Evidence Base Practice Description Student`s

EvidenceBase Practice Description

EvidenceBase Practice Description

Marywants a piece of advice on the effects of oral contraceptives inyoung women, aged between 25 and 40 years. She says that she got manyrumors about how the contraceptive use causes an increase in theprobability of contracting cancer later in life. To give her preciseanswer I use the PICO (T) mnemonic where:

P-Women who take oral contraceptives

I-At greater risk of developing cancer

C-compared to women aged 25-40 who use IUDs for contraception

T-over a time frame of 5 years.

Toeffectively advise Mary, I search for information and evidence fromthe internet sources. From the National Library for Health (NLH)site, I find that oral contraceptives contain female hormonesestrogen and progesterone. The oral contraceptives increase risks ofbreast, liver, and cervical cancer while reduces the ovarian andendometrial cancers. The exposure to these should not be prolongedespecially on young women.

WithIUDs, the risks are less because they cause noncancerous growthsknown as ovarian cysts. These may go away on their own. Unlike oralcontraceptives, IUDs rarely causes breast tenderness, headaches, acneand mood swings (Houser,2013).

Accordingto Cumulative Index to Nursing and Health Literature (CINAHL), therisk of cancer in young women, 40 years and below is low. Even if itdoes not strike at middle age, oral contraceptives accelerate therisk of contracting it in future compared to women who do not use thepills (Houser,2013).

Sourcesshow that individuals who use the oral contraceptives over a longtime raise risks of heart attack or stroke. For those who considerhaving children later, it is good for them to use IUD. The IUDs arehowever painful during initial stages of insertion.


Houser,J. (2013).&nbspNursingresearch: Reading, using and creating evidence.Jones &amp Bartlett Publishers.