Personal preference vs evidence based practice

[Anonymous]

Evidence demonstrates that a “donut” shaped cushion causes high pressure points under bony areas; therefore, increasing pressure sores risks to a persona with impaired sensation due to a spinal cord injury. You are assessing a person who sustained a complete spinal cord injury more than 10 years ago, who needs a new active manual wheelchair because the one he current uses is broken. He has always sat on a donut-cushion and he doesn’t have a history of pressure sores. He is not willing to change his cushion as this one has worked well for him. Do you accept his claim or do your best to get him on an appropriate pressure relief cushion?

[Stephen Hunter]

Even with a history of no pressure sores in the past does not guarantee no risk for future pressure sores. This individual needs education that there have been improvements in cushion provision and they can benefit from the improvements. The wheelchair user needs to receive education that they we will provide them with the most up-do-date products and services. A trial of the evidence based cushion may also help the wheelchair user accept the new cushion.

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when the person doing preference he or she can not look at the subject at all direction and not able to notice everything but in evidence based practice things can be more noticable most of things can be more spesific

[Stefanie Laurence]

Sometimes the best solution for a user is the second best solution in the eyes of the professional. It is ultimately the user who will decide to use a product or not, as they will be the one who has to live with the consequences of their decision. It is the responsibility of the professional to ensure that the user is aware of all of their options and all of the potential consequences of each of the options. Forcing a user to take a product that they are not interested in may result in the product not getting used, the user looking for the product to fail, or sabotaging the product.

[Kit Frank]

I think you give him the best information you have and he will make his choice. He has been taking good care of himself for ten years and he should be supported in his good activities and given any other tools you can give him. It could be especially important to stress the pressure relieving activities he can do.Also recently we are making a skin inspection mirror for just a few dollars, using a selfie stick with a small piece of mirror attached.
Don’t forget also that probably many health professionals have told him that a donut is good. In the country I work int, Ecuador, the majority of doctors and therapists believe this. So it is a gradual process for people to change their minds, and based on the other good help that you are able to give him, he will eventually change his mind.

[[email protected]]

I would let him know of the current options, the pros and cons of the donut vs. whatever else is appropriate and available in his region, and then it’s his decision. Likely he just wants to get on with his life and use what has worked for him thus far. In that context I would also let him know what to look for in terms of pressure injuries and what to do if it turns out the cushion is no longer working for him in the future.

[ScottLucier ScottLucier]

Thank you!

[ScottLucier ScottLucier]

Having studied this issue in more detail, I understand that the medical field is too complicated and I would not devote my life to this. Therefore, I chose a different direction, although even in this case, education is not easy. This is a difficult process for me, especially the period of exams and preparation of written works. And a professional service helps write my assignment for me UK. This greatly simplifies my task and makes it better.

[Coy O’Kon]

I believe that both are important. Personal preference is a part of our life and we should not feel guilty about it. However, if we want to be successful in our work or in any other activity then we need to choose the best method available for us. I do prefer cool PowerPoint templates to make PPT files impressive. Evidence-based practice is the best way of choosing a method because it ensures that we can get the maximum benefits from it.

[Sarah John]

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