F684 then addresses documentation requirements for any skin ulcer/wound. The second question relates to preferable method of securing IV's. All of the examples used here are available in full from the University of … Continue reading Example scenarios ». Quantitative Questions aim to discover cause and effect relationships by comparing two or more individuals or groups based on differing outcomes associated with exposures or interventions. Medical-surgical nurses are usually responsible for changing dressings, monitoring vital signs, looking for signs of complications, and administering medications. Specific topics include advocacy, client rights, confidentiality, continuity of care, ethical practices. For example, the Journal of Wound Care reported that honey can help to treat open and infected wounds. The handbook includes instructions about how to use the product including: • Information on what PICO is for. Wound, a break in the continuity of any bodily tissue due to violence, where violence is understood to encompass any action of external agency, including, for example, surgery. Link to a detailed search:. High Performance. PICOT question: In new mothers that are breastfeeding, what is the. This will help nurses gain a better understanding of culturally competent wound care. Focused in scope - "The Trees" Requires a grasp of basic concepts to fully. U-M Library Search. Non-pharmacological therapies are ways to decrease pain without medicine. This dressing was very similar to the Mepilex sacral dressing, but lower in cost. • Surgical debridement vs. Export facility to reference management software. Active wound care products include skin substitutes and biological growth factors. It may seem tempting to pick a very specific PICO question and spend a lot of time honing the question before you start researching. Foreground questions are generally very detailed questions that can best be answered with the information contained in published research studies. It is based on the latest evidence for effective wound management. During the 2014 Ebola epidemic, a man who traveled from West Africa to the U. This information may be gained by conducting comprehensive, holistic assessment using evidence-based techniques and tools and/or identifying potential risks to patient safety, autonomy, and quality of care based on. (Ambulatory Care Experiences Survey) 6 items on integration In the last 12 months, when your personal doctor sent you for a blood test, x‐ray or other. You may also need to clean your wound with a mixture of hydrogen peroxide and water. Pico Question Examples Images Example Of Resume For Student. An example of a research question …. Pharmacotherapy for Long-term Control of Type II Diabetes Mellitus Jessie Hu, MS3 1/16/2013 Background PICO Question: In adult patients with DM Type II, does the use of glyburide as initial therapy provide better Hba1c control than metformin?. Complete ulcer closure was defined. PICO Framework. BSc (Hons) Adult Nursing. A nursing assessment for chronic wound care is provided using two approaches: the NANDA diagnostic approach, and the PICO process. Let's take the six unfocused questions above and edit them into focused (PICO format) questions. However, this study does have its weaknesses in relation to my PICO question. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. Negative pressure wound therapy (NPWT) is a wound dressing system that was designed to promote wound healing through the use of subatmospheric pressure to the wound surface. I need same writer for all assignment. (American Diabetes Association, 2012) and this population continues to grow. 4 Formulate a focused clinical question about clinical practice. Jan 14, 2014 … standards, skilled therapy services are covered when an individualized …. Key words: EBM, evidence-based medicine, foreground question, PICO method. The normal function of the tissue is damaged • Wounds can be accidental, surgical, or occur because of underlying disease (e. PICO Paper Introduction Bullying can significantly lower job satisfaction and job stress-induced increase, but also leads to low self esteem, depression, anxiety and desire to leave the job. A nursing assessment for chronic wound care is provided using two approaches: the NANDA diagnostic approach, and the PICO process. A simple database search strategy should begin with the P AND I: cross infection AND (Handwashing OR Hand disinfection). PICO has been shown to provide positive patient outcomes when applied to open wounds, closed surgical incisions and skin grafts 1,2,3,4. Children with chronic asthma are often prescribed inhaled steroids or corticosteroids. Essential EBP for CAM Study and Practice Guide. Foreground questions are often asked in a format called PICO:: 1) Patient, Population, Problem. To make it easier to find an answer, time needs to be spent on structuring and refining your question. PICOT Question :For home health nursing staff caring for homebound patients, how will the implementation of EBP care guidelines for pressure ulcers impact the condition/healing of pressure ulcers in 8 weeks?. 2 In-Service Guide: Wound Care Treating a Wound 3 4 5 Use the following procedure when treating a wound Wash hands and apply gloves. PICOT questions examples. View wait times and save your place in line at an Intermountain InstaCare location near you. This is a way of formulating a medical question to better match the capabilities of database search engines such as PubMed. For patients aged 65 and older who are hospitalized (population), is increased healthcare facility staffing a better deterrent (intervention), in comparison to fall prevention programs (comparative/ alternative intervention) that are readily utilized in hospital settings, to help minimize in-patient falls (outcome) during the patient's hospitalization (time)?. PICOT question: In new mothers that are breastfeeding, what is the. The purpose of the NE1 WAT is to improve accuracy of PrU staging, which may. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. However, this study does have its weaknesses in relation to my PICO question. First an overview is provided of the relevant issues of chronic wound care for the nurse. Clinical Question Paper: PICOT Nursing research is an important fundamental of the nursing profession. According to Nieswiadomy (2012), PICO stands for "Patient or population, Intervention or interest area, Comparison intervention or current practice, and Outcome(s) desired" (p. Padilla, the issue of whether the antibiotics or hyperbaric oxygen therapy were properly prescribed was a core issue in the case. Finding Relevant Evidence to Answer Clinical Questions chapter 3 43 The use of a standardized format, such as PICOT (see Chapter 2), to guide and clarify the important elements of the questions is an essential fi rst step toward fi nding the right informa-tion to answer them. 's e-mail server that wound up online and. Increasing utilization of temporary and permanent skin substitutes and growing demand for combination dressings, for example, collagen hydrochloride and silver collagen, to prevent microbial infection in wounded areas are the key trends observed in the wound care biologics market. A clinical question needs to be directly relevant to the patient or problem at hand and phrased in such a way as to facilitate the search for an answer. 3 In the case of the chlorhexidine bath wipes, cardiac surgery patients are the population (P), chlorhexidine bath wipes are the intervention (I), soap and water is the comparison intervention (C), sternal wound infection rates are the outcome (O), and the postoperative period is the. YouTube Premium. This is a way of formulating a medical question to better match the capabilities of database search engines such as PubMed. Once a nurse assesses a client’s. I = Intervention. U-M Library Help. Pico Question Examples Images Example Of Resume For Student. After many years working with traumatic and chronic wounds, I have wonder if there is significant evidence to argue the following PICO question: When caring for patients in need of wound care, does sterile isotonic saline reduce infection rate and shorten healing time when compared to tap water?. Action Plan. Learn More About Ambulatory Care Nursing. Approved for both hospital and home care settings. Pico Blvd Los Angeles , CA 90035 310-276-1702. "Developing the research question and study plan is an iterative process that includes consultations with advisors and friends," stated Cummings. They affect more than 5% of surgical patients. The services of online PICOT question developers can be used to develop the right questions. PICO is a tool that can help you deal with clinical scenarios where you don't know the answer to a patient's question, or know the answer but need evidence to support you. • General wound care • Diabetic foot ulcers • Pressure ulcers • Leg ulcers • Palliative wound care • Education The needs of special populations with wounds are addressed in the relevant sections. Many of you have worked with wound care patients needing antibiotics and hyperbaric oxygen therapy. A skin wound that fails to heal, heals slowly or heals but tends to recur is known as a chronic wound. Your healthcare provider will help you choose therapies that are right for you. Describe factors affecting skin integrity. Remove the elastic bandages from the stump, and set them aside. C - compared with aspiration of contents. Include any questions you have and/or challenges encountered Project 1: Hospital-acquired Pressure Ulcer. Prepare supplies by opening the gauze packages and cutting new tape strips. Below are some overall strategies you can use: • Avoid “blanket” orders, for example, “continue previous. Evidence based practice can be broken down into the following steps. You ask a question about patient care, prognosis, harm, or diagnosis. PICO research question nursing is a sort of frontal area, however unquestionably increasingly intricate. The invasive nature of surgery, w ith the increasing complexity of procedures, sets up an. Epub 2014 Jan 24. Dressings on surgical incisions are thought to reduce postoperative infections. txt) or read online for free. A nursing assessment for chronic wound care is provided using two approaches: the NANDA diagnostic approach, and the PICO process. Search strategySection 2. The (rough) PICO question I've got so far is along the lines. (The nurse should remind the family member to administer an analgesic prior to wound care to prevent. Before even looking at these Quality measures, we recommend you first enroll for free in the US Wound & Podiatry Registries, then select and purchase a MIPS package. PICO (T) questions should have four concepts or components that help in making a clinical decision. Describe at least one nursing practice that is supported by the evidence in the articles. Lightly pat it dry. Include any questions you have and/or challenges encountered Project 1: Hospital-acquired Pressure Ulcer. Search strategySection 2. The use of the PICO(T) clinical question framework is heavily routed in evidence-based practice. The PICOT question format is a consistent "formula" for developing answerable, researchable questions. Refer to "Developing a Question" and "Topic 1. P Describe your patient or the problem - be specific. Use background sources and preliminary database searches to help you define the scope and definition of each component, thereby helping you develop an effective research question (one that is sufficiently specific, focused and answerable), while also identifying appropriate vocabulary to use in your. all health care associated infections according to the National Institute for Health and Clinical Excellence. 3 In the case of the chlorhexidine bath wipes, cardiac surgery patients are the population (P), chlorhexidine bath wipes are the intervention (I), soap and water is the comparison intervention (C), sternal wound infection rates are the outcome (O), and the postoperative period is the. What is the order of assessments according to priority in this situation? 6. Pico Nursing Research Paper Tslnigeria Com. Evidence-Based Practice (EBP): Improving Patient Care from the University of California Irvine. Non-healing pressure ulcer prior to PICO therapy Wound almost completely healed after. So, Ron has taken the time over the past week to respond to the most frequently asked questions about PDPM. Foreground questions. An example: One of Jefferson’s contemporaries, a Polish nobleman who fought in the Revolutionary War — Tadeusz Kosciuszko — He was a slaveholder himself but he ended up freeing people. One way to focus a search for evidence or formulate a research question is to use PICO format. Chart and Diagram Slides for PowerPoint - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. You may wish to include variant spellings or endings (plural, singular terms). C = Patients restored without a stress-breaking liner. 082019 connect. Ask a Well-Formed Clinical Question in PICO Format P = Patient, Problem or Population: Characteristics / condition of the patient. The description is provided to contextualize the situation, explain something about the subjects or respondents of the study or provide the reader an overview of your study. Rating is available when the video has been rented. An example of a quantitative review question is this from the JBI database: "What is the effect of an individualized survivorship care plan as compared to usual care on quality of life on the adult female breast cancer survivor?"7 The review question clearly satisfies all four of the PICO elements: population. Kris Gaumer DO Sparrow Health System Lisa Fears, LPN, WCC, COM PACE Clinical Manager Wound Care September 17, 2016. Preparation 1. [1][1] The precise definition of the. PICO is a framework for structuring a clinical question by. Anthony, M. Today, we will revisit them in depth. YouTube Premium. Place initials and date on tape or the dressing. (American Diabetes Association, 2012) and this population continues to grow. Some are general questions about a clinical problem or a disease process, e. CASE EXAMPLE: A 76 year-old man with a sacral stage IV pressure ulcer is a full code. To make it easier, you can use the PICO framework: P: Population of interest, such as elderly hospitalized patients with a temperature of 38. The Milwaukee Journal Sentinel is taking questions from readers and getting answers from various local doctors. Although pressure ulcers are preventable in most every case, the prevalence of pressure ulcers in health care facilities is increasing. An example of a PICO for our question is summarised below: The PubMed search for this PICO looks like this: ((elderly) AND (congestive heart failure)) AND spironolactone AND hospitalisation. Remove the old dressing. 475 Geriatric Long Term Care Nurse Practitioner jobs available on Indeed. Asking the right question is crucial, but it is especially important when patient care or research is involved. He currently practices in Westfield, New Jersey. We went from 9 gege e a ques o sneral questions to 19 specific and validated questions 2. Foreground questions are best answered by consulting medical databases such as MEDLINE (via PubMed or Ovid), Embase, Cochrane Database of Systematic Reviews and ACP Journal Club. PICO for Quantitative Studies. These behavior-based interview questions will help identify those nurses who possess the necessary characteristics and skills for success in today’s complex healthcare environment. Use a clean towel and washcloth daily. another intervention may be “nothing” or a placebo or specific treatment). OUR CLINICAL CARE? St d di d / lidStandardized /valid wound assessments Scoring of wounds Improved clinical assessment skills IdtitImproved patient care Staff Satisfaction IMPROVED ASSESSMENT 1. We are suppose to come up with a PICO question (Evidenced Based Practice). Improve Intra Operative Nurse To Nurse Communication Using A Safety. Create a general question that you want to study, based on a specific scenario you have experienced as a health care professional or student. A clinical research question is a question posed by the nurse to identify the best treatment method in addressing patient needs (WCSU Libraries, n. Question: Give One Example Of A Wound Care Product Or Strategy That Helps With Each Stage Of Wound Healing. A wound is any damage or break in the surface of the skin. 2) Inflammation 2. 1 PICOT is an acronym for five key components to a clinical research question. Helping you heal: Your guide to wound care – Negative Pressure 9 DAILY ACTIVITIES Please note the following daily activities • Check your dressing daily. Research Question: Is the use of soap and water or alcohol-based rubs more effective in preventing hospital infections?. The National Institute for Health and Care Excellence (NICE) in the United Kingdom has made recommendations for post-operative wound management so as to reduce the rate of SSIs (Table 1). With the inquiry of this PICOT question, patient-centered care, evidence based practice, quality improvement and safety were all explored and utilized. Doctors and nurses start by evaluating a wound based on the risk of infection: "Clean" wounds — those that aren't contaminated with bacteria — have the lowest risk of infection, making them easier to care for. To formulate questions in Evidence Based Practice, use the PICOT format. The outcome of your research question may be in the form of a description. Sample size 100 patients to investigate Time to healing, health economic and patient reported outcomes. Focused in scope - "The Trees" Requires a grasp of basic concepts to fully. Problems of the neonate and young infant: 3. What could be your PICOT question/statement? How could you frame it into a more researchable topic? P - I - C - O - T - 2. (American Diabetes Association, 2012) and this population continues to grow. I - Intervention - therapy, prognostic factor, or exposure. Pico Question Examples Images Example Of Resume For Student. The Wound Care Education Institute® online Skin and Wound Management Course, available on the advanced Relias PrepSmart learning system, prepares you for a certification exam and establishes you as a wound care expert in your organization. [Free Guide] 15 Behavioral Interview Questions for Nurse Candidates. "What interventions reduce the incidence and severity of bed sores in residents of aged care facilities?" The website below may help you to understand and use the PICO concept. docx), PDF File (. Qualitative research, sometimes also referred to as naturalistic inquiry, is a distinct field of research with its own research philosophy, theory and methodology. Anthony, M. Your Quality Improvement (QI) Specialists will follow up with you after this webinar to address them. Where do you find PICO questions? The questions arise during the care of the patient, or a question from the patient or caretaker, or may occur when a new practice or policy is considered, or when quality standards indicate a problem,or when a policy & procedure manual is being updated, or when care is provided in different ways and consistency. This paper will help you find the answers to the hidden questions that will act as the key to the unlocked doors in the field of research and hence resulting in building. Your discussion must include: The different types of wound care dressings, products and treatments that could be used to manage this problem. No drainage at this time. "What is the overall best approach to trauma?" These are called Background Questions and are best answered by. PICO Framework. A well-formulated question will facilitate the search for evidence and will assist you in determining whether the evidence is relevant to your question. The PICOT statement will provide a framework for your Capstone Project. For example, a parent might ask whether a single shot of a steroid would. PICO is a tool that can help you deal with clinical scenarios where you don't know the answer to a patient's question, or know the answer but need evidence to support you. 1 Routine care of the newborn at delivery: Among healthy newborn infants in low- and middle-income countries (P), does early skin-to-skin contact of the baby with the mother in the first hour of life (I) compared with drying and wrapping (C) have an impact on neonatal mortality, hypothermia or initiation/exclusivity. Guide to locating health evidence. Modern wound care products and therapies are founded on the concept of moist wound healing since Winter’s 6 work demonstrated that epithelialisation proceeds twice as fast in a moist environment than under a scab. because I am working in nursing and rehabilitation center) A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. Nurses use PICOT in developing clinical questions for research. Negative pressure wound therapy (NPWT) is a wound dressing system that was designed to promote wound healing through the use of subatmospheric pressure to the wound surface. Foreground questions ask for specific knowledge to inform clinical decisions or actions. A useful process is to break your question into parts using a search mnemonic. Post-op Wound Care contains topics that cover generalized post-operative wound care to promote healing and prevent infection. What are the nursing interventions performed by the nurse in the order of priority? A client is severely injured with burns and sustained major trauma from a fire incident. The nurse evaluates which laboratory values to assess a patient’s potential for wound healing? 2. Non-pharmacological therapies are ways to decrease pain without medicine. The outcome of your research question may be in the form of a description. Wound Care Question - allergic to dressings I posted last week about a wound that was extremely sore and was unsure about the stitches; had to get more stitches on Wednesday last week, and while I was there the doctor took out my stitches from the previous Tuesday. The exercises below are designed to improve your ability to select a good research question. For Evidence-Based Practice, you will often want to focus on asking clinical foreground questions; however, sometimes you may need to ask a clinical background question or two before you are able to formulate a good clinical foreground. NCLEX-RN Practice Question for Pressure Ulcers & Burns This NCLEX practice exam tests your nursing knowledge on the integumentary system, specifically pressure ulcers and burns. Randomised Controlled Trial of PICO (a portable Negative Pressure Wound Therapy) versus standard care in patients with chronic and sub-acute wounds. Wound ManagementSection 5. The handbook includes instructions about how to use the product including: • Information on what PICO is for. The invasive nature of surgery, w ith the increasing complexity of procedures, sets up an. It stands for: P--Patient/Problem I--Intervention C--Comparison O--Outcome. Methodology. PICO makes this process easier. The type of question helps to determine the resource to access to answer the question. Examples of acute wounds include a surgical incision or a traumatic wound (e. on quality of patient care in acute care settings: An integrative review paper. The Care Plan Template is provided for your reference as a starting point for the documentation that you should have in place as a provider of care and support services. The system's silicone-based, four-layer dressing design manages exudate through simultaneous absorption and evaporation, providing greater comfort. Palliative care,. exudates collection chamber and dressing sets to a qualified. Scroll to the bottom of. Please try again later. Wound Care Chronic wounds represent a devastating health care problem with significant clinical, physical and social implications. "Developing the research question and study plan is an iterative process that includes consultations with advisors and friends," stated Cummings. Stages Wound Care Product Or Strategy 2. Words: 8294 Length: 30 Pages Document Type: Essay Paper #: 34995976. A diabetic patient from a nursing home has recently been admitted with a stage III pressure ulcers on his heels. Title Here The purpose of this paper is to utilize evidence based research to support decisions in the health care field or in this case, nursing. Also, increasing protein intake, a balanced and high caloric intake,and no infection will speed things up considerably. Do not damage the new skin. Guide to Formulating Great Practice Questions for Nursing Students. This easy-to-follow tutorial from the Librarians at the Bodleian Library at Oxford University, in partnership with the Centre for Evidence Based Medicine (CEBM), walks you through an example of turning a clinical research question into PICO format and using that to create search terms. After discovering PICOT research question examples who have tried to develop the document and have not been successful, the best way is to rely on reliable sources. Foreground Questions: Asks for specific knowledge to inform clinical decisions actions. Routine oral care using chlorhexidine can prevent infections of the lower respiratory tract in both cardiac and non-cardiac patients. Justify your response with specific references to at least 2 of the articles. An example of a PICO for our question is summarised below: The PubMed search for this PICO looks like this: ((elderly) AND (congestive heart failure)) AND spironolactone AND hospitalisation. ) Location: proximity to major vessels (potential damage to blood supply for healing), nerves and organs. If your desire is to perform a qualitative study, it will probably be a lot easier to develop your research question if you first become familiar with some of qualitative research's basic …. Each letter provides a component of the question. Specific topics include advocacy, client rights, confidentiality, continuity of care, ethical practices. What is the PICO Process? PICO is a mnemonic used to describe the four elements of a clinical question to be formulated prior to starting one’s research. The five letters in the term PICOT stand for each step that the nurse should identify while developing his or her clinical. For each exercise choose what you think is the best research question out of the three (neither too broad nor too narrow). Design Your Own PICO Clinical Question - WMEP Briefly describe a situation involving wound care that poses a question in your practice. For Evidence-Based Practice, you will often want to focus on asking clinical foreground questions; however, sometimes you may need to ask a clinical background question or two before you are able to formulate a good clinical foreground. * Note that not all PICO parts will be active or applicable when asking the question. O'Brien J M & Reilly N J in Adv Wound Care 1995 8, 26, reported "a significantly higher number of skin tears with silk tape". It stands for: P--Patient/Problem I--Intervention C--Comparison O--Outcome. With appropriate care, smaller acute wounds will normally close within days or weeks depending on the size, depth and position of the wound. Trice and Kathaleen C. See Example 1 below for demonstration of a question with nothing but the P of PICO(T) When actually entering your search terms, you never actually search for the O--outcome--you merely use your 'Outcome' as your assessment of whether or not the article answers your question. Through early or prophylactic use, PICO is clinically effective to both prevent infection 2,7 and promote healing 1, 28 when compared with standard care across a number of specialties and patient profiles. An order is obtained from the physician and. Gently wash your • Dry the wound and the skin around the wound. Evidence suggests that consistent, meticulous and skilled care provides the primary means by which successful wound care and healing is promoted. For example,. , Cheung, K. When a qualified HOPD staff assesses the wound, furnishes a new PICO Single Use Negative Pressure Wound Therapy System and provides instructions for ongoing care, what CPT ® code should the HOPD report on their Medicare claims? The HOPD may report either CPT ® code 97607 or CPT ® code 97608, depending on the size of the wound. Here is an example of a scenario/patient situation expressed in PICO and the elements that might be identified: Systemic steroids, such as prednisone, slow bone growth. The Wound Care Education Institute® online Skin and Wound Management Course, available on the advanced Relias PrepSmart learning system, prepares you for a certification exam and establishes you as a wound care expert in your organization. So there you are! The answers to a few questions that a wound care nurse gets asked on the regular basis. Title Here The purpose of this paper is to utilize evidence based research to support decisions in the health care field or in this case, nursing. Professional License Required. •Pressure ulcer risk assessment tools •Using pressure ulcer risk assessment tools in care planning These topics were introduced in your 1-day training. This example focuses on the multidisciplinary care of a patient and some of the many clinical questions that may arise: A 60 year old indigenous woman with poorly controlled diabetes and a past history of rheumatic valvular disease is admitted to hospital for management of a non-healing ulcer on her heel. Wound Care Question - allergic to dressings I posted last week about a wound that was extremely sore and was unsure about the stitches; had to get more stitches on Wednesday last week, and while I was there the doctor took out my stitches from the previous Tuesday. ) Response C D. liative care of patients with cancer. 2009 2 Introduction: A clinical question is generally defined as a question pertaining to a health care provider’s management of a patient or population of patients that is answerable through print or. This video will take you step by step through the process. Foreground questions are best answered by consulting medical databases such as MEDLINE (via PubMed or Ovid), Embase, Cochrane Database of Systematic Reviews and ACP Journal Club. A simple database search strategy should begin with the AND : cross infection AND (Handwashing OR Hand disinfection) Start with CINAHL or Medline/PubMed as initial article databases for a scoping search for most health sciences questions. NCLEX-RN Practice Question for Pressure Ulcers & Burns This NCLEX practice exam tests your nursing knowledge on the integumentary system, specifically pressure ulcers and burns. Ausmed's Wound Management Seminar is an essential and very popular course for healthcare professionals, including nurses, general practitioners, podiatrists, pharmacists, and occupational therapists. In pediatric patients with CVLs/PICCs, are there long term effects of flushing heparin through the lines prior to accessing them as opposed to…. Feel free to send me any questions, wound related or otherwise, that you need. com, the largest free essay community. This FDA clearance follows the recent successful launch of PICO in Europe, Canada, and Australia. That's why a team of doctors and specially trained wound care nurses work together to monitor and treat serious wounds. I know that the teacher don't want you to look at studies and develop a PICO, but that's what I ended up doing. One of the fundamental skills required for practicing EBM is formatting well-built clinical questions. A diabetic patient from a nursing home has recently been admitted with a stage III pressure ulcers on his heels. The question above was formulated by the student utilising the PICO framework by (Sackett et al. (Finehout-Overholt et al. Incidences of dehiscence reduced by 75% in a breast cancer study**** 8. Loosen the tape around the old dressing. The Wound, Ostomy, and Continence Nursing Certification Board (WOCNCB), since 1978, has certified these specialists with the Certified Wound Care Nurse designation. Foreground questions. question in PICO format. • Surgical debridement vs. Public Health Question Case Examples Case #1: Food Scarcity and the Elderly Care of the aging population in the community is currently provided by a variety of government, for-profit, not-for-profit and religious organizations, as well as individuals. total 91,360 SEK (£8,574), the total costs of healing the wound with PICO were 10,640 SEK (£998). The wound dressing protects the wound from dirt and bacteria to ultimately help promote healing. Evidence-based practice (EBP) is a problem-solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician’s expertise and patient preferences and values in making decisions about patient care (Melnyk and Fineout-Overholt, 2011; Sackett et al. Without a well-focused question, it can be very difficult and time consuming to identify appropriate resources and search for relevant evidence. These ask for specific knowledge to inform clinical decisions or action. In the 2016 Texas case of Gonzalez v. Start studying NURS 225 Test 1 Book Questions. According to Turner (8), nurses should ask three questions following their assessment of a wound. The PICO question should include the patient or population (P), anticipated intervention (I), comparison group or current standard (C), and outcome desired (O). In brief: Basics of Wound Care First, obtain a good history of how the wound started (any previous episodes, anyone else have it, things you dd prior to the wound previous treatments, etc. The handbook will answer basic questions about the therapy. Your questions might not match these exactly, but they should contain all the elements from your PICO answers, and your choice of comparison and outcome will modify your question somewhat. Kirsner's commentary on the relevance of this research as well as synopses of these wound care findings. Asking a clinical question in PICO format. Differentiate primary and secondary wound healing. Evidence-based practice (EBP) is becoming the standard in nursing and is a critical element to creating a culture of excellence among your staff. Instead, decisions made by Alecto wound up undercutting patient care and undermining the hospitals’ finances, according to more than two dozen interviews with doctors, nurses, other staff. The key to finding appropriate evidence is to ask a searchable, answerable question. PICO stands for P-Population I-intervention C-comparison/control O-Outcome. pdf), Text File (. Using ARRA Funds. If you have clearly identified the main elements of your question using the PICO format, it will be easy to write your question statement. Wound care nurses also work with patients and other care givers to educate them on wound prevention. PICO: A mnemonic device to help formulate a clinical question and search strategy by identifying key concepts. The PICOT question specified the major players in the effectual implementation of this project- the nurses. Literature review is the most critical exercise for EBP. Negative-Pressure Wound Therapy: Final Key Questions – Comment & Response Page i Response to Public Comments, Topic and Key Questions Negative Pressure Wound Therapy – Home-Use Hayes, Inc. This reflective piece will look at the management of wound dressings whilst on placement in the community. PICOT question: In new mothers that are breastfeeding, what is the. The requirement for references are 3 with each being within the last 5 years. Pressure Ulcers Assignment Paper. C - compared with aspiration of contents. Your instructor asks the class why this document is important. USING PICO & PEO. Non-pharmacological therapies may help decrease your pain or give you more. An example of a quantitative review question is this from the JBI database: "What is the effect of an individualized survivorship care plan as compared to usual care on quality of life on the adult female breast cancer survivor?"7 The review question clearly satisfies all four of the PICO elements: population. For example, if a PICO question is related to antenatal care then gender would be limited to women. It will help you to find the best answer form the question that is related to the nursing program. If the dressing is stuck, wet it with warm tap water, wait 3 to 5 minutes for. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem. Use PICO to generate terms - these you'll use in your literature search for the current best. Title Here The purpose of this paper is to utilize evidence based research to support decisions in the health care field or in this case, nursing. For example, the role of studies developed to demonstrate efficacy. Today, we will revisit them in depth. It is a strategy used in the first step of Evidence Based Practice (EBP) to assess and ask when researching to formulate a searchable clinical question by helping to develop key terms. PICO Question Template Examples. This feature is not available right now. PICOT Question For patients aged 65 and older who are hospitalized (population), is increased healthcare facility staffing a better deterrent (intervention), in comparison to fall prevention programs (comparative/ alternative intervention) that are readily utilized in hospital settings, to help minimize in-patient falls (outcome) during the patient’s hospitalization (time)?. To encourage the participation of others I will become conversant in wound care. What does PICO do? PICO provides suction known as Negative pressure wound therapy (NPWT) which draws out excess fluid from a wound and protects the incision or wound. alabamanurses. They have become increasingly common with a. Select a common nursing practice (e. These factors create uncertainty for those who deliver and those who. The nurse is caring for a patient with dysphagia and is feeding her a pureed chicken diet when she begins to choke. 1 Introduction. CASE: The son of a 79 year old man contacted us about obtaining some wound care for his father. The background question is usually asked because of the need for basic information. [21:30:00] GUPTA: Let me ask you sort of a similar thing but certainly in a different angle, Mr. 8 These include recommendations for dressing and cleaning the wound, antibiotic treatment and debridement, and information about specialist wound-care services. ) Response C D. You may wish to include variant spellings or endings (plural, singular terms). Nursing Capstone Samples — PICOT questions samples. Defining a clinical question in terms of the specific patient problem aids the searcher in finding clinically relevant evidence in the literature. "Developing the research question and study plan is an iterative process that includes consultations with advisors and friends," stated Cummings. Unit 2 – The Immune System. Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. They are effective October 27, 2006. Chapter 7 Evidence-Based Practice in Medical-Surgical Nursing Rona F. Introduction People with complex wounds are more likely to be elderly, living with multimorbidity and wound related symptoms. The skills and practice of nurses are built around the proper research and evidence to recommend the most efficient, safest, and most cost effective way to complete each task. To make it easier, you can use the PICO framework: P: Population of interest, such as elderly hospitalized patients with a temperature of 38. A PICO analysis is used to pose a focused clinical question to which you find appropriate evidence-based answers. Please try again later. A good clinical question will address most, if not all, parts of the PICO framework. O - verify accurate placement. These nurses learn to examine the latest research to determine the best courses of action for their patients. Answer: Introduction: Medical advancements made in the present generation have opened up many new technological inventions, modern trends of care as well as innovative means of handling different disorders. A useful process is to break your question into parts using a search mnemonic. Order PICOT Question essay or use for FREE. PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Read the. PICO-Breastfeeding Education Emily W. AAACN Career Center. PICO (alternately known as PICOT) is a mnemonic used to describe the four elements of a good clinical question. Case Study: Nurse A reports to work in the Med-Surg unit. (See PICOT, point by point. The system’s silicone-based, four-layer dressing design manages exudate through simultaneous absorption and evaporation, providing greater comfort. Recommendations for Management of Common Childhood Conditions: Evidence for Technical Update of Pocket Book Recommendations: Newborn Conditions, Dysentery, Pneumonia, Oxygen Use and Delivery, Common Causes of Fever, Severe Acute Malnutrition and Supportive Care. The PICO pump has a visual alarm for “Low Battery” and “Leak Alarm”. However, this study does have its weaknesses in relation to my PICO question. acute care, long term care and in home settings. View wait times and save your place in line at an Intermountain InstaCare location near you. All of the examples used here are available in full from the University of … Continue reading Example scenarios ». Topic: Best wound care approach for patients with foot ulcers (Or it can be a different topic, but needs to be approved first) During this lesson, you will use the PICOT questioning format/formula to develop an answerable research question. Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. Federal Government. You may not need to wear a bandage if you maintain a regular wound-cleansing schedule. PICO Question. Are alcohol based hand rubs more effective or less effective in reducing HRI's than soap and water techniques? 3. Order PICOT Question essay or use for FREE. If your topic has a behavioral/mental health component, also try PsycINFO. Example PICO questions We have now looked at all the elements required to construct a full PICO question. Wound Care and Nutritiun Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Introduction There are approximately 23 million people diagnosed with diabetes in the U. This reflective piece will look at the management of wound dressings whilst on placement in the community. WOC nurses provide care for both chronic and acute wounds. It is a scenario about Immunisations. Continuation of assignment 00029187 Develop a searchable question using the PICOT format. This style of question will be around the different treatments that could be offered and looking at those that are going to provide more good than harm. Pico Paper Anxiety Nursing. In this case, full-thickness pressure ulcers (Stage III and/or Stage. Before we begin the hunt for evidence that relates to our clinical questions,we need to spend some time making the questions specific. T - after nasogastric tube placement. I continually assessed the wound according to my training and referred to the RCL wound care nurse when I felt necessary. Practice Problem. A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. Guide to Formulating Great Practice Questions for Nursing Students. These questions compare the interventions, or actions, of health care professionals when caring for patients for the purpose of deciding which intervention is most beneficial. Rating is available when the video has been rented. My Pico question: P: Women between 18-69 years presenting for cervical cytology screening. Answer: Introduction: Medical advancements made in the present generation have opened up many new technological inventions, modern trends of care as well as innovative means of handling different disorders. The WCC Exam questions are prepared by NAWCO Certification Committee and strongly focus on the knowledge of the candidates about skin and wound care. Examples of Nursing Documentation: Left lateral calf wound healing as evidenced by decrease in size and amount of drainage from last week. Successful care plans are universal tools that empowerment others, giving them the direction to advocate safe holistic care based on evidence. Abstract The abstract will be written at a later time once I know more of what I want to say throughout this paper. Use PICO to generate terms - these you'll use in your literature search for the current best. The following is an example of the framework a typical question may take:. So, Ron has taken the time over the past week to respond to the most frequently asked questions about PDPM. Kosmicki Ferris State University 2 PICO. The nurse is reviewing medical prescriptions for newly admitted clients. As an example, a patient has a serious wound that is infected and is not getting better with antibiotics and wound care. Example 1 in PICO(T):. Practice Problem. The PICO* 7 Single Use Negative Pressure Wound Therapy System is indicated for acute and chronic wounds, and closed surgical incisions with low to moderate levels of exudate. Focused in scope - "The Trees" Requires a grasp of basic concepts to fully. PICO (alternately known as PICOT) is a mnemonic used to describe the four elements of a good clinical question. Within this general definition many subdivisions are possible, taking into account and grouping together the various forms of violence or tissue damage. Trice and Kathaleen C. YouTube Premium. Read the full blog here:. Topics of the Clinical Practice Q&A: Assessment & Intervention includes information on standards of practice related to the various care situations in the medical-surgical setting. During the 2014 Ebola epidemic, a man who traveled from West Africa to the U. (See PICOT, point by point. Most of the PICO questions address diagnosis and interventions. This information may be gained by conducting comprehensive, holistic assessment using evidence-based techniques and tools and/or identifying potential risks to patient safety, autonomy, and quality of care based on. So, Ron has taken the time over the past week to respond to the most frequently asked questions about PDPM. Today, we will revisit them in depth. PICOT, Problem Statement, Research Question, Hypothesis. The HHA continues to see the patient for the wound care. Place initials and date on tape or the dressing. Text Mode – Text version of the exam 1. P = Patient or Population. [1][1] The precise definition of the. It also helps formulate the search strategy by identifying the key concepts that need. The Medicare and CHIP Reauthorization Act, or MACRA, passed in 2015 and. "What is the overall best approach to trauma?" These are called Background Questions and are best answered by. Based on this evidence, you can formulate a question. So here is what I need a little help with. I - does gastric pH measurement. Gently wash your wound with soap and warm water daily. The dressing is applied to the wound and extra strips are placed over. C = Comparison. The following is an example of the framework a typical question may take:. Unless the nurse is knowledgeable in wound management, this could delay wound healing. Dry wound(s) gently with a clean towel. Pressure ulcers are common types of sores underlying the skin or the tissue. PICO stands for P-Population I-intervention C-comparison/control O-Outcome. The first step in doing this is to determine the type of question: background or foreground. Read the. Lightly pat it dry. Refer to "Developing a Question" and "Topic 1. PICO (alternately known as PICOT) is a mnemonic used to describe the four elements of a good clinical question. 1 Practice No. Patient Care Services / Nursing Pressure Ulcers Annika Dow BSN, RN Lehigh Valley Health Network Antoinette Morris BSN, RN PICO QUESTION Would the Advances in Skin & Wound Care, 22(5), 212-221. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. The purpose is to identify and decide on the most beneficial intervention. Community nurses are uniquely placed to provide such care because the environment is the patient’s own home. This will help nurses gain a better understanding of culturally competent wound care. Writing such a question appears simple, but may not be easy as it seems. Randomised Controlled Trial of PICO (a portable Negative Pressure Wound Therapy) versus standard care in patients with chronic and sub-acute wounds. acute care, long term care and in home settings. on quality of patient care in acute care settings: An integrative review paper. Evidence-Based Practice and Information Mastery: POEMs and DOEs Search this Guide Search A guide on the method of applying evidence-based practice to combat information overload and help the practitioner locate, evaluate and integrate the best information to improve the quality of care for the patient. Consider the procedure or line of treatment for the intervention and find an alternative plan for the comparison. Preventing pressure ulcers entails to two major steps first, identifying patients at risk; and second, reliably implementing prevention strategies for all patients who are identified as being at risk. EBP practitioners use a structure called PICO to advance their thoughts from fuzzy and generalized to crisp and precise. However, this study does have its weaknesses in relation to my PICO question. This clinical question was, "In the homeless population with infected wounds and/or leg ulcerations (P), what is the effect of teaching wound care and providing wound care supplies (I) on wound healing and future infections (O) compared with no teaching or wound care supplies (C)?". The PICOT question format is a consistent "formula" for developing answerable, researchable questions. PICOT questions examples. PICOT question: In new mothers that are breastfeeding, what is the. This style of question will be around the different treatments that could be offered and looking at those that are going to provide more good than harm. Start with the patient and identify the clinical problems or issues that arise from clinical care. 4% of the time while hospitalized and 77. Specific topics include advocacy, client rights, confidentiality, continuity of care, ethical practices. Don’t know how to write a PICO question nursing? They generally have 4 parts or ideas and are utilized for clinical basic leadership. Do not soak your wound under water. First an overview is provided of the relevant issues of chronic wound care for the nurse. The nurse evaluates which laboratory values to assess a patient’s potential for wound healing? 2. Let's take the six unfocused questions above and edit them into focused (PICO format) questions. Order PICOT Question essay or use for FREE. care teach back questions 84. Read on for Dr. Call the wound healing center at 484-628-3939 if you have any questions. PICO question Does negative pressure wound therapy (with appropriate dressing) improve the healing of pressure ulcers compared with the use of dressing alone in adults with pressure ulcers?; Importance to patients or the population: Anecdotal evidence has suggested that there are both benefits and harms to the patient in the use of NPWT. The key to finding appropriate evidence is to ask a searchable, answerable question. Advanced search. PICO is an acronym that describes the elements of a well-formed clinical question. For each exercise choose what you think is the best research question out of the three (neither too broad nor too narrow). According to Nieswiadomy (2012), PICO stands for "Patient or population, Intervention or interest area, Comparison intervention or current practice, and Outcome(s) desired" (p. Start studying NURS 225 Test 1 Book Questions. PICO-Breastfeeding Education Emily W. Nearly everyone will experience an open wound at some point in their lives. Apply the new dressings: o Center Mepilex Ag or Acticoat over wound. See more ideas about This or that questions, Nursing research and Np school. OBJECTIVE —The purpose of this study was to evaluate safety and clinical efficacy of negative pressure wound therapy (NPWT) compared with advanced moist wound therapy (AMWT) to treat foot ulcers in diabetic patients. If your topic has a behavioral/mental health component, also try PsycINFO. Example Nursing Picot Questions. Improve Intra Operative Nurse To Nurse Communication Using A Safety. “EBP is an organized and structured process, which requires finding, appraising and synthesizing the body of evidence related to the topic, so a practice decision can be made,” said Burkett. Philosophies of care 4. NCLEX-RN Practice Question for Pressure Ulcers & Burns This NCLEX practice exam tests your nursing knowledge on the integumentary system, specifically pressure ulcers and burns. I = intervention. Foreground questions ask for specific knowledge to inform clinical decisions or actions. You must include the key words you used, the databases used. Martin Luther King, Jr. Remove the old dressing. It may seem tempting to pick a very specific PICO question and spend a lot of time honing the question before you start researching. Design Your Own PICO Clinical Question - WMEP Briefly describe a situation involving wound care that poses a question in your practice. For example, you may not be drawing any comparisons in your research. wound care will suffer resulting in delayed healing and/or serious complications (4). Consider the procedure or line of treatment for the intervention and find an alternative plan for the comparison. Stages Wound Care Product Or Strategy 2. Complete ulcer closure was defined. Chart and Diagram Slides for PowerPoint - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Introduction People with complex wounds are more likely to be elderly, living with multimorbidity and wound related symptoms. In this paper, a Design for Change proposal is created which includes the PICO question as well as evidence appraisal information. Short(Definitions(of(Different(Types(of(Questions(. To care for a dog bite injury at home: Place a clean towel over the injury to stop any bleeding. To make it easier, you can use the PICO framework: P: Population of interest, such as elderly hospitalized patients with a temperature of 38. Problems of the neonate and young infant: 3. Asking a clinical question in PICO format. Order Description Module assignment: Consider the following problem situation: You are caring for an elderly patient diagnosed with pneumonia. 3 Explain how to use an EBP approach to identifying a clinical problem, issue, or challenge. A skin wound that fails to heal, heals slowly or heals but tends to recur is known as a chronic wound. She was admitted to the hospital for Physical Therapy directed wound care of her venous stasis wounds, her two pressure ulcers, as well as for physician directed medical management of a urinary tract infection, dehydration and a fever. Today, we will revisit them in depth. Accessed on. ANNEX 2List of PICO questions. PICO and Formulating the Clinical Question: A Guided Exercise Background & Foreground Questions Many questions arise during patient care. This information may be gained by conducting comprehensive, holistic assessment using evidence-based techniques and tools and/or identifying potential risks to patient safety, autonomy, and quality of care based on. Wound care is not without its challenges. In Part 2: Therapy Case Mix Groups, of our PDPM series with Relias’ Senior Analyst for SNF Regulations and Clinical Reimbursements, Ron Orth, RN, CHC, CMAC, we received so many thoughtful questions. We use a framework called “PICO” to make the process of asking an answerable question easier (but it is still tricky and takes practice). Workplace safety inspectors are conducting nearly 200 coronavirus-related investigations to determine whether employers failed to adequately protect their workers, according to data from the U. The paper asks for an area of interest for the research. 2015 04:46 I need help with a PICO question as I am blocked right now. A key point is that the PICOT question is meant to initially guide the search process. PICO is a mnemonic device used in nursing that helps a person remember the components of a well focused clinical question. Scroll to the bottom of. Get Your Custom Essay on Assignment 2/Developing the Evidence Matrix/PICO Just from $13,9/Page Get custom paper Patients hospitalized for short term postoperative care, specifically, orthopedic patients, are often catheterized due to their limited immobility. The course gives you real-world, practical skin and wound management training that can be immediately. Care and interventions • The care and intervention for any identified skin breakdown or wound will be aimed at: o Prevention of any further advancement of the wound, or additional skin breakdown o Implementation of appropriate evidence-based care indicated for the problem identified - Note: See Tissue Integrity Resources. All elements are listed below: · P: Population/disease (age, gender, ethnicity, disorder) · I: Intervention or variable of interest (exposure to a. not the nurse! 3. The PICOT statement will provide a framework for your Capstone Project. Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. ) I will go pressure ulcer as my topic and I will continue this topic as my Capstone project. Formulate your background questions and PICOT question. PICO questions are a type of foreground question, but far more complex. This PICO explores the effectiveness of daily weights at home in heart failure patients in preventing readmissions. For example, reviewing procedure manuals might raise the question, "Does one. These types of questions generally have only 2 parts: A question root (who, what, when, where, how, why) and a disorder, test, treatment, or other aspect of health care. Steps to researching your PICO question. We use a framework called “PICO” to make the process of asking an answerable question easier (but it is still tricky and takes practice). Your research to answer this question may include observation of print, television and. Nutrition Assessment Interpreting nutrition-related lab values Nutrition prescription Goals for protein, calories, CHO for healing Wound healing nutrients Vitamins & minerals Other supplements Implementation strategies: helping patients help themselves. Active wound care procedures and debridement services are billed when an extensive cleaning of a wound is needed prior to the application of primary dressings or skin substitutes placed over or onto a wound that is attached with secondary dressings. Call the wound healing center at 484-628-3939 if you have any questions. For adults over age 65 (P) does a daily 30 minute exercise regimen (I) reduce the future risk of heart attack (O) compared with no exercise regimen (C)?; Enter 2-3 of these keywords into the database search box. Supplemental Digital Content #1 PICO Question: What are the best methods to evaluate the implementation of a new model of care within a hospital nursing environment 1 Table of Evidence. Many people find that it helps them clarify their question, which in turn makes it easier to find an answer. During the 2014 Ebola epidemic, a man who traveled from West Africa to the U. O = Important clinical outcomes. Interventions come in many guises and recognising these can help develop a strategy for search› ing for the evidence. Roughly speaking, Functional decision theory and its predecessors argue that each instance of the agent should act as if it’s. PICO is a useful tool for asking focused clinical questions. C = comparison intervention, control. ) Response C D. tested positive for the disease, wound up in a Dallas hospital, and infected two health-care workers who were given. This is called a PICOT question. Gently remove the dressing from the wound. Place the wound as far from sleep surface as possible. Nursing PICO Questions When creating the PICO question, it is important to focus on topics relevant to nursing practice. After discovering PICOT research question examples who have tried to develop the document and have not been successful, the best way is to rely on reliable sources. In this guide, you will find 15 examples of behavioral interview questions. With the inquiry of this PICOT question, patient-centered care, evidence based practice, quality improvement and safety were all explored and utilized. Randomised Controlled Trial of PICO (a portable Negative Pressure Wound Therapy) versus standard care in patients with chronic and sub-acute wounds. Roughly speaking, Functional decision theory and its predecessors argue that each instance of the agent should act as if it’s. Recommendations for Management of Common Childhood Conditions: Evidence for Technical Update of Pocket Book Recommendations: Newborn Conditions, Dysentery, Pneumonia, Oxygen Use and Delivery, Common Causes of Fever, Severe Acute Malnutrition and Supportive Care. We are being taught that it's a PICOT question (T = time). An example of a quantitative review question is this from the JBI database: "What is the effect of an individualized survivorship care plan as compared to usual care on quality of life on the adult female breast cancer survivor?"7 The review question clearly satisfies all four of the PICO elements: population. If the dressing is stuck, wet it with warm tap water, wait 3 to 5 minutes for. An example of a PICO question is:. Practitioners of Evidence-Based Practice (EBP) often use a specialized framework, called PICO, to form the question and facilitate the literature search. The first stage of any evidence-based practice process is formulating an answerable question. Trice and Kathaleen C. This research review is centered on literature relevant to uncontrolled hypertension of adults ages 18-45 with hypertension. The answer is, we didn't have time. The background question is usually asked because of the need for basic information. What could be your PICOT question/statement? How could you frame it into a more researchable topic? P - I - C - O - T - 2. someone stole information from the D. PICO stands for: • Patient or Population • Intervention or Indicator • Comparison or Control • Outcome. Perform a literature search in the appropriate source(s). Search mnemonics or frameworks (e. I need to perform the FFT on a signal so I originally intended to use the I&Q signalling technique to extract phase and magnitude values from the signal, and then use programming code to do the FFT. Recommendations for Management of Common Childhood Conditions: Evidence for Technical Update of Pocket Book Recommendations: Newborn Conditions, Dysentery, Pneumonia, Oxygen Use and Delivery, Common Causes of Fever, Severe Acute Malnutrition and Supportive Care. Therefore, the PICOT question format is a consistent "formula" for developing answerable, researchable questions. Therefore, although the critical care nurses are the central players in this project, other members of the health care team will be involved. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. What are the characteristics of the P opulation or patient?. A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. For over 20 years, this breakthrough technology continues to power our AQUACEL ® family of dressings, to help maintain the optimal environment for wound healing and skin protection. Based on the above, what will be the impact of the problem, and what can you say is the proposed solution from the PICOT statement? Thanks for your great help. C = Comparison - Is there an alternative to compare with the intervention?. This was devised by Sackett et al, which is a useful method in order to make questions more purposeful (1997). Gently remove the dressing from the wound. PICO Questions' Types Depending on the I: • Therapy/ prevention • Diagnosis • Harm/ etiology/ causation • Prognosis %,'"2(‫• ا(/0ج / ا‬ 15. Try to keep the injured area elevated.