BENCHMARK

Running Head: PICOT 1

PICOT 4

Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania

PicotPICOT

GCU NRS-490Yeni Hernandez

Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format. Title Student’s Name Grand Canyon University: course prefix and number Date

December 9, 2018

Picot

This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.

Problem/Patient Population

The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.

Intervention

For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chemicals or growth factors in the brain affect the health of brain cells, induce growth of new blood vessels in the brain as well as indices the abundance and survival rates of the new brain cells”. Comment by Budyn, Tania DMs Matrix Providers: Citation needed

Comparison

It is notable that the majority of the patients are immobile due to degenerative old age issues and conditions. This means that they cannot engage in productive or useful exercises to stimulate their brains and growth factors. It is therefore imperative that a supportive environment, through informal caregiving, isbe instituted to facilitate their safety and relaxation of patients with dementia. A Ssupportive environment will allows the patient to access all the care services through the help of their informal caregiver or family member. This provides a comparison point to effectively measure how much the success of the intervention for the patients that are can engage in productive and useful exercise (Neubert et al., 2018).

Outcome

The results or outcomes of an integrated exercise program for dementia patients prompted health care facilities to consider their choices with regards to the patient's abilities and informal care availability in improving the outcomes of dementia patients. In other words, the teams must make decisions-based on what is best for the entire health status of individual patients. The outcome of the study is etched on improving the overall safety of a patient living with dementia by reducing and improving the symptoms to prevent cases of re-hospitalization resulting from injuries such as fall incidences.

Time

The data from collection for the study that was done in 2013 was collected by nurses who primarily utilize questionnaires. The data collection also utilized diverse scales and tools of assessment to establish dominant symptoms such as the Neuropsychiatric Inventory (NPI), symptoms assessments the BEHAVE-AD scale among others (Pan et al., 2013). Comment by Crystal Bowman: For the purposes of this paper, the timeframe would be related to what timeframe you would be conducting your intervention in.

References

Hughes, J., & Common, J. (2015). Ethical issues in caring for patients with dementia. Nursing Standard, 29(49), 42-47. doi: 10.7748/ns.29.49.42.e9206

Neubert, L., König, H., & Brettschneider, C. (2018). Seeking the balance between caregiving in dementia, family, and employment: study protocol for a mixed method study in Northern Germany. BMJ Open, 8(2), e019444. doi: 10.1136/bmjopen-2017-019444

Pan, W., Yoshida, S., Liu, Q., Wu, C., Wang, J., Zhu, J., & Cai, D. (2013). Quantitative evaluation of the severity of behavioral and psychological symptoms of dementia in patients with vascular dementia. Translational Neurodegeneration, 2(1), 9. doi: 10.1186/2047-9158-2-9