NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach NB

NURS FPX 4030 Assessment 3 PICOT Questions and an Evidence Based Approach NB

Dementia Agitation Issue PICOT Approach

PICOT approach aims to analyse a problem related to nursing practice using attributes like population, intervention, comparison, and outcome. Many researchers believe that developing case practices and interventions are easy using PICOT approach. This will help the healthcare professionals to create a robust plan to solve this particular issue of patients suffering from Dementia in the psychiatry ward of Prime Health Hospital. This secondary research is involved in solving this particular issue with evidence-based resources. The approach used in this report is PICOT question creation; PICOT approach is effective based on population, intervention, comparison, and outcome   to explore a nursing issue as explained by many researchers. The interventions are needed regarding PICOT issue of agitation feelings in dementia patients in the psychiatric ward of Prime Health Hospital.

NURS FPX 4030 Assessment 3 PICOT Questions and an Evidence Based Approach NB

The PICOT Question

The current research presents the resolution of a vital problem related to the pain and agitation found in many dementia patients in Prime Health Hospital. The PICOT question developed by the nurses involved in evidence-based researches is as follows:

“Is using non-pharmacological method to find the best intervention related to the treatment of patients of dementia in Prime Health Hospital going to be more beneficial or effective compared to traditional pharmacological approaches to help the patients with symptoms like agitation?”

The professionals are using patient-centered care (PCC) framework that aims to discover the painful and agitated experiences of patients and find out whether their knowledge of treatment was good or ineffective. The population of this study involves studying several patients suffering from dementia in the psychiatric ward of Prime Hospital. Exploring the practices related to this issue is considered. Therefore, using the using patient-centered care (PCC) framework, population of dementia patients in Prime Hospital is analyzed for agitation to solve the pressing issue (John et al., 2018) 

NURS FPX 4030 Assessment 3 PICOT Questions and an Evidence Based Approach NB

Identification of Evidence Based Sources

The first scholarly resource highlights a DICE model based on attributes like Describe, Investigate, Create, and Evaluate) for devising the intervention of dementia patients in the psychiatry ward. This is a multi-step model that provides a correct explanation of patient’s attitudes in the state of dementia and also finds root causes. The third step is to devise effective plans for treating such patients, and then finally, the fourth step is to evaluate the effectiveness of strategies. The model of DICE is useful for the professionals to help them understand the importance of education and knowledge and it helps caregivers organizing their activities as well (Liaopo, 2017). Therefore, this is a multi-step model that provides a correct explanation of patient’s attitudes in the state of dementia to solve the underlying issue in the hospital effectively. This scholarly resource is vital for exploring the right strategy to form in the time of confusion and uncertainty (Kongpakwattana et al., 2018). 

Care Staff Directed Approach or Model

The Next Resolution or the approach by the nurses was related to the shortly research the Care Staff Directed approach that focuses on the promotion and development of the primary care activities and all the PCCs based on staff’s education and knowledge related to treating patients with empathy. This ensures that the person-centered approach is used. This approach is vital to use because the researchers believe that it helps nurses to get the appropriate feedback and also the time for these interventions range from two to three months (McDermott, 2019). 

NURS FPX 4030 Assessment 3 PICOT Questions and an Evidence Based Approach NB

Article Findings Explained

Since the resources talk about using PCC as a pharmacological method to help patients with dementia reduce their feeling of agitation, the research findings explain that doing a comparative analysis of behavior of patients to pharmacological approach is conducted to help manage their agitated feelings (McDermott & Gruenewald, 2019). Moreover, the article by Liaopo (2017) discusses the important of knowledge of dementia agitation felt by patients and helps to increase the awareness of physicians to understand the behavioral symptoms of such patients. This type of treatment provides medications to patients which fall under the category of psychotropic (Fisher et al., 2019). This means that pharmacological interventions are useful in providing medications, anti-psychotropic’s, and depression-reducing medicines to patients to reduce their agitation. Psychotropic drug treatment can become a little bit expensive. According to McDermott & Gruenewald (2019), “dementia patients often show symptoms of depression, psychosis, and post-traumatic stress disorder” (McDermott & Gruenewald, 2019). The next evidence-based resource aims to rely on secondary research that give a good explanation why PCC approaches are vital for managing dementia patients well. Some of these interventions take long time such as 9 months; however, some take three to four months depending on patients’ conditions. Therefore, the analysis of all these research sources to explain the PICOT question suggests that PCC and DICE approaches are both effective and vital to reduce the agitation attitude in dementia patients (Ijaopo, 2017). 

NURS FPX 4030 Assessment 3 PICOT Questions and an Evidence Based Approach NB

Relevance of the Findings from Chosen Sources of Evidence

The study by McDermott & Gruenewald (2019) is relevant and valuable because it helps to explore the severe agitation issue in dementia patients. The study findings reveal several other symptoms and mental diseases faced by these patients due to dementia. These findings show that the evidence-based research focuses on the real-world issues and medications needed by dementia patients to remove agitation. Moreover, the DICE approach has strong evidence that it can assist physicians in diverse clinics and hospitals in improving their practices. The research by Liaopo (2017) shows its importance and relevancy to the PICOT issue by showing the effectiveness of pharmacological approaches and the benefits and risks faced by patients based on those interventions. This study is vital because it aims to enhance the knowledge of professionals who specialize in treating dementia patients and also consult several medical journals to upgrade their existing information and knowledge.  

Conclusion

The above analysis of evidence-based researches shows that physicians must develop other approaches that are different from pharmacological ones to treat patients feeling agitation from dementia. The PICOT question is answered to know whether professionals should use patient-centered approaches or not. The selected sources provide a good idea about relevant, updated, and correct information or knowledge is vital related to pharmacological and non-pharmacological approaches to improve the effectiveness of clinical treatments. 

References

Fisher, A., Bellon, M., Lawn, S., Lennon, S., & Sohlberg, M. (2019). Family-directed approach to brain injury (FAB) model: a preliminary framework to guide family-directed intervention for individuals with brain injury. Disability and Rehabilitation41(7), 854-860.

Ijaopo, E. O. (2017). Dementia-related agitation: a review of non-pharmacological interventions and analysis of risks and benefits of pharmacotherapy. Translational psychiatry7(10), e1250-e1250.

John Papatriantafyllou, M. D., Anastasia Konsta, M. D., Dimitrios Kazis, M. D., & Magda Tsolaki, M. D. (2018). Non-pharmacological interventions for agitation/aggressive behaviour in patients with dementia: a randomized controlled crossover trial. Functional neurology33(3), 143-147.

Kongpakwattana, K., Sawangjit, R., Tawankanjanachot, I., Bell, J. S., Hilmer, S. N., & Chaiyakunapruk, N. (2018). Pharmacological treatments for alleviating agitation in dementia: a systematic review and network meta‐analysis. British journal of clinical pharmacology84(7), 1445-1456.

McDermott, C. L., & Gruenewald, D. A. (2019). Pharmacologic management of agitation in patients with dementia. Current geriatrics reports8(1), 1-11.

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