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NURS 8114 Blog Observation of Evidence-Based Practice Walden

NURS 8114 Blog Observation of Evidence-Based Practice Walden

As a DNP, you will have a significant voice in your health care setting to advocate for evidence-based nursing practice. Understanding how evidence can inform better nursing care and patient outcomes is fundamental to successful advocacy, as are examples of where, why, and how evidence-based practice is needed.

The prevalence of the persistent depressive disorder is about 1.5% among the adult populations in the U.S. The condition is characterized by low to mild level depression that lasts for a longer period compared to major depressive disorder. Furthermore, Nübel et al. (2020) indicate that depressive disorders are the leading cause of non-fatal morbidities among the populations. Chronic illnesses can either arise in childhood or adulthood age. Like any other form of depression, people with a persistent depressive disorder are not able to engage in their activities of daily. Therefore, having many people with the condition in a country leads to a high level of unproductivity.

According to DSM-IV, the persistent depressive disorder diagnosis is based on the persistence of at least five of the nine symptoms. The diagnosis of mental health issues requires a critical and comprehensive review of the patients’ systems and history. Therefore, a critical review of the patients’ symptoms and determinants of health should be guided by the DSM-IV symptoms (Hasin et al., 2018). Similarly, the condition must be differentiated from other mental health issues that mimic the symptoms. The PHQ-9 tool is commonly used in interviewing patients with depressive symptoms.

The key symptoms of persistent depressive disorder including feeling fatigued, hopeless, and worthless. People with the condition develop low self-esteem and may not be free to interact with others. Therefore, they may end up isolating themselves. In addition, persistent depressive disorder is characterized by a lack of appetite or overeating. The victims may find themselves eating more than they normally do. The other symptoms include limited energy and lack of concentration (Furukawa et al., 2018). Students will find it difficult to concentrate on the school works and so may start having poor performances. On the other hand, adult patients develop low energy and may not be able to engage in activities of daily living. The change in the life patterns such as withdrawal and isolation behaviors among outgoing people is a serious symptom to note. Besides, people with a persistent depressive disorder are likely to become careless about life and this will be characterized by disorganization and poor grooming.

Everybody requires enough sleep. Lack of enough sleep is linked with the increased risk of developing cardiovascular diseases and diabetes. People with a persistent depressive disorder are likely to have trouble in their sleeping patterns (Schwartz, 2017). Alternatively, they could also sleep too much. The changes in the lifestyle pattern indicate why the persistent depressive disorder is a risk factor for diabetes and hypertension among other co-morbidities.

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The treatment for persistent depressive disorder includes administration of the selective serotonin reuptake inhibitors. For example, Zoloft among other drugs is commonly used. In addition, the patients require psychotherapy interventions. They may be initiated on cognitive behavioral therapy or family therapy depending on the cause of the condition and the prevailing symptoms. Other than the two interventions, the patients with the condition require a balanced diet intake and should avoid taking alcohol and other drugs.

Finally, mental issues are diseases that require medical intervention like any other disease. Therefore, people presenting with any of the symptoms outlined in this study should not hesitate to seek medical interventions. All healthcare facilities can handle or refer mental cases and they serve as important resources available for addressing the health issue.

References

Furukawa, T., Efthimiou, O., Weitz, E., Cipriani, A., Keller, M., Kocsis, J., Klein, D., Michalak, J., Salanti, G., Cuijpers, P., & Schramm, E. (2018). The cognitive-behavioral analysis system of psychotherapy, drug, or their combination for persistent depressive disorder: Personalizing the treatment choice using individual participant data network Metaregression. Psychotherapy and Psychosomatics87(3), 140-153. https://doi.org/10.1159/000489227

Hasin, D. S., Sarvet, A. L., Meyers, J. L., Saha, T. D., Ruan, W. J., Stohl, M., & Grant, B. F. (2018). Epidemiology of adult DSM-5 major depressive disorder and its specifiers in the United States. JAMA Psychiatry75(4), 336. https://doi.org/10.1001/jamapsychiatry.2017.4602

Nübel, J., Guhn, A., Müllender, S., Le, H. D., Cohrdes, C., & Köhler, S. (2020). Persistent depressive disorder across the adult lifespan: Results from clinical and population-based surveys in Germany. BMC Psychiatry20(1). https://doi.org/10.1186/s12888-020-2460-5

Schwartz, T. L. (2017). Depressive disorders: Major depressive disorder, persistent depressive disorder, premenstrual dysphoric disorder, and seasonal depressive disorder. Practical Psychopharmacology, 158-218. https://doi.org/10.4324/9781315697383-5

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