P16S05: Priapism
Bottom line:
Information on priapism was used to justify
the management of a patient (change medication). It contributed to
increase patient knowledge and satisfaction.
Level 1 outcome (situational relevance): On March 18, 2009, P16 did a search at work, by themselves, during the
encounter with the patient (in the presence of the patient). They retrieved two
information hits about Priapism with Flomax vs Proscar. The reported search objectives were: to address a clinical question,
and to share information with a patient. He
[the patient, a man in his sixties], had benign prostatic hyperplasia, BPH. He had been taking one
medication [Flomax] and he was concerned about
the fact that he was experiencing some priapism, so he was wondering if another
drug that he used to be on [Proscar] would cause the same
effect. [
] He just explained that he
had been experiencing, on the Flomax, [
] sort of an erection type side effect [
] and he wondered if the Proscar would cause that as well. [...] Ive not
really been involved with these medications much. [...]The
patient was going to go back to a previous therapy and it looked as though it
would to be less likely to cause the side effect. According to P16, e-Therapeutics+ was the
only source for information, and the found information was relevant.
Level 2 outcome (cognitive impact): The two hits were associated with a report
of positive cognitive impact (see table). Regarding practice improvement and
learning, P16 stated: It [information] would help me understand the
side effects more. [
] I would have learned more
about the side effects of priapism with those two drugs [Flomax & Proscar]. [
] [My practice will be
changed in] helping to guide a patient in terms of side
effects, [so] to counsel patient.
Retrieved
information hits:
1) e-Therapeutics+ (CIRT): e-CPS Tab Keyword: Flomax Warnings and precautions Adverse
reactions Action in
clinical pharmacology (P16S05H01)
2) e-Therapeutics+ (CIRT): e-CPS Tab Keyword: Proscar Warnings and precautions Adverse
reactions Action in clinical pharmacology (P14S06H02)
Level 3 outcome
(information use): Information on Priapism with Flomax vs Proscar was retrieved,
and used to better understand a specific issue with
respect to the management of the patient, and to justify the
management of a patient (information used as presented in e-Therapeutics+). The patient ended up
switching back to their previous medication [Proscar]. [
][After the information was discussed,] he did switch back to his previous medication.
Level 4 outcome (patient health): Regarding patient health, P16 reported that the information
contributed to increase patient knowledge and satisfaction. I was able to tell him [the patient] how the drugs act, which he didnt understand
before. [
] It made him feel assured
that switching back [to Proscar] was an ok thing to do. [
] He was very happy with that, actually, [
] because he was really struggling with the
side effect of his medication.
Levels of outcome of information-seeking
|
Situational relevance |
Positive cognitive
impact |
Information use |
Patient health |
|
Address a clinical question Share information |
Practice improved Learned something Reminded something Confirmed Reassured |
Justify choice Understand issue |
Patient satisfaction Patient knowledge |