P14S02: Capsaicin
Bottom line: Information on Capsaicin was used to maintain the management of the patient (cream
prescription). There were no information-related patient health outcomes.
Level 1 outcome (situational relevance): On August 13, 2008, P14 did a search at work, with colleagues and
after an encounter with a patient. They retrieved three information hits on Capsaicin. The reported search objectives were: to address a clinical question,
to look up something they had forgotten, and to exchange information with other
health professional. [The] patient, [a woman around 70 years old], had been to see
a specialist [
] [and] they had recommended this cream [Capsaicin
cream]. [
] The person who did the transcription had
transcribed the name of the drug wrong in the consult, so first I had to
determine what they [the specialist] really wanted
and then, I had to figure out the dose for the physician, because she didn't
know the dose. [
] [So] the question was "what is this cream
and how do I use it?" [
] I worked with this cream before, but its
been a while, and I couldn't remember how to use it. According to P14, 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 reassurance, and reminder, P14 stated: [
] I thought it [the dose] was four times a day [
] but I couldn't
remember for sure, I couldn't remember if it was two or four times a day. [
] [I was
reassured] because it was kind of what I remembered.
Retrieved
information hit:
1) e-Therapeutics+ (CIRT): eCPS Keyword: Capsaicin CPhA monograph Dosage and administration Table 2: Capsaicin dose in adult
patients (P14S02H01)
Level 3 outcome
(information use): Information on Capsaicin was retrieved, and used to maintain (be more certain about) the
management of the patient (information used as presented in e-Therapeutics+). The information
was conveyed to the physician, who incorporated it into a prescription.
Level 4 outcome (patient health): Regarding patient
health, P14 did not associate the information with any health outcomes. The patient didn't end up getting it; (...)
because it's not covered by Ontario drug benefit [provincial insurance plan].
It [the search] did not have an impact [on the patient].
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Address a clinical question Look up something forgotten Exchange information |
Reminded something Reassured |
Be more certain |
No outcome |