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5 pages/≈1375 words
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Health, Medicine, Nursing
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PICO question, Depression within the elderly Health, Medicine Essay

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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.
Rubric

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Pico Question, Depression in the Elderly
Name
Institution Affiliation
Pico Question, Depression in the Elderly
Part I: Overview
Although depression is not a common disorder among the elderly compared to younger people, it has serious implications. While suicide cases related to depression among older adults have declined significantly, this population is at higher risk of suffering from this disorder compared to younger individuals. Nevertheless, older patients rarely exhibit affective symptoms and only display somatic symptoms, cognitive changes, and decreased interest in various things. Consequently, due to the lack of exhibition of affective symptoms among the elderly, the cases of depression may go unnoticed and untreated despite being higher in nursing homes. The lifestyle, experiences, and preferences of older adults are different from those of younger adults. For example, older individuals are prone to harmful falls and loneliness, which are experiences that can lead to depression. In addition, older persons are less expectant of finding a purpose in life and are more likely to stop looking for new sources of purpose. Consequently, a feeling of hopelessness may ensue. A hopeless, lonely, and fearful person has a higher likelihood of developing depression, which indicates that even older adults can suffer from depression too. Nonetheless, depression mostly affects older adults residing in nursing homes than those living in their homes. Approximately 20.3% of elderly patients living in nursing homes suffer from major depression (McCarthy-Zelaya, 2016). The rate could be higher if cases of subsyndromal depression are taken into account. Subsyndromal depression refers to a condition where symptoms of depression are present but are not severe enough to be regarded as minor or major depression. It is crucial for care providers, including nurses, to formulate effective strategies for managing depression among elderly patients, particularly those living in nursing homes. Formulating effective depression management strategies is crucial as it will help the care providers to compensate for the difficulties of diagnosing the condition among the elderly population. The PICO question of the current study is; in older adults with depression living nursing homes, is physical exercise effective compared to anti-depressant medications in the management of depression?
Population: Older adults living with depression
Intervention: Physical exercise
Comparison: Anti-depressant medications
Outcome: Effective management of depression
Part II: Search Strategy
Step 1: Research Tools
For the current study, different tools, including electronic databases such as Medline, PubMed, NCBI, OMIM, PMC, Cochrane Library, EMBASE, Google Scholar, Journal of Gerontology, and The Journal of the American Association were used to search for relevant sources required to complete this assignment.
Step 2: Keywords, Terms, and Criteria
Various keywords and phrases were entered into the search engines of the databases mentioned previously to generate appropriate sources for the current study. They include
* Depression
* Exercising
* Exercising “and” elderly
* Depression “and” exercising
* &...
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