The limits of evidence-based medicine in respiratory care It is a matter of fact that evidence-based medicine is gaining more and more attention and interest. Many researchers admit its benefits, although little attention is paid to its limits. Therefore, I think that it is necessary to explore the limits of evidence-based medicine in respiratory care to present full picture of what the medicine is, what it offers, what its strong and weak sides are. The clinical question is important to me and to every person who is going to practice evidence-based medicine as every professional should be aware of possible consequences and feedbacks.
Thus, the importance of this clinical question is undeniable and immense. There is a strong gap between empirical evidence and clinical evidence meaning that empirical evidence can’t always be applied to individual patients. (Tonelli, 2001) Medical decisions should consider the values of the patient and professional, but sometimes such values aren’t available. Summing up, the clinical question will explore the limitations of the evidence-based medicine in relation to respiratory care. Part B Post on Readings
Of course, evidence-based medicine is lifelong learning practice that requires proper medical, physiological and psychological knowledge and skills. The practice of evidence-based medicine is self-directed learning that aims that providing the patients with care. Evidence-based medicine underlines the importance of diagnosis, prognosis and therapy as top clinical care issue. The key benefit is that evidence-based medicine doesn’t simply review existing literature for interesting article; instead, evidence-based medicine sets the target and only then starts searching for necessary literature.
(Clark, 2009) Thus, asking clinical questions is argued to be fundamental skill for those who practice evidence-based medicine. Asking clinical questions is important for identifying patient’s problems and directing search to precise solutions. Researchers argue that careful question-forming is not as difficult as it may seem at the first glance. (Asking Questions) Library shelves represent millions of articles, journals offering huge medical database. Searching medical database is also important for practicing evidence-based medicine as it saves time and efforts. Practitioner should be aware of the way the articles are traced.
For example, they can be traced by words in the title or by any word on the medical database. (Greenhalgh) Finally, evidence-based medicine offers effective technique of saving time and efforts. For example, CATS is effective searching technique in practical use. It has standard format and, thus, is useable and understandable for every professional and non-professional. (Fisher, 2000) Summing up, the BMJ sites enhance students’ understanding of effective search for necessary literature. The materials presented by the FSU are of great importance as well.
Asking Focused Clinical Questions. Retrieved January 22, 2009, from http://www. cebm. net/index. aspx? o=1036 Clark, Nancy. (2009). Intro to Evidence Based Medicine Resources. Power Point Presentation. Ferlie, E. , Wood, M. , & Fitzgerald, L. (1999). Some Limits to Evidence-Based Medicine. Quality in Health Care, 8, p.. 99-107. Fisher, Bruce. (2000). CATS. Retrieved January 22, 2009, from http://www. library. ualberta. ca/subject/healthsciences/catwalk/rocketcat/index. htm Greenlagh, Trisha. How to Read a Paper: Series. Retrieved January 22, 2009, from http://www. bmj. com Tonelli, M. R. (2001) The Limits of Evidence-Based Medicine. Respiratory Care, 46, 12, pp. 1435-1440.