after the recovery period (T)?8. Meaning Question: How do obese African American (black) teenage girls (P) whose doctors assist them in losing weight (I) reduce the chances of the cancer growing to other body parts (O) after the mastectomy and recovery period (T) (Koshar, 2014)?

ReferencesKoshar J. (2014). What is a PICOT Question? Nursing Research & Evidence-Based Practice. Retrieved from http://www.sonoma.edu/users/k/koshar/n300/PICOs.htmlMelnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.