Question

Assignment 1: Application – PICO Analysis of Dementia, Delirium, and Depression 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 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, research method, 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.

Answer 1

Here, from the three I selected the topic "Dementia".

Part 1: PICO Analysis of a Research Topic:

Before creating the PICO questions for dementia, the patient has to analyses for the severity of the diseases and the needed remedy. Non-pharmacological therapies support the patient and prevent brain damage. The PICO question has the framework as "How does the Physical and Brain exercises will be helpful in treating the patients with dementia".

P (problem or patient or population)	Dementia patients
I (intervention)	Physical and Brain exercises
C (comparison)	No medication, No exercises.
O (outcome)	Improvement in cognitive ability.

Part ii: Search strategy:

Dementia: In general, the thinking skills decline in the patients.

Brain and physical exercises: The exercises help better as compared to the real medication.

Part iii Analysis of the Literature:

1.The Impact of Education on Certified Nursing Assistants' Identification of Strategies to Manage Behaviors Associated With Dementia.

Abstract: The certified Nursing assistant is supervised by registered nurses in providing proper care and managing the behavior of patients with dementia. The multimodal education program was designed and the post and pre-evaluation showed positive results.

2.Dementia case management and risk of long-term care placement: a systematic review and meta-analysis.

The abstract is used to compare the effectiveness of usual care on reducing the long-term care and Hospitalization. Randomized controlled trials used and the results show significant reduction of risk in long-term care when regular follow-up is followed.

3. Silent Brain Infarcts and the Risk of Dementia and Cognitive Decline.

The study focuses on the relationship between the silent brain infarcts and the risk of dementia and cognitive decline in the population. A prospective and population-based cohort study is designed. The strength of the study is elderly population. The study concluded that the silent brain infarcts increased the risk of dementia and decrease their cognitive function.

4. The influence of vascular risk factors on cognitive decline in patients with dementia: A systematic review.

The abstract of the study is vascular risk factors associated with dementia. The results show for Hypertension 12 studies were inconsistent with cognitive decline and for hypercholesterolemia 2 shows a decline in cognitive function. Overweight has a slow significant decline in cognitive function. Four studies out of seven show that VRF has the faster cognitive decline in the dementia patient.

5. Group reminiscence therapy for adults with dementia: a review.

The aim of this study is adults diagnosed with dementia are explore to reminiscence group therapy and their effects. The multiple collection tools are difficult in comparison and the findings show favor in the effect of reminiscence therapy.

The appropriate treatment option is needed medication along with proper exercise to improve cognitive and brain development and reduction and control of other risk factors.