Evidence 2

Other than physicians, nurses, dieticians, and other health care personnel patients got medical or health information through television, magazines, and the internet, changing how health care is delivered (Jordan amp. Osborne, 2007. McMullan, 2006). But medical personnel were also able to use the internet, to find up-to-date information in their field to apply as needed. Some of them also use it to communicate with patients, allowing them to ask questions about their conditions or anything about improving their health without leaving their homes or work (Aujoulat, et al., 2007). This makes the medical personnel-patient relationship function beyond long distances or the lack of physical contact (McMullan, 2006). Physicians must take advantage of this situation by allowing the patients to ask more about their health conditions, have open communications regarding internet-sourced information, and show them respect and rapport to increase their receptiveness to other kinds of health information, alternative health solutions, and be more honest of their medications or other alternative treatments and prevent possible negative side-effects. This way, both sides are empowered especially patients in their hopes of improved health and wellness. Clinical Scenario Mr Miller, a computer programmer, is a moderately obese 51 year old man with type 2 diabetes, first diagnosed 8 years ago. He is trying to quit his smoking habit of some 30 years. Recently at work they offered him an employer-subsidised treatment with nicotine patches to help him quit smoking. However this had previously failed once before and he was reluctant to take bupropion as it was an antidepressant, a group of drugs which he had concerns about. No diabetes complications have been detected thus far and his blood sugar levels appear well controlled. He does have osteoarthritis that has manifested in both knees (which harbour old sporting injuries). His blood pressure has recently become mildly elevated averaging 160/94 mmHg during his past two visits. Mr Miller regularly searches the internet if he has a health question. His wife has encouraged him to take large doses of vitamin E and fish oil for his heart, glucosamine for his knees, and St John’s Wort to help him stop smoking, based on health information gained from their internet searches. Introduction of Evidence-Based Medicine and Evidence-Based Practice to the Millers The scenario shows the Millers are proactive in efforts to stay healthy and are capable of using the internet in guiding their choices. Mr Miller works mostly in the information technology sector hence he has competence and abilities in searching the internet for pertinent health information. His wife may not be as much of an expert but she can also find information in the internet as well. Physicians or medical personnel can easily provide assistance and guidance to the Millers by giving them supplementary information on various health aspects since most the health information is generally accessible to anyone on the internet. This is a great opportunity to introduce to the Millers Evidence-Based Practice and Evidence-Based Medicine, considered to be reliable due to being the products of