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Nursing Research Proposal: Approaches to Address Dementia Assignment 2 Answer

GENERAL ASSESSMENT CRITERIA FOR ALL GRADED ASSIGNMENTS

 Your graded assignments will be assessed against the following criteria:

 • Clear structure: introduction, main body, conclusion, reference list and any appendices. 

• Analysis shows ability to interpret relevant information and apply theory to practice.

 • Arguments are supported by explanation, examples and reference to the literature.

 • Complies with normal academic standards of presentation and referencing.

 • Clearly written, with accurate spelling, grammar, sentence and paragraph construction.  

In line with the University Assessment Policy, a pass report will contain appropriate description, interpretation and application of evidence and theory. In order to get a higher mark than a pass you will need to demonstrate your ability to analyse evidence and theory, synthesise evidence and theory into new ways of thinking or new applications to practice and evaluate and make judgements about the strengths of your conclusions or proposals.  

 The difference between a credit, distinction and high distinction report will relate to the quality of your analysis, synthesis and evaluation, the range and quality of literature sourced, your ability to justify your argument in terms of evidence and theory and the quality of writing.  

ASSIGNMENT 1 – PROPOSAL   1,000  word graded paper. 

 What are effective approaches to addressing dementia in the elderly in assisted living residences and nursing homes.( discuss with particular area like in Australia or India or anywhere )

Specific assessment criteria

 The first few weeks of the topic requires you to discuss your ideas with your tutor and develop your proposal for the focus of the work for Public Health: Practice Development.  In the proposal you will need to: 

• Identify the public health/primary health care/health promotion/development issue and the aspect of it you are going to focus on. 

 • Identify the systematic search strategy you are going to use to locate the relevant literature (e.g. what key words are you going to search by, time frame for the search and why that time frame was used, what databases, search engines, and other techniques you will use to find a comprehensive range of information on the issue (e.g. Hand searching, key informants).  You are encouraged to contact the specialist health subject librarian to seek advice to develop the search strategy.  If relevant to the issue you have selected, you are also encouraged to search more broadly than the health related data bases, such as the social sciences data bases.  You also need to specify what inclusion and exclusion criteria you will use to either include or exclude literature). 

• Identify the time table for your practice development plan, which outlines your work schedule and time lines for the topic. 


STAGE 1: SELECTING A PUBLIC HEALTH/DEVELOPMENT ISSUE AND THEN PROPOSING A FOCUS: PATHWAY 2
ACTIVITYOUTPUT 
1-4
 
 

 
 
 
Selecting an   issue and proposing a focus. 
Identify your   issue
Develop a search   strategy
Identify time   lines
Develop a   proposal

 
 

 
Assignment 1:
  Submit Proposal


Answer

Nursing Research Proposal

1. Introduction 

Dementia is a chronic and progressive syndrome, which causes deterioration in the thought process, memory and general behaviour, which impacts the way they daily chores are performed. According to the World Health Organisation, dementia is the major cause of disability and dependency among the elderly around the world (Who.int, 2019). The syndrome affects the elderly but is unnatural to the process of ageing. The condition of Dementia has no possible cure known for which the effects are deliberating to the world population. According to the estimations made by Organisation for Economic Co-operation and Development or OECD, there are almost 44 million people living with dementia presently in the world. The failures of the health systems and community support organisations to provide effective care for the people suffering from dementia are commonly noticed. The target age group for the susceptibility for dementia is 65 years and above. The urgency of the situation is such that the OECD and other health and welfare organisations are working together to implement better health policies. As of 2015, 33.7 out of every 1000 people, over the age of 65 years in Australia are suffering from Dementia (Oecd.org, 2019).


Fig 1: Number of people using prescription anti-psychotics

Source: (Oecd.org, 2019)

2. The extent of the problem 

The disease manifests from 65 years and above where the cognitive function of the affected person declines with time. The activities of daily life, which require judgement, language and learning, analytical thinking, understanding and memory are affected by the disease (Flicker and Holdsworth, 2014). The motivation, social behaviour and emotional control are completely lost within the affected person with time. The clinical manifestation of dementia includes indirect and indirect impact on the brain of the affected person along with the development of Alzheimer’s disease. It is because of these clinical manifestations the patients become dependent on care provider with respect to the impending disability. The overwhelming nature of the disease makes it difficult for the patients, their families and the assisted care providers. In addition to this, the impact of the social, psychological and economic factors affect the welfare of the patients as supposed to lack of awareness, social stigmatisation and barriers in the diagnosis (Who.int, 2019). 

3. Relevance of the topic 

In Australia, the prevalence of dementia is lower in comparison to the rest of the world; however; the social and economic impact is causing a major public health burden. As of 2018, the Health Department of Australia has estimated that 376,000 people were affected by Dementia in the country. The projected increase in the disease prevalence is said to increase to 550,000 people by 2030. The estimations made by the AIHW showed that one out of every ten people over the age of 65 in Australia was assessed to have dementia as of 2016. The number of people who are affected by dementia in Australia is 354,000 out of that; 43 % of the total people affected with dementia are over the age of 85 years as of 2016. The number of deaths due to dementia in Australia is about 11,000 annually and contributes to the second highest cause of death. The percentage of elderly people admitted to residential care is 52% in the country which serious disease manifestation (Aihw.gov.au, 2019).


Fig 2: The estimation of the number of people affected by dementia in Australia between 2010 and 2030

Source: (Aihw.gov.au, 2019)

The disease manifestation varies between different communities, which are around 2-5 times higher among the indigenous people in Australia. The Aboriginals and Torres Strait Islanders are impacted by the social and economic determinants of health, which make it even more difficult to assist dementia care in the elderly. It is estimated that the vulnerability of this population towards tobacco use, diabetes and heart diseases are higher than other communities (Flicker and Holdsworth, 2014). Researchers are still imploring the reason behind the high prevalence of dementia among the indigenous elderly, but most agree on the fact that the higher exposure to modifiable risk is accountable for the manifestation of dementia.

4. Search Strategies 

  1. Databases

CINAHL: This is one of the most reliable medical database resources used by nursing and allied health professionals all over the world. There are 17 health disciplinary journals, articles and books which are stored in this database (Wilczynski, Marks and Haynes, 2007). 

MEDLINE: This database provides the citations of literature on life sciences, biomedicine journal articles published internationally. The content found in these databases is according to the Medical Subject headings or MeSH. 

Emcare: This database provides different evidence-based literature sources on healthcare, medicine, nursing, nutrition, occupational health etc. The main criterion of these journals in this database is on the treatment research.

PubMed: This is one of the well-used medical journal database containing different books, articles and research work along with citations, which might be full-text contents. The citations in this database are from the MEDLINE database, which makes it easier for the researcher to find citations along with content (Santos, Pimenta, and Nobre, 2007).

Web of Science: This database contains the index of all the literary journals belonging to humanities, arts and science backgrounds.

Scopus: This database contains only abstract and citations for peer-reviewed journals of science, technology, medicine, social sciences and arts research materials, conference proceedings and books. 

  1. Keyword strategy: The keyword strategy would be in accordance with the title and abstract content of the journals in the databases. The specifications of the result would require the use of the words in the title field using exact phrases and words.
  2. Description of keywords: “Patients with dementia”; “living in assisted care and nursing homes”; “Target Population: Aboriginal & Torres Strait Islander elderly”; "over 65 years"; "effective approaches."
  3. Inclusion and exclusion criteria: The patients with dementia, who are below the age of 65 years and not belonging to the Aboriginal and Torres Strait Islander community, would be in the exclusion criteria. In addition to this, patients who do not live in nursing or assisted care homes would be excluded.
  4. Article/data analysis plan: As per the thematic analysis, the proposal will explore the idea or concept of the literature regarding patients with dementia living in nursing and assisted care homes. By the help of content analysis, the proposal will investigate the data that would be selected from the journals.
  5. Time of search: The time of journal searching proposed for the research is estimated to be approximately five weeks (Refer to Appendix). 
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