P08S07:
Intermittent claudication (same medication)
Bottom
line: Information on intermittent claudication was used to maintain the
management of the patient (continue medication with optimized dose). It
contributed to increase patient knowledge about the treatment.
Level 1 outcome (situational relevance): On June 13,
2008, P08 did a search at work, by themselves, and after an encounter with a
patient. They retrieved one information hit about intermittent claudication.
The reported search objectives were: to search in general or for curiosity, and
to share information with a patient. [The
patient was] a female and she would be early sixties. [
] Se had claudication
symptoms. And she tested positive on our AB index for peripheral arterial
disease. [
] I kind of knew in my mind what the overall treatment would be for
peripheral arterial disease but I just wanted to read it just to make sure I
wasnt missing anything. [...] [I wanted] to go through it with her as well.
According to P08, 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 practice improvement, P08 stated: I was just reminded of the
other benefits of ACE inhibitors, not just for blood pressure, the other
benefits as well. [...] [I will be] more consistent in terms of therapeutic
approach for future patients.
Retrieved
information hit(s):
1) e-Therapeutics+ (CIRT):
Therapeutics tab claudication - intermittent claudication - Highlight
(P08S07H01)
Level 3 outcome
(information use): Information on intermittent claudication was
retrieved, and used to maintain (be more certain
about) the management of the patient (information used as presented in
e-Therapeutics+). I think she was
already on an ACE inhibitor. I optimized the dose.
Level 4 outcome (patient health): Regarding
patient health, P08 reported that the information contributed to increase
patient knowledge. With the
client-centered care, you know, being sure that the patient understands the
benefit of the medication.
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Satisfy curiosity Share information |
Practice improved Reminded something Motivated to learn |
Be more certain |
Patient knowledge |