P07S02:
Tinea pedis
Bottom line: Information on Penlac for tinea
pedis was used to justify the management of the patient (medication and patient
counseling). It contributed to increase patient knowledge about the use of a
medication.
Level 1 outcome (situational relevance): On July 11,
2008, P07 did a search at work and with a patient (during the encounter). They
retrieved one information hit about tinea pedis. The reported search objectives
were: to address a clinical question, to look up something they forgot, and to
share information with a patient. “[The
patient was a] thirty year-old woman who presented with a few problems, one of
them being new chronic onset of onichomycosis of the great toenails. [...]
[What triggered the search was] her wanting treatment and me not wanting to
give her something oral. [...] I wanted a better understanding of how to
prescribe [Penlac], because I know there are specific instructions [to share
with the patient]. You paint it on, remove it the next day, and… yeah, so I wanted
more specific. [...] [I forgot] those specifics for dosing.” According to
P07, e-Therapeutics+ was the only source for information, and the found
information was relevant. “I found out
what I needed to know.”
Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive
impact (see table).
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT):
Therapeutics tab – tinea pedis – dermatophytosis - onychomycosis – e-CPS tab –
Penlac - ‘information for the patient’ (P07S02H01)
Level 3 outcome
(information use): Information on Penlac was retrieved, and
used to justify the management of the patient (information used as presented in
e-Therapeutics+). “The client came
seeking treatment. I discussed the different treatments, one of them being oral
administration for long term, which I never like to do. And this [Penlac] was
an option and she was interested in it [and information on the correct use of
this product was applied].”
Level 4 outcome (patient health): Regarding
patient health, P07 reported that the information contributed to increase
patient knowledge. “In giving her a
handout that explained how she was to use it would assist with compliance and
would assist with accurate treatment. Giving her a handout increased her
knowledge; (…) her knowledge [for] applying it correctly.”
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 |
Practice improved Learned something Reminded something Motivated to learn Confirmed Reassured |
Justify choice |
Patient knowledge |