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Problem-based Learning & Finding the Evidence: Case 19: Tara Vallarta -- My Pressure's Up

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Tara Vallarta -- My Pressure's Up

Your cases are steadily growing toward more clinically-focused look up topics, and so, once again, you will find the Point of Care tools to be very helpful on many of your topics. 

Don't forget Micromedex will help in gaining a better understanding of the drugs involved in this week's case.

 

Resources for this Case

Textbooks (look left)

PubMed Search Tip: Title Search - Medication adherence

or, Med Adherence by tags (called MeSH)

Measuring Blood Pressure

TRIP database - a meta-search engine

Point of Care Tools

National and State Organizations

Patient Info Resources

PubMed Search Tip

PubMed Title Search  

One way to tell PubMed to give you very relevent searches is to search in only the title field.  This works great for just a few words or a phrase.  The results, because they have your search terms in the title will all be highly relevent articles.  So, why not search that way all the time?  You may miss some articles plus not all searchs are ameniable to just a few terms.

Check it out - the search strategy for a medical adherence search is:

  • medication adherence[title]

I would also add hypertension since the topic has been well covered and to really target what you need, so the final search strategy might be:

  • medication adherence[title] hypertension

One other idea would be to add a filter - perhaps for language and age.  Your choice, sometimes it helps.

Check out some of the results.  

screenshot of pubmed title results

 

 

What are you Missing with a Title Search?

What are you missing with a PubMed Title search?

Potentially quite a bit.  There are some good looking artlicles that only use the term adherence in the title, not medication adherence.  There is another way to get at this topic.  PubMed has a MeSH term "medication adherence" and you can finese that a little more by making it a major topic with [Majr].  This finds a wide range of things from a patient advice piece from Harvard Health letter to a Cochrane Systematic Review. 

Use the MeSH Database to find the right term and the correct punctuation.  Short cut to Mesh is to use the top search bar on PubMed.

Pubmed advanced search for mesh term medication adherence

 

Then add hypertension as a key word term to your search.  Your final search strategy might be:

"Medication Adherence"[Majr] hypertension  

 

You might find some helpful articles:

screenshot of pubmed results

Dr. Gabbai's Tip on Taking Blood Pressure

Dr. Gabbai found a very helpful article from the New England Journal of Medicine with specific tips on the basics of taking blood pressure.  You probably already know most of this information, but it is a good reminder of what you need to know.  The following links are to the article online as well as the video available at NEJM.  

Tip: to find more like this article, you could use the PubMed option for "Similar articles" - use the "See All" link to get the full list of more articles like this one.  

JOVE Clinical Education

Another place to find some audio-visual resources is JOVE.  So if you need the basics about how blood pressure measurement, they have a video on that as well as how to take someone's blood pressure.

TRIP Database

Turning Research Into Practice (TRIP) Database

The TRIP database is a great place to do some searching across multiple types of medical resources.  For this case, you can find the recent guidelines from various organizations that might have something to offer for diagnosis, treatment, or management of hypertension. Maybe, the American Heart Association (AHA) would be a good organization for this info - we can add that to the search.  

hypertensive urgency aha

 

Check the filters on the left for the limit to just the guidelines -- scroll further down to see how you could further refine it, perhaps since 2016.  

screenshot of trip database & health urgency search

 

However, there are some other things you might find if you don't limit to the guidelines. Scroll down and see what you might find (including some ebooks).  

Point of Care Tools

Point of Care Tools

All of the tools have some great information on this topic.  However, each has some special features that highlight information in different ways.  Since they are simple to use, try looking in more than one tool and compare them.

National & State Organizations

MedlinePlus: Information Tool for Patients

MedlinePlus is a great place to find consumer-friendly materials along with directories, a dictionary & encyclopedia, and more.  Take a look and see what you find for this week's topics.

Search MedlinePlus: