Scenario 1: Fish Oil
Fish oil is consumed by millions of Australians as a remedy for arthritis. Peggy is a 65 year old lady who has degenerative osteoarthritis in her knees. Her friend Edith from the bowls club says that she has started taking fish oil and has noticed that her arthritis has really improved. Peggy is keen to try anything that would help to relieve her arthritis but would like to know if there is any real evidence to support her taking fish oil. Peggy doesn’t have a lot of extra money to spend buying expensive fish oil capsules.
In older women with osteoarthritis is fish oil an effective treatment option?
Scenario 2: Green Tea
Green Tea has been used for medicinal purposes in Asia for thousands of years. Current claims
of the benefits of green tea include improving mental alertness, relieving digestive symptoms
and headaches, promoting weight loss and as a preventative measure for heart disease and
cancer. Krishna is a 25 year old whose family has a history of cancer. She has previously
consumed normal (black) tea and wants to know if there is any evidence about the preventative
value in drinking green tea to prevent cancer.
Clinical Question: In young women will drinking green tea prevent cancer compared to
drinking black tea?
Scenario 3: Silver Dressings
You are required to make a house call (as a student paramedic or student community nurse) to
a young 21 year old male, Billy who has a history of motor vehicle accident (MVA). He has a
number of significant wounds following the MVA. He has called because his temperature is
above normal, he has signs of fever and one of his wounds is red and is malodourous. Whilst
undertaking a physical assessment Billy asks you about a news article he read discussing the
effects of Manuka honey and silver dressings. You are uncertain how to answer Billy at this time
so you decide when you get home to undertake a structured search for evidence.
Clinical Question: What is the effectiveness of silver dressings compared to Manuka honey in
young men following traumatic injury?