P04S02: Migraine (same medication)
Bottom line: Information on migraine was used to maintain the management of the
patient (medication). There were no information-related patient health
outcomes.
Level 1 outcome (situational relevance): On July 11, 2008, P04 did a search at work, by themselves, and before
an encounter with a patient. They retrieved one information hit about triptans
and migraine. The reported search objectives were: to address a clinical
question, to look up something they forgot, and to share information with a
patient or caregiver. [The patient was]
a woman in her early 20s. [
] I was reviewing my
schedule, and it said that she was coming in for headache management and I know
she is a young woman who has migraines so I just wanted to review what the
latest information was on managing migraines, and prophylactic medication. [
]
Once again, it's all information that I know, it's just good to review it. It's
not something I do frequently, migraine treatments, so if I'm not sure, I
always like to look it up again. [
] That was my intent, to share information
with her [the patient] and review what shes already been on and tried, and
other options. According to P04, e-Therapeutics+ was the only source for information,
and the found information was relevant.
Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive impact (see table). Regarding motivation, confirmation, reassurance, and reminder, P04 stated: When I read something it always leads to something that
I forgot that I had known, or it leads me to looking up one of the references
which is a little bit different for everyone but it always triggers me to
wanting to learn more about it. [
] My first line would be using the NSAIDs,
its listed there, and my second line, it was, the information was congruent
with what my plan would have been, had I not consulted. [
] [It was] just a
good review.
Retrieved information hit(s):
1) e-Therapeutics+ (CIRT): Therapeutics tab migraine - headache in adults section on analgesics (P04S02H01).
Level 3 outcome
(information use): Information on triptans and migraine was retrieved, and used to maintain
(be more certain about) the management of the patient (information used as
presented in e-Therapeutics+). She [the patient] didn't actually come in with a
concern about migraines; it was a mistake in my schedule [
]. She was actually
doing well with the Naproxen that I had her on from the past. [
] My management
was justified, because I didn't need to change anything, she was doing well
when she came in.
Level 4 outcome (patient health): Without this information, P04s management of the patient would have
been the same. There were no clear relationships between the use of
information and expected patient health outcomes.
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Address a clinical question Look up something forgotten Share information |
Reminded something Motivated to learn Confirmed Reassured |
Be more certain |
No outcome |