EVIDENCE BASED SIGNATURE PAPER

EVIDENCE BASED SIGNATURE PAPER

Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Submit a complete H & P from the initial visit with this client and a focused SOAP note for the follow-up visit. Based on this client’s condition, conduct a literature search for two research articles that discuss various approaches to the treatment of this condition. Peer reviewed articles must address the standardized procedure or guidelines for this diagnosis. Incorporate the research findings into the decision-making for this client’s treatment. In the paper, compare and contrast or address how treatment or the plan may have been different based on the research findings. The discussion on relating research to practice should be 3-4 pages and the total paper should be no longer than 10 pages not including references. The research articles must be an original research contribution (no review articles or meta-analysis) and must have been published within the last five years. Cover the criteria listed below.  The paper should be APA formatted and no longer than 10 pages.

• 1^ST VISIT: complete H&P for (dx: Diverticulosis) pt complaint: abdominal cramps, diarrhea, nausea, mild fever since two days. Pt states she ate pop corn on Friday night and started abdominal pain shortly after assessment: flagyl 500mg bid x7 days and Cipro 500mg bid x 7 days
• 2^nd visit: focused SOAP note for follow up visit: revisit 2 weeks after: pt still complaint of frequent mild abdominal pain assessment: order abdominal CT

GI consult

• Reviews topic and explains rationale for its selection in the context of client care. (2 pts)
• Evaluates key concepts related to the topic. 2 pts)
• Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines. (2 pts)
• Assesses the merit of evidence found on this topic i.e. soundness of research (5pts)
• Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research. Discuss the Standardized Procedure for this diagnosis. (5 pts)
• Discusses how the evidence did impact/would impact practice.  What should be done differently based on the knowledge gained? (3 pts)
• Consider cultural, spiritual, and socioeconomic issues as applicable. (2pts).
• Utilize APA guidelines, cite references (2 pts)
• Writing style at the graduate level (2pts)