Evidence Based Practice for Dementia

Evidence Based Practice
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CONTENTS
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
Potential clinical problem............................................................................................................3
Clinical Question.........................................................................................................................4
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6
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INTRODUCTION
Dementia is one of the major issue which is faced by many people today. It is stated as the
loss of cognitive functioning including thinking, reasoning and remembering and behavioural
abilities to the degree that it interferes with daily activities and life of person (Dang, & Dearholt,
(2017). It is more common among the people who are age above 85. This report aims to apply
evidence based practice in provision of patient care. This project discusses about potential
clinical issue and its importance supported with literature review. It also includes clinical
question utilizing PICOT format and relational for selection of question. At last, a brief
conclusion is provided that concisely summarises major points included in report.
MAIN BODY
Potential clinical problem
Dementia can be referred as a neurocognitive disorder that influence the daily functional
ability of an individual. In the persons with dementia, depression and anxiety symptoms are very
common. In year 2017, dementia was the second main cause of death in Australia and is
expected to influence up to 550000 people by year 2030. Around 15% of Australians were aged
65 years and above in year 2016 and expected to grow by 22% by year 2056. 3 and 4 individuals
dispensed anti-dementia medications and 71% of hospitalizations are with high clinical
complexity (Dementia, 2019). It is estimated that around 459000 Australians living with
dementia in year 2020 and the number of dementia cases will increase to 318 individuals a day
by year 2025 (Dementia statistics, 2020).
There are several symptoms associated with syndrome of dementia. These includes
memory impairment, personality changes, disorientation, impairment in judgement, abstract
thinking and impulse control, wandering, delusion, impaired ability to carry out motor activities,
impairment in language ability etc. The medical management of dementia include some therapies
such as dietary measures, physical activity and experimental therapies involving estrogen
therapy, anti-amyloid therapy vitamin E therapy etc. Apart from this nursing management of
dementia includes nursing assessment, diagnosis, career planning and goals, intervention,
evaluation and documentation guidelines (Livingston & et. al., (2017).
There are numerous patients with dementia all over the world and its symptoms are
aggravated in environment of acute care, however nurses in the hospital are expected to reduce
the aggravation of dementia by providing adequate care. The nurses may not be able to provide
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