Explores clinical features of behavioral and psychologic symptoms related to dementia, as well as guidelines for assessment, differential diagnosis, and treatment.

Explores clinical features of behavioral and psychologic symptoms related to dementia, as well as guidelines for assessment, differential diagnosis, and treatment.

APPLICATION: PICO ANALYSIS OF DEMENTIA, DELIRIUM, AND DEPRESSION

Application: PICO Analysis of Dementia, Delirium, and Depression
PLEASE USE THE TABLE FORMAT SPECIFY AT THE BOTTOM FOR THIS ASSIGNMENT PLEASE…IMPORTANT.
A PICO analysis is used to pose a focused clinical question to which you find appropriate evidence-based answers.
The PICO question should include the patient or population (P), anticipated intervention (I), comparison group or current standard (C), and outcome desired (O). In this Assignment, you develop a question related to dementia, delirium, or depression.
Through your PICO analysis, you explore various resources and examine current evidence to answer the question you develop.
To prepare:
Select one of the following disorders as your topic: dementia, delirium, or depression.
Review the guidelines in the Literature Review Matrix document in this week’s Learning Resources.
Think about a research question around your issue as indicated in Part I: PICO Analysis of Research Topic.
Consider the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Using the Walden Library and other appropriate databases, locate five (5) articles related to your PICO question.
At least one article must be a systematic review. All of the articles should be primary sources.
Reflect on the five articles you selected as indicated in Part III: Analysis of Literature. Consider the conceptual framework/theory, main finding, methods, strengths of study, weaknesses, and level of evidence for each article.
Consider how to use the summaries in Part III to create an evidence table. Use this evidence table to determine appropriate treatment options for patients who present with the disorder you selected as your topic.
To complete:
Formulate a question around the disorder you selected as indicated in Part I: PICO Analysis of Research Topic.
Identify the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Summarize the five articles you selected as indicated in Part III: Analysis of Literature. Describe the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
Create an evidence table based on the article summaries in Part III.
Describe appropriate treatment options for patients based on this evidence table.
Readings
Flaherty, E., & Resnick, B. (Eds.). (2011). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (3rd ed.). New York, NY: American Geriatrics Society.
Chapter 32, “Dementia†(pp. 245–255)
This chapter examines the epidemiology and societal impact of dementia. It also presents guidelines for assessing, diagnosing, treating, and managing dementia in addition to providing pharmacologic and nonpharmacologic treatment options.
Chapter 33, “Behavioral Problems in Dementia†(pp. 256–264)
This c
hapter explores clinical features of behavioral and psychologic symptoms related to dementia, as well as guidelines for assessment, differential diagnosis, and treatment. It also examines treatment for mood disturbances, manic-like behaviors, delusions and hallucinations, disturbances of sleep, hypersexuality, and intermittent aggression or agitation.
Chapter 34, “Delirium†(pp. 264–272)
This chapter explores the spectrum of delirium including the incidence and prognosis, risk factors, and diagnostic criteria for delirium. It also presents guidelines for diagnosing, treating, and managing patients with delirium, including pharmacologic therapy and drugs to reduce or eliminate as part of delirium management.


 

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