NUR 302 Nursing : About the Clinical Practice

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Appraise the Clinical significance, and rationale:

Were all important decisions the nurse would have to make addressed by this guideline?

Answer:

Appraisal of clinical practice guideline article

There are many uncertainties in the recommendation of assessment of risk for bleeding and thromboembolism prior to VTE prophylaxis, use of mechanical prophylaxis with stockings and choice of drugs in hospitalized patients. This is because the article does not gives strong evidence regarding the effectiveness of prophylaxis with heparin in high risk individuals such as patients with stroke. However, assessment of risk factors for bleeding like age, cancer, diabetes, peptic ulcer and other relevant conditions was supported by moderate evidence. The positive outcome for patient is not guaranteed because article does not support all the measures.

The recommendation of clinical performance measures is clinically significant because this consideration would support a nurse to assess risk in individuals with the manifestation of different risk for VTE. However, this recommendation cannot be targeted for all audiences and nurse needs to consult clinicians for those individuals for whom risk would exceed the benefit.

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