Evidence-Based Management of a Chronic Wound in an Elderly Female Research Paper

Evidence-Based Management of a Chronic Wound in an Elderly egg-producing(prenominal) forbearing with Type II Diabetes - Research Paper ExampleAPA Format Nussbaum, E.L. (2010). Evidence-Based Management of a Chronic Wound in an Elderly Female Patient with Type II Diabetes. Physiotherapy Canada, 62(2) 129-133. Database and Accession Number The article was accessed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with rich Text Databases with accession number 2010644352. Keywords such as evidenced-based, chronic annoy, and type II Diabetes were used to locate the article. Summary The article identified the role of animal(prenominal) agents such as ultrasound, electrical stimulation, ultraviolet radiation, low-level laser therapy, and pulsed short-wave therapy in the management of chronic wounds (Nussbaum, 2010, 129). The clinical problem in head is whether there argon supportive evidences and studies that would prove that ultrasound alone give be effe ctive in wound meliorate and management of chronic wounds or supportive evidences and studies will suggest non-significant effect of ultrasound in wound healing and management of chronic wounds. Based on the clinical problem, the PICO question formulated is In sr. patients with Type II diabetes, how does wound treatment with ultrasound vs. wound treatment with all the physical agents affect wound healing and wound management? The PICO question is formulated in a way that would emphasize the effect of ultrasound only in wound healing. Evidences from literatures are ill-considered of the effect of ultrasound to wound healing. Meta-analysis, Cochrane Group Reviews, and Randomized-Controlled Trials (RCTs) were the framework, model, or systematic approach used by the author to evaluate, compare, and critique the available literature. Critique from meta-analyses and reviews suggest that available evidence are inconclusive because of methodological limitations in terms of small number o f trials and participants, heterogeneous methods, and limited pooling results (Nussbaum, 2010, 130). Meta-analysis of RCTs from 1998 and 2002 showed benefits of uncertain degree in reduction of ulcer field of honor however, it was not sporty whether reduction was a result of low-frequency (30 kHz) ultrasound or of water footbath. In the 2008 Cochrane Update using gel coupling instead of water footbath, pooling trials are interpret using statistical measures of risk ratio and weighted mean difference, wherein, outcome showed that more ulcer were healed from using ultrasound and that using ultrasound was just (Nussbaum, 2010, 130). Available literatures lack RCTs using ultrasound on non-venous origin. In general, there was no evidence of benefit from using ultrasound on wound healing and methodological limitations did not rule out possibility of benefit or harm. The outcome of the clinical problem is measured, compared, and evaluated using an acetate sheet, a free encounter softw are, a cotton-tipped probe and ruler, and Bates-Jensen Wound Assessment Tool. The acetate sheet was used for tracing the patients ulcer, the free image software for calculating the area of the wound, the cotton-tipped probe and ruler for approximating maximum wound depth and undermining, and the Bates-Jensen Wound Assessment Tool for the assessment of healing and ensuring validity and reliability (Nussbaum, 2010, 131). The biweekly photographic corroboration must show a reduction of at least 30% over a 4-week period to consider ultrasound as an effective