You are orienting a recently graduated physical therapist, Renee, to your practice. You notice that one of your colleagues, Donna, is sitting at her desk with her leg elevated and her ankle wrapped with a bag of ice on it. You ask about the injury and she tells you that she has a minor ankle sprain after falling off her bike on the way to work. She went to see her sports medicine physician next door who prescribed RICE – rest, ice, compression and elevation. Renee asks Donna if she has researched this treatment plan, because it is no longer consid- ered effective. Donna states that she has faith in her doctor. Renee provides her with a reference and the website to review: RICE: The End of an Ice Age at http://stoneathleticmedicine. com/2014/04/rice-the-end-of-an-ice- age/ This is a practice that began in 1978 and has been used for decades; however, the evidence is lacking to support that ice actually facilitates tissue healing. What obligation do healthcare practitioners have to keep up with changing recommendations based on current evidence?
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