It comes down to the words evidence based that I am not fond of. If we are truley doing evidence based practice then it should be "cook book". Evidence based gives a connotation of something it is not. Yes I believe that we should look at what research results have shown, but I think more than anything that we need to acknowledge that is is not meaning that we will be fully successful. There is chance of failure in everything treatment that we do. I just beleive you do what ever you need to do to get the patient to where they need/want to be. Whether the evidence says only 10% see results and I have tried everything else, then I will try it as well. You have to take your chances if nothing else work, yet you need to believe in everything you becuase sometimes it is the mind game with the patient. If they beleive they have a greater chance of healing, the mind is a powerful thing. That is something that evidence does not always consider.
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