In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background
Problem statement
Purpose of the change proposal
PICOT
Literature search strategy employed
Evaluation of the literature
Applicable change or nursing theory utilized
Proposed implementation plan with outcome measures
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
Appendix section, if tables, graphs, surveys, educational materials, etc. are created
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

4 posts

Re: Topic 3 DQ 1

Cunningham,E.L., McGuinness,B., Herron,B., & Passmore,A.P.(2015). Dementia. The Ulster Medical Journal, 84(2), 79-87. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488926/

The strength of this article lies with its addressing the epidemiology and socioeconomic impacts and pathophysiology features o dementia as well as the processes of the clinical diagnosis. The authors conclude that that to achieve better biomarker and drug development requires an in depth understanding of the pathophysiological processes. On the other hand, the weaknesses it seems to mostly generalize on the health issue of dementia focusing on diagnosis and treatment process and not on first hand patient experiences.

Chertkow,H.,Feldman,H.H., Jacova,C., & Massoud,F.(2013). Definitions of dementia and predementia states in Alzheimer’s disease and vascular cognitive impairment: consensus from the Canadian conference on diagnosis of dementia. Alzheimer’s Research & Therapy, 5(1),2. Retrieved from https://biomedcentral.com/articles/10.1186/alzrt198

The article applies the framework of the Canadian Consensus Conference on the diagnosis and treatment of Dementia to assess new definitions of dementia and predementia states in Alzheimer’s Diseases and vascular cognitive impairment. The key strength of the article is to help guide medical professionals as well as the healthcare system in diagnosis and treatment of dementia in clinical and research settings. The weakness though is non-application of quantitative and qualitative data on real life participants as this would further strengthen research on the definitions of dementia.

Cations, M., Radisic,G., Crotty,M., & Laver,K.E.(018).What does the general public understand about prevention and treatment of dementia? A systematic review of population-based surveys. PLoS One, 13(4). Retrieved from https://journals.plos.org/plosone/article?d=10.1371/journal.pone.0196085

The main strength of this article is the integration of credible studies by MEDLINE, EMBASE, Psych INFO to establish the level of public knowledge on dementia. This helps to ensure there is public awareness and thus success for policy making in healthcare to improve care for dementia patients. The weaknesses, however, lies in the fact that the literature used was not conclusive given its geographical and cultural limitations.

Kazui H., Yoshiyama, K., Kanemoto,H., Suzuki,Y., Sato.S., & Tanaka,T.(2016). Differences of behavioral and psychological symptoms of dementia in disease severity in four major dementias. PLoS ONE, 11(8).Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0161092

The authors utilize the Neuropsychiatric Inventory data for patients with dementia and vascular dementia with a bid to establish the behavioral and psychological symptoms of dementia to enhance prognosis and treatment of patients. On the other hand, the weakness of this article is that it is majorly based on statistics which thus require expert interpretation inaccessible to the general public.

Shaji, K.S., Sivakumar, P.T.,Rao,P., & Paul,N.(2018).Clinical practice guidelines for management of dementia. Indian Journal of Psychiatry, 60(3), 312-328. Retrieved from https://www.ncbi.nlm.nih,gov/pmc/articles/PMC5840907/#_ffn_sectitle

Shaji et al.,(2018) capitalizes on the framework on the assessment and follow up of older people with dementia with the aim of promoting the clinical needs of the patient. However, its weakness as affirmed by the authors is that the framework only addresses a specific population of dementia patients given that each patient is different in diagnosis and environmental conditions thus it cannot be used as a medical standard.

Sabayan, B., Sorond, F.,(2017).Reducing the risk of dementia in older age. JAMA, 317(19).Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2626575

The authors provide invaluable information regarding how dementia can be treated and focus on three areas including lifestyle habits, medical conditions and mental and social wellbeing. This goes towards engaging the public to take first approach in preventing the disease since there is no definite cure. Their weakness, though, is that the article offers more recommendations on generalized views and ideas of dementia and would have been useful if it used statistics of real life examples of people who have beaten dementia.

References

Cunningham,E.L., McGuinness,B., Herron,B., & Passmore,A.P.(2015). Dementia. The Ulster Medical Journal, 84(2), 79-87. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4488926/

Chertkow,H.,Feldman,H.H., Jacova,C., 7 Massoud,F.(2013). Definitions of dementia and predementia states in Alzheimer’s disease and vascular cognitive impairment: consensus from the Canadian conference on diagnosis of dementia. Alzheimer’s Research & Therapy, 5(1),2. Retrieved from https://biomedcentral.com/articles/10.1186/alzrt198

Cations, M., Radisic,G., Crotty,M., & Laver,K.E.(018).What does the general public understand about prevention and treatment of dementia? A systematic review of population-based surveys. PLoS One, 13(4). Retrieved from https://journals.plos.org/plosone/article?d=10.1371/journal.pone.0196085

Kazui H., Yoshiyama, K., Kanemoto,H., Suzuki,Y., Sato.S., & Tanaka,T.(2016). Differences of behavioral and psychological symptoms of dementia in disease severity in four major dementias. PLoS ONE, 11(8).Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0161092

Shaji, K.S., Sivakumar, P.T.,Rao,P., & Paul,N.(2017).Clinical practice guidelines for management of dementia. Indian Journal of Psychiatry, 60(3), 312-328. Retrieved from https://www.ncbi.nlm.nih,gov/pmc/articles/PMC5840907/#_ffn_sectitle

Sabayan, B., Sorond, F.,(2017).Reducing the risk of dementia in older age. JAMA, 317(19).Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2626575


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