Dementia Research Proposal
Dementia Research Proposal
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In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Dementia Research Proposal
Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
- Background
- Clinical problem statement.
- Purpose of the change proposal in relation to providing patient care in the changing health care system.
- PICOT question.
- Literature search strategy employed.
- Evaluation of the literature.
- Applicable change or nursing theory utilized.
- Proposed implementation plan with outcome measures.
- Discussion of how evidence-based practice was used in creating the intervention plan.
- Plan for evaluating the proposed nursing intervention.
- 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.
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Capstone Project Change Propsal
The Problem
The usage of antipsychotic medicines in elder dementia patients is my planned capstone project. Alzheimer’s disease has become a global public health issue. According to recent estimates, approximately 48 million individuals worldwide have dementia, with that number expected to rise to 75 million by 2030 and 131.5 million by 2050. Caregivers are also burdened by dementia, particularly when accompanied by behavioral and psychological symptoms like aggressiveness and psychosis (Prince et al., 2016). Dementia affects about 5-10% of persons over the age of sixty five in the U.S. Dementia is estimated to affect 30-40% of individuals aged 85 and above in the nation.
Setting
Alzheimer’s sickness has been linked to a higher-than-average percentage of dementia patients in the aged populace. The primary sign of dementia is cognitive impairment (APA, 2016). Many people who have dementia also suffer from behavioral issues such as anger, aggressiveness, psychosis, delusions, and cognitive impairment. Patients with these signs and symptoms are at risk of harming themselves or others (APA, 2016). Nevertheless, the frequency and severity of the interactive as well as psychosomatic indications of dementia vary significantly contingent on the medicinal context.
Effect of the Issue
According to several empirical research, individuals with dementia have an estimated frequency of 18 to 25 percent delusions and aggressiveness of 9 to 30 percent (Prince et al, 2016). Psychosis has also been a common symptom in dementia patients (Zahirovic et al., 2018). Alzheimer’s sickness is associated with various symptoms, including aggression and psychosis (APA, 2016). The intensity of the symptoms rises as dementia and cognitive impairment worsen. The signs and symptoms are also long-lasting and chronic. Research shows that symptoms are more or less common in various therapeutic settings, depending on where you get them (Zahirovic et al., 2018). According to research, aggression and psychosis are more common among nursing home and inpatient dementia patients than in community settings.
Intervention
There is currently no effective therapy for this disease. Dementia research, particularly on neurological features, pathology, and the causes and consequences of different pharmaceutical treatments, has received considerable funding (Zahirovic et al., 2018). Psychosis, aggressiveness, and other symptoms linked with dementia are often treated with antipsychotic medications. Antipsychotic medications are divided into two groups: conventional antipsychotics and atypical antipsychotics.
Unwanted side effects of antipsychotics include miserable disposition and low blood pressure, a stroke, a fast heart rate, as well as acute circulatory actions in individuals with dementia who are already at high risk of death (APA, 2016). According to empirical research, the use of antipsychotics is linked to an increased death rate due to numerous adverse effects. Antipsychotic medication usage is also linked to more extended hospital stays higher healthcare costs, and worse quality of life for individuals who experience negative side effects.
The solution to the problem.
As the first line of treatment for different symptoms of dementia, non-pharmacological therapies are suggested, with antipsychotics being used as a last option (Zahirovic et al., 2018). Treatment results are harmed when antipsychotics are prescribed often in different therapeutic settings. According to research, antipsychotics are prescribed at high rates among the elderly with dementia in various therapeutic settings. According to an analysis by Prince et al. (2016), 30% of nursing home residents were using antipsychotic medicines.
Significance of the Study
This research suggests that caregivers in the elderly with dementia in outpatient care settings should be empowered with appropriate abilities to manage the different behavioral and mental symptoms that they come with. Education is a crucial strategy for empowering family caregivers. Caregiving education for older patients with dementia is essential in harboring exercise because it reduces the usage of antipsychotic medicines in addition to the health consequences in the home environment. As a result, healthcare costs would be diminished, and people living with dementia would enjoy better health and well-being.
References
American Psychiatric Association (APA). (2017). The American Psychiatric Association practice guideline on the use of antipsychotics to treat agitation or psychosis in patients with dementia. New York: Author.
Prince, M., Ali, G., Maëlenn , G., Prina, M., Albanese, E., & Wu, Y.(2016). Recent global trends in the prevalence and incidence of dementia, and survival with dementia. Alzheimer’s Research & Therapy, 8(23):2-13.
Zahirovic, I., Torisson, G., Carina, W., & Londos, E.(2018). Psychotropic and anti-dementia treatment in elderly persons with clinical signs of dementia with Lewy bodies: a crosssectional study in 40 nursing homes in Sweden. BMC Geriatrics, 18(50): 2-9
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