NR505NP Week 7: Recommendation for an Evidence-Based Practice Change PowerPoint Kaltura Presentation (Answered) Latest 2020/2021

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RECOMMENDATION FOR AN EVIDENCE-BASED PRACTICE CHANGE POWERPOINT KALTURA PRESENTATION N A M E C H A M B E R L A I N U N I V E R S I T Y A D V A N C E D R E S E A R C H M E T H O D S : E V ... I D E N C E B A S E D P R A C T I C E N R 5 0 5 A U G U S T , 2 0 2 0 OBJECTIVE The purpose of this kultura PowerPoint presentation is to advocated for practice change and provide Evidenced Based recommendations in relation to computed tomography radiation exposure to children and young adults. The presentation will include the following: 1. Introduction 2. Practice issue 3. Importance to nurse practitioner practice 4. PICOT question 5. Literature Review 6. Recommendations INTRODUCTION Computed tomography(CT) is frequently used worldwide and allows for the early detection and diagnoses of diseases, provides easy visualization of injuries, and it is used as a supportive guidance during surgical procedures. However, studies suggest that CT radiation exposure during childhood may be a risk factor for developing cancer. Safety measures should be implemented to decrease such risks. (Huang, Liu, He,2020). PRACTICE ISSUE My chosen area of interest is the relationship between computed tomography radiation exposure and cancer development in children and young adults. Issue: The use of computed tomography (CT) has increased dramatically over the past several decades. CT scan parameters are not appropriately adjusted for pediatric patients. PRACTICE ISSUE- IMPORTANCE TO NP PRACTICE Family nurse practitioners can: -Advocate for CT justification of use -Provide Education and increase patient and family awareness of the effect of CT scans -Advocate for patient’s safety measures and impact patient outcomes PICOT QUESTION In children and young adults, is the use of reduced dose of radiation exposure of computed tomography (CT) decrease the changes of cancer in comparison to higher dose during their lifetime? P-population The main focus of this PICOT question is the increase risk of developing cancer from exposure to ionizing computed tomography in children and young adults. The lack of justification and the lack of safety measures for CT usage can put this particular population at an increased risk. I- Intervention Balance between CT usage and safety measures is necessary. According to the U.S Food and Drug administration, guidelines and safety promotion should be implemented each time a CT examination is performed. Safety measures include justification for use, dose optimization, education and communication, appropriate use and equipment safety features. (U.S Food and Drug Administration, 2020). C-Comparison Safety measures avoid or decrease children exposure to CT radiation. O- Outcome Measurable outcomes can only be determined with data collection and data comparison through clinical studies. A desirable outcome is to reduction of reported cancer due to CT radiation exposures. T- Timeframe- Over a lifetime spam. LITERATURE REVIEW Many studies have examined the link between medical radiation and the risk of cancer. Many have agreed that intervention for change is critical. The radiation dose delivered from computed tomography (CT) scanning and the risks associated with ionizing radiation are major concerns in pediatric imaging. CT scans account for 42% of the total effective dose arising from medical diagnostic radiology. LITERATURE REVIEW -Children are especially vulnerable to the harmful effects of radiation because: -Their cells divide more rapidly -There is more time for the malignancy to manifest. -Evidence suggests that in many instances, CT doses can be reduced by 50% or more without reducing diagnostic accuracy. RECOMMENDATIONS According to the U.S Food and Drug administration, best practice guidelines and safety promotion should be implemented and follow each time a CT examination is performed. Best practice and safety measures include: justification for use, optimization, Education and communication. the principles of justification and optimization must remain the basis of clinical decision-making regarding the use of ionizing radiation in medicine. RECOMMENDATIONS Communication Prior consultation before CT examination [Show More]

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