Knee Length Versus Thigh Length Ted Stockings

Topics: Deep vein thrombosis, Vein, Compression stockings Pages: 9 (3262 words) Published: June 30, 2012
This assignment will critique a literature review using evidence based practice. As healthcare professionals, evidence based practice is part of our everyday life. Evidence based practice is a complex experience that requires synthesising study findings to establish the best research evidence and correlate ideas to form a body of empirical knowledge (Burns & Grove 2007). It means having a clear rationale for your decisions in practice and your provision of care. Evidence based practice requires that decisions about health care are based on the best available, current, valid and relevant evidence. These decisions should be made by those receiving care, informed by the tacit and explicit knowledge of those providing care, within the context of available resources (Dawes et al 2005). The definition of a literature review is a critical look at what is written on a particular topic by an accredited author. A literature review situates your research focus within the context of the wider community in your field, reports your critical review of the relevant literature; and identifies a gap within that literature that your research will attempt to address. They are important because they seek to summarise the literature that is available on any one topic, prevent one ‘high profile’ piece of information having too much influence and present an analysis of the available literature so that the reader does not have to access each individual research report included in the review (Aveyard & Sharp 2011). There are different types of literature reviews but the most detailed type is often referred to as a systematic review. Systematic reviews were first defined as ‘concise summaries of the best available evidence that address sharply defined clinical questions’ (Mulrow et al 1997). A literature review can be organised in different ways. It may be either descriptive pieces of writing or a critical assessment of literature. The author must keep in mind that even a descriptive literature review should not be a mere list of scholarly works. It requires your comments and opinions. The articles that I have chosen to critique are based on the question ‘Knee Length versus Thigh Length’, this relates to Anti-Embolism Stockings. I am using these articles to enable me to discuss the implications regarding this and look into possible recommendations relating to future practice. I have selected three articles on this subject. To find the articles, I conducted a search of various databases such as the Cochrane Collaboration and CINAHL. I will be using the guidelines set out by Woolliams et al (2009); these guidelines enable the writer to critique each article in a structured and methodical way. Article 1. Deep vein thrombosis prophylaxis: The effectiveness and implications of using below-knee or thigh-length graduated compression stockings This article was written by Belinda Byrne (2001). Byrne was a clinical nurse specialist for the intensive care unit at The Alfred Hospital in Melbourne, Australia. The aim of this article is to establish the effectiveness and implications of using knee and thigh length compression stockings in the prevention of deep vein thrombosis. The Vascular Disease Foundation (2011) defines DVT as a blood clot within a deep vein, typically in the thigh or leg. The blood clot (thrombus) can break off as an embolus and makes its way to the lung, where it can cause problems (such as a pulmonary embolism PE or could even lead to death). A DVT can have long term effects on the patient and an increased risk of reoccurrence and it can prolong a patient’s discharge by an average of one week. Graduated compression stockings, otherwise known as anti-embolism stockings or thrombus embolus deterrent (TED) stockings are an effective method of external compression for the prophylaxis of DVT’s. Byrne (2001) stated that several research papers suggested that graduated stockings reduced the incidence of DVT by...
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