NR507 Week 7: Recorded Disease Process Presentation Peer Review

Students are to review at least one peer’s recorded presentation and respond to it by Thursday, 11:59 p.m. MT using the Disease Process Peer Review Guidelines.

Presenters are also required to monitor comments and questions from peers and faculty about their presentations and respond appropriately. Make sure to respond to all faculty questions. All responses are due by Sunday 11:59 p.m. MT.

ORDER COMPREHESIVE SOLUTION PAPERS ON NR507 Week 7: Recorded Disease Process Presentation Peer Review

Example Student Response

As you may known, Brianna, dementia has been on the rise in recent years and has caused a great impact on patients, patients’ family members, and the healthcare community.  The rise in the prevalence of dementia is due to the increase in average life expectancy and the growing trend of baby boomers (Satizabal et al., 2016).  Not only that, but some of the most common modifiable risk factors for dementia are becoming more and more common in todays’ communities, such as hypertension, diabetes, depression, obesity, utilizing tobacco products, alcohol consumption, not eating a well balanced diet, hyperlipidemia, being physically inactive, being socially inactive, and having fewer years of formal education (Baumgart et al., 2015).  Even though certain individuals and populations are at a greater risk for the development of dementia, there are certain characteristics and risk factors that can be modified in the prevention of dementia.  These modifiable risk factors that research has supported that are linked to dementia can help formulate prevention plans against dementia for advanced practice nurses and other healthcare providers to utilize in their practice, such as weight loss programs, smoking cessation programs, and diabetes wellness education programs.  While these programs are not developed specifically for the prevention of dementia, they can be utilized to help decrease the likelihood of the development of dementia in patients that have high risk factors for the development of dementia.

As future advanced practice nurses, it is our responsibility to utilize strategies in the primary, secondary, and tertiary prevention of dementia.  Primary prevention can take place through us educating patients on dementia and how they can modify certain risk factors for dementia to help prevent dementia.  In fact, recent research on primary prevention of dementia has shown that early education on dementia prevention and modifying certain risk factors, such as hypertension, obesity, smoking, physical inactivity, social isolation, and diabetes, can decrease the risk of the development of dementia by up to 35 percent (Livingston et al., 2017).  Secondary prevention strategies for dementia that we can utilize as future advanced practice nurses are early detection and screening.  Screening individuals that have risk factors associated with dementia or are showing signs and symptoms of cognitive impairment can help in the early detection of dementia.  Early detection of dementia has been associated with opportunities for individuals with early dementia to participate in treatment trials to help delay or prevent cognitive decline as well as early education on the disease to help foster lifestyle changes which might delay onset of worsening dementia (Livingston et al., 2017).  Tertiary prevention strategies for dementia that we can utilize as future advanced practice nurses are appropriate care and treatment packages that are developed to reflect the special circumstances and care needs of people diagnosed with dementia, such as the utilization of dementia medications with cognitive therapy and family support therapy.  By utilizing a multiple care approach to dementia treatment, patients with dementia and their families can live a longer and happier life compared to patients that do not receive a multiple care approach (Livingston et al., 2017).

I really enjoyed watching your video presentation over Alzheimer’s disease and found it very informative.  It has added to my knowledge on Alzheimer’s disease and I plan on applying it to my practice as a family nurse practitioner in my future practice.  One question that I thought of while watching your video presentation and doing research myself on Alzheimer’s disease was “is there a particular risk factor that has been found to be the most influential on the development of Alzheimer’s disease compared to other risk factors?”  I think this would be very beneficial for us to know as advanced practice nurses, especially if it was a modifiable risk factor, so we can ensure that our patients that are at greatest risk of the development of Alzheimer’s disease are getting adequate screenings to help improve the early diagnosis and treatment of this devastating disease.

References

Baumgart, M., Snyder, H. M., Carrillo, M. C., Fazio, S., Kim, H., & Johns, H. (2015). Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective. Alzheimer’s & Dementia, 11(6), 718-726. doi:10.1016/j.jalz.2015.05.016

Livingston, G., Sommerlad, A., Orgeta, V., Costafreda, S. G., Huntley, J., Ames, D., . . . Mukadam, N. (2017). Dementia prevention, intervention, and care. The Lancet, 390(10113), 2673-2734. doi:10.1016/S0140-6736(17)31363-6

Satizabal, C. L., Beiser, A. S., Chouraki, V., Chene, G., Dufouil, C., & Seshadri, S. (2016). Incidence of dementia over three decades in the Framingham Heart Study. New England Journal of Medicine, 374, 523-532. doi:10.1056/NEJMoal504327.