Respond to discussion
Include citations/Use in text citation where needed
All sources must be 5 years old or newer
Only needs to be about a paragraph long
More like a discussion rather than a paper
Please add to the discussion in your peer responses with informative responses, instead of posts similar to “great idea! I really agree with you.â€
Each response needs to have a citation
POST 1(Mary)
Authority and tradition
I recall when I was asked to perform acupuncture based on authority and tradition. Acupuncture is a practice where the skin is penetrated using a thin metallic needle that is then activated through a gentle and specific movement of the provider’s hands or with electrical stimulation. According to Zhao et al. (2019), acupuncture stimulates the central nervous system, releasing chemicals into the spinal cord, muscles, and brain. The biochemical changes produce the body’s natural healing abilities and promote emotional and physical wellbeing. In this regard, acupuncture is known to heal nausea caused by surgical anesthesia, addiction, headaches, fibromyalgia, and low back pain, among other conditions.
Based on my knowledge of evidence-based practice, the acupuncture practice still holds value as it is used on various pain reliving occasions. Many randomized clinical trials (RCT) and meta-analyses verified the effectiveness of acupuncture for pain management. Furthermore, with the rise in the number of patients with pain experienced from underlying conditions such as cancer, acupuncture has been accepted as an intervention globally. However, some changes exist in establishing evidence for the efficacy of acupuncture (Patel et al., 2020). In this case, a more applicable research method that reflects the effects of acupuncture in clinical settings needs to be developed.
References
Patel, M., Urits, I., Kaye, A. D., & Viswanath, O. (2020). The role of acupuncture in the treatment of chronic pain. Best Practice & Research Clinical Anaesthesiology.
Zhao, L., Li, D., Zheng, H., Chang, X., Cui, J., Wang, R., … & Liang, F. (2019). Acupuncture as adjunctive therapy for chronic stable angina: a randomized clinical trial. JAMA internal medicine, 179(10), 1388-1397.
POST 2(Jenna)
A practice that is commonly used based on tradition is the use of Trendelenburg position for patients exhibiting hypotension or shock. This position places the patient on an incline with the legs raised above the head in order to increase circulation to the vital organs and increase the blood pressure. Although studies revealed this method has low evidence of effectiveness, it is still a common practice across medical professionals. “A modified TP (mTP) which consists of a passive leg raise in a supine position was previously recommended as a safer and more effective way of improving venous return most notably in CPR guidelines†(Castiglione & Landry, 2015). Evidence-based practice shows that this intervention has little effect on improving blood pressure and has additional risks of aspiration. The modified Trendelenburg position is recommended as an alternative intervention. This position involves raising the legs without lowering the head.
In my opinion, this practice still holds value. Although practice guidelines reveal that there are some risks involved and effectiveness is low, it is still widely used. I personally was taught this in both nursing and EMT school, although it was also mentioned that the practice was outdated. I personally have witnessed this intervention used often in both the hospital and prehospital emergency settings. It is often one of the primary interventions in emergencies.
References
Castiglione SA & Landry T. (October, 2015) What Evidence Exists that Describes Whether the Trendelenburg and/or Modified Trendelenburg Positions are Effective for the Management of Hospitalized Patients with Hypertension? Rapid Review Evidence Summary. McGill University Health Centre. Retrieved from: https://www.muhclibraries.ca/Documents/RR_Final-Report_Trendelenburg-Hypotension_OCT2015.pdf
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