Nursing Case Study Memo
Citation: Freitas DA, Dias FA, Chaves GS, Ferreira GM, Ribeiro CT, Guerra RO, Mendonça
KM. Standard (head-down tilt) versus modified (without head-down tilt) postural drainage in infants and young children with cystic fibrosis. Cochrane Database Syst Rev. 2015 Mar 10;3:CD010297. doi: 10.1002/14651858.CD010297.pub2. Review. PubMed PMID: 25756796.
Brief Description of patient: The patient is a 5 year old female diagnosed with cystic fibrosis and presents with difficulty breathing and difficulty clearing secretions. She is unable to walk or run long periods of time, has difficulty breathing in certain positions, and is unable to participate in physical activities at school.
PICO Question: For young children with cystic fibrosis, will standard …show more content…
SPD and MPD were analyzed two times for better statistical power. Participants within this study continued the treatment for the following five years. Participants assigned to SPD were positioned supine horizontal, prone, left side down, and right side down. For those assigned to MPD the previous four positions were modified to supine 30° head up, prone horizontal, left side down horizontal, and right side down horizontal.1 Manual percussion was performed for two minutes followed by six vibrations for 30 minutes. The next session began with participants inhaling 2mL of nebulized normal saline for 5 to 10 minutes. In the second study each participant received two sessions of chest therapy, each 20 minutes long. Session one consisted of percussion with vibrations in four MPD positions for five minutes. Session two consisted of percussion with vibrations in four …show more content…
The first study was designed as a randomized control trial and the second study was designed as a cross over study. Investigators did incorporate details regarding the search process and selection of the studies. Two authors reviewed the abstracts of several studies selected during the primary search to determine if they followed the inclusion criteria. They then read the full text of the studies to establish their admissibility. A third author was consulted to determine the final selection. Review Manager 5 was used to obtain data and any disagreements among the investigators was resolved via discussion and compromise. The following is a list of information collected by the investigators: methods, participants, interventions, outcomes, and risk of bias. The second study had a low risk of bias due to suitable reporting for outcome data; however, the first study had an unclear risk of bias due to the unavailability of its protocol in trial registers. This systematic review was not a meta-analysis and did not include individual patient data in the
KM. Standard (head-down tilt) versus modified (without head-down tilt) postural drainage in infants and young children with cystic fibrosis. Cochrane Database Syst Rev. 2015 Mar 10;3:CD010297. doi: 10.1002/14651858.CD010297.pub2. Review. PubMed PMID: 25756796.
Brief Description of patient: The patient is a 5 year old female diagnosed with cystic fibrosis and presents with difficulty breathing and difficulty clearing secretions. She is unable to walk or run long periods of time, has difficulty breathing in certain positions, and is unable to participate in physical activities at school.
PICO Question: For young children with cystic fibrosis, will standard …show more content…
SPD and MPD were analyzed two times for better statistical power. Participants within this study continued the treatment for the following five years. Participants assigned to SPD were positioned supine horizontal, prone, left side down, and right side down. For those assigned to MPD the previous four positions were modified to supine 30° head up, prone horizontal, left side down horizontal, and right side down horizontal.1 Manual percussion was performed for two minutes followed by six vibrations for 30 minutes. The next session began with participants inhaling 2mL of nebulized normal saline for 5 to 10 minutes. In the second study each participant received two sessions of chest therapy, each 20 minutes long. Session one consisted of percussion with vibrations in four MPD positions for five minutes. Session two consisted of percussion with vibrations in four …show more content…
The first study was designed as a randomized control trial and the second study was designed as a cross over study. Investigators did incorporate details regarding the search process and selection of the studies. Two authors reviewed the abstracts of several studies selected during the primary search to determine if they followed the inclusion criteria. They then read the full text of the studies to establish their admissibility. A third author was consulted to determine the final selection. Review Manager 5 was used to obtain data and any disagreements among the investigators was resolved via discussion and compromise. The following is a list of information collected by the investigators: methods, participants, interventions, outcomes, and risk of bias. The second study had a low risk of bias due to suitable reporting for outcome data; however, the first study had an unclear risk of bias due to the unavailability of its protocol in trial registers. This systematic review was not a meta-analysis and did not include individual patient data in the