Steps of Evidence-Based Practice
| ← Diabetes | Nursing and Faith → |
There are several clinical-based problems associated with diabetic foot ulcer. Current paper provides the evaluation of available interdisciplinary evidence for translation into practice. The clinical-based problem is the optimal treatment strategies of diabetic foot ulcer. The population of interest is patients with diabetic foot ulcer. Negative pressure wound therapy is considered one of the most promising methods of treatment. However, further research in this sphere is still required.
The brief literature review of evidence-based interventions should be provided. Xie, McGregor and Dendukuri (2010) estimate the efficiency of negative pressure wound therapy. The authors have used the method of a systematic review of reported randomized controlled trials. Their results of negative pressure wound therapy demonstrate considerable and statistically significant advantages in comparison with other control treatments. However, the results show that the impact of this therapy is different for various types of ulcers. Some inconsistent results are obtained in relation to pressure ulcers while the situation with mixed wounds may be considerably improved using this method. The authors claim that negative pressure wound therapy is a safe method that can substantially facilitate the treatment process.
Uccioli et al. (2015) claim that the treatment knowledge and effectiveness in the sphere of wound management have improved substantially. However, the treatment of foot ulcers is still associated with large costs and risks. The wound environment is affected by many factors that may increase the actual level of risks above the acceptable degree. The authors rely on qualitative methods reviewing the existing issues and risks associated with foot ulcers. In addition, the authors concentrate on the chronic phase of the disease. They claim that dressings that promote EPA are much more effective than traditional ones. Therefore, their use should be encouraged especially in the contexts of treating the most difficult cases of ulcers.
Yarwood-Ross and Dignon (2012) elaborate on comparing the effectiveness of negative pressure wound therapy and conventional wound dressings. The authors base their comparison on a number of dimensions including infected wounds, foot ulcers, partial foot amputations, dehisced post-surgical wounds, and infected wounds (Yarwood-Ross & Dignon, 2012). They have used the most reliable libraries such as Medline and CINAHL for conducting their studies. The authors claim that the results of their studies indicate clearly that negative pressure wound therapy is a more effective tool in comparison with others wound dressings. It contributes to the emergence of granulation tissue within the minimum amount of time. Infection is effectively removed from the wound, and the overall risks present are minimized. Moist wound dressings demonstrate less efficient results and lead to a higher probability of amputations for patients using this method. The authors propose to use negative pressure wound therapy as a major method of treating patients with diabetic foot ulcers.
Holt (2013) examines several issues related to managing patients with foot ulcers. The author states that diabetes often leads to such complications as diabetic neuropathy. A number of urgent issues should be addressed in this context. First of all, the major ethical requirements should be explained to all parties including patients. All measures necessary for preventing the occurrence of diabetic neuropathy should be timely taken. The author has identified all major risk areas and proposed a set of corresponding interventions. The major focus is on the use of qualitative methods in organizing this study. Holt (2013) stresses that the treatment of diabetic foot ulcers is associated with a number of related issues such as wound care, infection, pain, sleep, etc. For this reason, all secondary treatment effects should be addressed closely in order to select the optimal mode of intervention.
The collective search for all these studies was based on the use of major databases such as Medline and CINAHL. The key terms used for organizing this search included “diabetic foot ulcers” and “intervention.” Further, the most appropriate and reliable sources were selected from the obtained list. The literature allowed formulating several important implications. First, there are different methods of treating patients with diabetic foot ulcer. All of them lead to different clinical results and corresponding risks. Second, negative pressure wound therapy demonstrates much better results and lower risks in comparison with other traditional wound dressings. Moreover, all authors under examination supported this conclusion.
Third, there is a need for designing strategies for spreading the use of negative pressure wound therapy to all relevant cases as this method demonstrates the most reliable results nowadays. Fourth, it is also reasonable to consider not only the general impact of this type of therapy but its impact in various cases. Thus, Xie, McGregor and Dendukuri (2010) stress that treatment of pressure ulcers involves considerable risks while that of mixed wounds is safe and effective. Therefore, it is reasonable to apply this method to those cases where it generates the maximum possible clinical effects.
The major elements of the PICOT question are as follows (Melnyk & Fineout-Overholt, 2010). P: In diabetic patients with foot ulcers; I: how does negative pressure wound therapy; C: compared to standard moist wound therapy; O: improves wound healing; T: within 12 weeks. Thus, the ultimate PICOT question is the following: in diabetic patients with foot ulcers, how does negative pressure wound therapy compared to standard moist wound therapy improves wound healing within 12 weeks? It may be concluded that diabetic foot ulcer is one of the major problems that requires innovative solutions to the existing challenges. The analyzed articles show that negative pressure wound therapy is an optimal option in the majority of cases.
Buy nursing essays about clinical-based problems from our writers.
|
Judy C.
Bolingbrook, IL
|
|
|
I have used EssaysEmpire.com for two years now, and I wouldn’t even consider trying another writing service. I am convinced that there is no other service as good as EssaysEmpire.com, and I only want to work with the best. EssaysEmpire.com has given me well written papers that have come in well before their deadlines, every time. I am happy with EssaysEmpire.com and commit to sticking with them. |
||
|
Louise O.
Oakland, CA.
|
|
|
The A+ that I got on the paper that I ordered from you, helped boost my grade up an entire letter grade! Thanks, EssaysEmpire.com! |
||
|
Tiffany E.
Monroe, LA
|
|
|
I am 100% satisfied with the writer that you assigned to my project. This person understood exactly what I needed, even though I’m not the best communicator and the instructions were tedious and difficult. I felt certain I would have to send my paper back for a number of revisions, but I didn’t. The writer was able to convey exactly what I wished to express and he did it in record time!Thanks for everything. EssaysEmpire.com is the greatest! |
||
|
Cleo P.
Oakland, CA
|
|
|
I submitted my order as a ‘rush order’. I only had 2 days to get my paper finished and I just felt like I was sinking. I didn’t understand the material I was writing about, and I didn’t know what I was going to do. My friend recommended EssaysEmpire.com. I had very little lost by attempting to use this writing service, so I did. It was an excellent move on my part, because, not only was my paper finished on time. It was also excellently written. I will always be grateful to my friend for recommending your service. It is wonderful. |
||
|
Cleo C.
Wichita, KS
|
|
|
To the writers at EssaysEmpire.com: Next week, I will be graduating with a degree in clinical psychology. Over the course of my college years, I have had to turn to you for help many times. Each and every time, you produced some of the highest quality writing my professors had ever seen. Because of you, I was able to keep a high grade point average and get into an excellent grad school. There are simply no words adequate enough to fully express my appreciation, so I’ll simply say, “thank you” and let it go at that. Please know that you are appreciated. |
||
|
Mark R.
Seattle, WA
|
|
|
I am so happy with my term paper. The writer did a spectacular job!! Thanks to the writing team and also to the customer service team. |
||
|
Stephanie M.
Bath, ME
|
|
|
This is the fourth A+ in a row from EssaysEmpire.com! Thanks! |
||
|
Phil E.
South Hadley, MA
|
|
|
So often, when one deals with customer service, he or she is treated rudely. That was not the case with EssaysEmpire.com. The agents were helpful and friendly, knowledable and concerned. I, for one, was astounded with their competence. When it came down to the actual written material that I ordered, it was much better than I had anticipated. There are clearly some expert writers who work for EssaysEmpire.com. I would rate this writing service as exceptional, 5 stars out of 5 stars. I will happily return when I need help with another written work. |
||
|
Royce B.
Dallas, TX
|
|
|
It is so refreshing to work with a writing service as professional as EssaysEmpire.com. Everything from your website, to your customer service workers to the writing itself, is top rate. I recommend you highly to anyone who will listen. |
||
|
Thomas C.
Louisville, KY
|
|
|
I loved the paper that your writers helped me with. They wrote from a very interesting perspective that I had never even considered. My teacher was happy with the work, and so was I. Thank you very much. |
||
|
Willow P.
Park City, UT
|
|
|
You guys do top-notch work. Time after time, I have had to rely on your help and I can say honestly that you have never let me down. Thank you so much for coming through for me every time. I am not a good writer. I try. I study hard, but when I need help, you are always there to give it to me at an affordable price. |
||
|
Mark C.
Mexico City, MX
|
|
|
Thanks to EssaysEmpire.com, I was able to keep my GPA up and will be graduating soon. I really needed assistance with my writing. I aced everything else, but I have always had problems expressing myself in writing. The writers at EssaysEmpire.com took the ball and ran with it! Because of them, I am going to graduate. Thank you, from the bottom of my heart, for all of the valuable assistance. |
||
|
Grace G.
London, UK
|
|
|
I was quite satisfied with the results of my paper order. EssaysEmpire.com sure has some good writers! I thought it might just be some college kids who were writing in their spare time to earn some extra bucks. No! EssaysEmpire.com hires legitimate writers. They all seem to be well educated and intelligent, too. My paper was terrific! |
||
|
Jeff M.
Baltimore, MD
|
|
|
I would like to commend your excellent writers for a job well done. They followed my directions to a tee. Thank you, EssaysEmpire.com for being who you are and for doing what you do. There is no better writing service anywhere. |
||
|
Langley R.
Los Angeles, CA
|
|
|
One of the things that I appreciate most about EssaysEmpire.com, is that they don’t resell your paper. Only you own it, if you hire them to write something. Other writing services that I have used, just circulate the same paper over and over, and if you get caught turning one in, too bad. You are expelled. EssaysEmpire.com will even give you a plagiarism report after they run it through their anti-plagiarism check. Such details set EssaysEmpire.com above the rest. |
||
|
Morgan W.
Eugene, OR
|
|
|
I don’t see how anyone could write a paper about something as boring as the psychology of the two year old, could make it sound so interesting, but your writers managed to pull it off. Thank you for putting forth such a concerted effort to do a good job. I really appreciate it. I will use your service again |
||
|
Philipa W.
Rome, ITALY
|
|
|
The paper that your writers did for me on the topic of, The Psychological Effects of Fluorescent Lighting in the Workplace,” was right on the money! They included my long list of customizations and did not charge extra for them. The formatting was just right. There were no grammatical errors. The length was what it was supposed to be. I am so happy that I chose to let the EssaysEmpire.com writers take care of my paper for me. I will choose this writing service again without hesitation. |
||
|
Brianne H.
Tampa, FL
|
|
|
The paper that I purchased from EssaysEmpire.com was well written. Thank you. I will have another order for you soon. Since I was so happy with the way things went, I see no reason to use any other writing service. Your service delivers the goods, just like you say you will. |
||
|
Melissa C.
Rochester, NY
|
|
|
I am completely satisfied with the paper I purchased from your company. I only wish I had known about you last year when I took an F grade for not being able to complete a paper on time. The work you did was marvelous. Whenever I find myself falling behind in my school work, I will be sure to pass along some of my more difficult written assignments to you |
||
|
Millie P.
Jackson, WY
|
|
|
Thanks goes out to the writer who filled my order. He did everything right the first time around. I had to ask for one tiny revision, but that was my own fault for leaving it out of the directions. |
||