NRS 493 GCU Dementia Health Complication

NRS 493 GCU Dementia Health Complication

NRS 493 GCU Dementia Health Complication

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

Literature Review Student A. Sample Grand Canyon University NRS 493: Professional Capstone and Practicum Ellen Pavela, DNP, RN Assignment Due Date 1 Literature Review The introductory paragraph should briefly explain the topic problem of the proposal. The student will show how the current research supports the PICOT, identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 – word review. Comparison of Research Questions The research questions of the eight research studies from the literature review will be compared with the PICOT question of the student’s proposal topic problem. There will be trends in the questions of these studies, so the comparison of the PICOT question and these trends will be valuable for the student to discuss in this section. Comparison of Sample Populations This section will discuss the comparison populations noted in the eight studies of the literature review with the population of the PICOT question for the proposal topic problem. The similarities in these populations should be explained as supportive or unsupportive in this paper. If there is not enough known about a population in any of the eight studies, that should be stated clearly and concisely. Comparison of Limitations of Studies The limitations of the eight studies from the literature review will be compared with the limitation of the potential solution to the PICOT question of the proposed topic problem. The 2 trends in limitations should be discussed as well as gaps in the evidence that supports the limitations. Conclusion The conclusion is a brief wrap-up of the major concepts of the assignment. The student will incorporate recommendations for future research. This paragraph should be no more than 57 sentences. This is an electronic template for papers written in APA style (American Psychological Association, 2010). The purpose of the template is to help the student set the margins and spacing. Margins are set at 1 inch for top, bottom, left, and right. NRS 493 GCU Dementia Health Complication

The type is left-justified only— that means the left margin is straight, but the right margin is ragged. Each paragraph is indented five spaces. It is best to use the tab key to indent. The line spacing is double-spaced throughout the paper, even on the reference page. One space is used after punctuation at the end of sentences. The font style used in this template is Times New Roman and the font size is 12. Please remove all highlighted text after writing your paper and before submitting it for grading. 3 References Daresh, J. C. (2004). Beginning the assistant principalship: A practical guide for new school administrators. Thousand Oaks, CA: Corwin. (Book) Herbst-Damm, K. L., & Kulik, J. A. (2005). Volunteer support, marital status, and the survival times of terminally ill patients. Health Psychology, 24, 225-229. doi:10.1037/02786133.24.2.225 (Magazine) U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute. (2003). Managing asthma: A guide for schools (NIH Publication No. 02-2650 (Web page) 1 Caregiving Intervention of Dementia Patients PICOT During the care for elderly dementia patients, what is the impact of educating caregivers on managing their patients’ behavioral and mental symptoms at the home environment and 2 consequent stoppage of antipsychotic drugs compared to those caregivers without any caregiving education? P- Caregivers who are given caregiving education. I- Caregiving education on the management of the various behavioral and mental symptoms. C- Caregivers who are not given caregiving education. O- Stoppage in the use of antipsychotic drugs T- Time frame of the intervention to be determined. 2 Caregiving Intervention of Dementia Patients Dementia affects the patient and their immediate caregivers, including their family members and friends. Patients with dementia are characterized by memory loss, verbal communication difficulties, reasoning, visualization, and paranoia. This makes them aggressive in that they are difficult to control and care for. Antipsychotic drugs function by blocking the dopamine receptors in the brain and hence regulating normal brain functioning (Huang & Song, 2019). This helps to control the thinking, mood, and perception of these patients and therefore enhances the control of severe psychosis and behavioral problems in these patients. 1. Evidence-based solutionNRS 493 GCU Dementia Health Complication

There is a need to initiate the solution and implement it to an authentic audience. To understand whether offering caregiving education to their family members will impact the management of these patients, there is a need to conduct the intervention program in the population. This will involve an intervention and control group. The intervention group will receive caregiving education and consecutively adopt home-based care for their patients. The control group will involve selected caregivers who shall not receive the intervention. The latter is chosen for comparison and for the researchers to evaluate the efficiency of the intervention program. 2. Nursing intervention The care for dementia patients is in most cases left in the hands of nurses in care facilities. These nurses are responsible for drug administration and feeding these patients since they can hardly perform these tasks independently. Furthermore, most of these patients are psychotic and aggressive and are generally uncontrollable in the home setting. However, nurses 2 can achieve to engage their family members in the caregiving of these patients. Caregivers are sometimes referred to as ‘secondary patients’ since they require guidance on patient management. In addition, they need protection against the deterioration of their own mental and physical health. In addition, since they are involved in the complete care of these patients, they are overworked, especially where the patient requires total care and attention. Nurses should offer caregiving skills and counseling to these patients to ensure that their wellbeing is considered. 3. Patient Care The intervention will aim to reduce and ultimately stoppage the use of antipsychotic drugs in the control and management of these patients. Patients who shall be included in the intervention group shall have the advantage of experiencing care without using dopamine blockers. The latter drugs are mainly used to sedate these patients and put them to sleep. This is usually done if the patient is aggressive and psychotic. It is advantageous for the intervention group whose caregivers have effectively managed their condition without psychotic drugs. 4. Healthcare Agency Currently, patients with dementia are taken to Nursing Facilities for specialized care since family members cannot adequately offer critical care at home. This results in congestion and overcapacity in these facilities and the ward. However, if the intervention program is successful, these patients will be cared for in their homes hence decongesting the health facilities. 5. Nursing care The care for dementia patients is challenging to a nurse, especially where the patient is aggressive and psychotic. Sometimes, treatment of these patients requires the presence of a 2 family member with whom the patient can associate with to calm down. The adoption of homebased care will improve the experience of these nurses since they will be required to make several daily follow-up visits of these patients. this enhances the experience of these nurses in care. 2 References Huang, X. F., & Song, X. (2019). Effects of antipsychotic drugs on neurites relevant to schizophrenia treatment. Medicinal research reviews, 39(1), 386-403. Retrieved October 9, 2021, from https://onlinelibrary.wiley.com/doi/abs/10.1002/med.21512 Terayama, H., Sakurai, H. NRS 493 GCU Dementia Health Complication