Hey Ann: So, evidenced-based practice can be construed to mean:
1. Evidence that a treatment has been demonstrated to work 2. Evidence that current treatment is working ~~~~~ A follow up question I have is this: On what evidence should OT practitioners be focusing on? Should it be evidence that a certain type of treatment improves shoulder range of motion? Should it be evidence that occupation-based treatment improves range of motion? Should it be evidence that improving occupation improves quality of life. And the list can go on forever. Obviously, we can't have evidence that every single intervention, domain, practice pattern, is effective. So where should OT (as a profession) place it's focus? Thanks, Ron ~~~~~ On 6/6/02, DairBerner <[EMAIL PROTECTED]> said: Dac> In a message dated 5/30/2002 9:47:57 PM Eastern Standard Time, Dac> [EMAIL PROTECTED] writes: >> If I am a practitioner do I want evidence that a treatment has been >> effective with previous patients or do I want evidence that a treatment >> is >> effective or was effective with a current patient? Dac> If you have a new patient in front of you, how do you know what will be Dac> effective with this current patient? What do you base your decision making Dac> and treatment planning on? You can't say you have evidence that a treatment Dac> is effective with a current patient if you haven't treated that patient yet. Dac> So how do you decide what will be effective? That is where evidence based Dac> practice comes in - basing treatment choices on evidence of what has been Dac> demonstrated to have worked in the past. This does not negate the need for Dac> constant assessment of this particular patient's response to treatment. This Dac> ongoing assessment of patient response is collecting new evidence, which can Dac> then be used to refine treatment for this patient, as well as with future Dac> patients. There is no one right answer or approach to treatment - if there Dac> were, everyone would do exactly the same thing. Dac> I get the impression from the way you phrased the question, that you have a Dac> problem with evidence based practice. Is that true, or am I misunderstanding Dac> your post? Dac> Ann *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist ** List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
