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Evidence base care pathways

Discussion in 'Introductions' started by heidi, Mar 1, 2010.

  1. heidi

    heidi Welcome New Poster


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    Hi All
    Although I have read many thread, this is my first time on posting a message on the arena.

    I need to find evidence for what we do within podiatry, I have been tasked with coming up with evidence based care pathways, i.e. where is the evidence to say patients require their nails cutting and there callus debriding every 8, 10, 12 weeks???

    Can anyone provide me with evidence to guide these pathways, I have found that there is minimal evidence out there.

    I look forward to your comments
     
  2. charlie70

    charlie70 Active Member

    I don't think there are any.
    As someone who's worked in the NHS for about 15 years I've noticed the time between low-risk treatments gradually increasing from "ring us for an appointment when your nails need to be cut/your corns hurt" to "we'll see you in 8-10 weeks"...then 10-12 weeks then it went to 12-14 and when we were short staffed it was "in about 4 months".

    There is no evidence that I know of for the return rates imposed by NHS clinics. They are artificial limits imposed by time constraints.
    In my (humble, hah!) opinion, patients should be able to ring us when THEY feel they need treatment, especially for the routine nails/corns. After all, they need treatment when they feel pain.

    If you find any evidence though, let me know. I'd be interested.
     
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