P16S06: Joint pain
Bottom line: Information on joint pain was used to maintain the management of a patient (stop treatment as planned). It contributed to increase patient
knowledge.
Level 1 outcome (situational relevance): On March 2, 2009, P16 did a search at work, by themselves, during the
encounter with the patient (in the presence of the patient). They retrieved one
information hit about Joint pain and
Ciprofloxacin. The reported search objectives were: to address a clinical
question, and to share information with a patient. She [the patient, a woman in her sixties] had been
started on the medication [Ciprofloxacin], and she had experienced some pain, some joint
pain. She was wondering if it could be related to the medication. [
]I was seeing
her for another reason and she brought [this question] up to me. According to P16, 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 and learning, P16 stated: [The found information will help me] to further
understand that particular side effect for future counselling with patients. [
] I learned [
] more than I had
known before [on Ciprofloxacin].
Retrieved
information hit:
1) e-Therapeutics+ (CIRT): e-CPS Tab Keyword: Cipro Adverse reactions Musculoskeletal (P16S06H01)
Level 3 outcome
(information use): Information on Joint pain and Ciprofloxacin was retrieved, and used to better understand a specific issue with respect to the management of
the patient, and to maintain (be more certain about) the management of
a patient (information used as presented in e-Therapeutics+). The patient was just at the end of their
treatment course when they experienced the reaction, so we discussed making
sure that their family physician, the person who prescribed it, was aware of
the potential side effects so that they knew about that in the future and that
if her pain persisted, that she would go back to her family doctor. [
] I have seen
her [the patient] since then and the pain resolved. [
][But
because] she was stopping the drug [anyway], we werent
proposing sort of any changes to it [to the end of the treatment].
Level 4 outcome (patient health): Regarding patient
health, P16 reported that the information contributed to increase patient
knowledge. She [the patient] was [now] aware that
there was a potential side effect from the 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 |
Be more certain Understand issue |
Patient knowledge |