Assignment: Exercise Treatment VS Pharmacological Treatment for Depression

Assignment: Exercise Treatment VS Pharmacological Treatment for Depression

Assignment  Exercise Treatment VS Pharmacological Treatment for Depression

The effects of exercise on depression is a topic of special interest during my years of practice as a nurse. As a bedside nurse, I have always wondered and questioned on weather or not so many patients need to be on anxiolytic and antidepressant medications. My practice has made me question often if our medical world is too quick to prescribe medications instead of prescribing non pharmaceutical methods of treatment. I have also wondered how the incidence of depression would be lowered if individuals were educated on exercise instead of given prescriptions.

Already completed week 2

My background question for the capstone will be as follows:

In adult patients how effective is exercise as a treatment for depression when compared to pharmacological treatment?

Antidepressants are the main treatment considered for depression disorder, unfortunately, antidepressants are known to have many side effects. Many clinicians are willing to view and in fact encourage exercise as an adjunct therapy, however, clinicians are skeptical about substituting pharmaceutical treatment with exercise. My question is rooted in the fact that many adult patients with depression are not compliant with pharmaceutical treatment given all the unwanted side effects these medications are likely to produce. Second, much available research indicates many antidepressants are not effective for many individuals. Given these facts, exercise has been under the radar as an option for treating depression (Netz, 2017).Assignment  Exercise Treatment VS Pharmacological Treatment for Depression

In order to arrive at my PICOT, I will be examining numerous research and reviews conducted which present evidence-based facts regarding the effects of exercise on depression disorder. Kandola et al, 2016 concluded the “hippocampus in depressed individuals may be affected by neuron atrophy. Additionally, the study identifies aerobic exercise as a potentiator for promoting neuroplasticity and facilitating hippocampus function. Kandola et al, 2016 further backed this claim by concluding an increase in neuroplasticity in the hippocampus may change the structure of the region’s function thereby producing beneficial effects on cognitive malfunction of depressive disorder.

According to another study “it is possible that the antidepressant effect of exercise is caused by the interaction of several neurobiological mechanisms rather than by one mechanism exclusively. It is certain that exercise generates both acute and chronic responses, mainly in hormones, neurotrophines, and inflammation biomarkers” (Schuch et al, 2016).

• State your PICOT question.

• Indicate in parentheses after each segment, what part of PICOT the preceding words represent.

• For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T).

• Provide feedback to your classmates that focuses on:

• The use of correct PICOT format for the question to guide the literature search.

• Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?

• Provide feedback to your classmates that focuses on:

• The use of correct PICOT format for the question to guide the literature search.

• Does the question reflect a clinical issue and one appropriate for an evidence-based practice project?

• Support a minimum of one and challenge a minimum of one.

PICOT question (200 points) Submit to Project

To complete this week, after reading chapter two in Melnyk and reviewing the lectures you submit a 2-3 page paper that explores the background of your issue. For this paper #1 you will be defining this issue or disease using the literature.  It will end with the PICOT question.  The parts of your paper should include:

• Introduction

• Definition

• Epidemiology

• Clinical Presentation

• Complications

• Diagnosis

• Conclusion with PICOT Question

 

Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—you may not find something in every database. Under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. You may not find what you are looking for in every search—and that is OK—but you must search every database to see what may be out there.

Exploring the Literature

Picot Question:

Research Tool Search Tips Search Terms &  Limits Findings Features

CINAHL

CINAHL is an SU subscription-only resource that offers full text access to 336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous  Look at the Major Subject Heading in the Full Record

 Use the Limits Feature:

o Example: Publication Type=Systematic Review

 Try the CINAHL Heading search:

Keyword search:

Limits:

CINAHL Heading search:

Limits:

PubMed

PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine.

 Look at MeSH Terms in Full Record

 Use the Limits Feature:

o Examples: Article Type=Meta-Analysis; Age=All Adult

 Look for the open access Free articles!

Keyword search:

Limits:

 

MESH search:

Limits:

 

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Assignment: Exercise Treatment VS Pharmacological Treatment for Depression

Cochrane Library

Cochrane Library provides access to the Cochrane Library of Systematic Reviews. Full text of reviews are subscription only. Index summaries are a public resource. Indexed journals do not provide access to full-text. Just because it is indexed in does not mean the library has full-text access to the journal. SU can always request articles for students via Interlibrary Loan, but the service is not instantaneous  Use the Simple Search and the Advance Search Features

 Allows you to search with MeSH Terms

 Check out the New Reviews

Browse reviews by topic Keyword search:

 

Limits:

MESH search:

Limits:

 

Dynamed

 Use the Simple Search and the Advance Search Features

 Allows you to search with MeSH Terms

 Check out the New Reviews

Browse reviews by topic Keyword search:

 

Also browse by:

 

TRIP Database

TRIP is a clinical search engine to locate publicly available clinical evidence.

 Limit to:

 Systematic Reviews

 Guidelines-US Keyword search:

Limits:

SU Library Search  Library Search is setup just like an EBSCO

The Library even has a specialized PICOT search setup in Library Search—must go to Advance search to get to PICOT option

Other Databases:

 

 

Due August 10 at 11:59 PM

We will be reviewing a “keeper study” this week—evaluate an article by working through the following 7 question

Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed):

1. Why was the study done? Make sure the study is directly relevant to the clinical question.

2. What is the sample size? Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial.

The answer to this question alone should not remove a study from the appraisal process.

3. Are instruments of the variables in the study clearly defined and reliable? Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure.

4. How was the data analyzed?

Make sure that any statistics are relevant to the clinical question.

5. Were there any unusual events during the study? If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study.

6. How do the results fit in with previous research in this area? Make sure the study builds on other studies of a similar nature.

7. What are the implications of the research for clinical practice? Ask whether the study addresses a relevant and important clinical issue.

 

 

Due August 17 at 11:59 PM

On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Due August 21 at 11:59 PM

Complete Evidence Table as described in the Evidence Table Worksheet. Include Week 4 worksheet with completed Evidence Table.

Due August 24 at 11:59 PM

This week you will be creating an Implementation Plan that will be attached to your final EBP.  For the discussion board this week—outline your implementation in steps.  It should describe the plan that implements your project into your practice.  You have found support for your question–now you are translating this evidence into your practice.

Remember–your PICOT was used to find support for your practice change!  The implementation plan is involving this change…not the question.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

 

Due August 31 at 11:59 PM

This week you will be working on an evaluation plan that will be attached to your EBP in Week 9.  Submit your Evaluation Plan to the DB –listed as 1-2-3…

We used a PICOT question to assist us in our search for evidence–thus making you think there is research involved in your project.  In truth, I can understand the confusion–but the purpose of the PICOT is to assist in your search for support in implementing the change.  Once you have the support them you are evaluating the change not the question.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

 

Due September 7 at 11:59 PM

Post your Presentation of your EBP on Discussion Board for feedback before final submission of your presentation will be in Week 10–he presentation can be a power point or any of the presentations methods discussed this week in the lectures and in your reading.

Please note that the assignment this week is submission of your final EBP project.

As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Due September 11 at 11:59 PM

Submit EBP project with Implementation Plan and Evaluation Plan.  Note EBP plan should resemble plan on page 248 of the Melnyx text.

 

Due September 14 at 11:59 PM

Post Final EBP presentation to DB. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Also all references must be 5 years or newer; references older than 5 years will not be accepted. Finally, references must be scholarly reviewed (Peer reviewed journals), no web sites. Books are accepted as long as all the information is provided APA.

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource