4 Nursing PICOT Questions West Coast University NURS350 Shiva Metghalchi 11/07/2021 Nursing

Nursing PICOT Questions
West Coast University
Shiva Metghalchi
Nursing PICOT Questions
Question 1: Delirium
Patients in the intensive care unit (ICU) have been observed to have a steadily increasing necessity for sleep. However, the ICU introduces them to significant levels of disruption from visitors, personnel, brightness, interference, and care delivery activities, which present an accurate element for the patients’ appropriate rest and sleep. At the moment, the hint suggests a relationship involving fatality, sleeping, and delirium. Delirium has been linked to expensive medical expenses, lengthy hospitalization, and an increased chance of mortality. Whereas the underlying connection between delirium and sleeplessness has yet to be shown, new research indicates that delirium and sleep deprivation influence cognitive performance and are likely to be connected. As a result, the primary goal of this study is to determine if the stringent implementation of quiet time during planned hours reduces the occurrence of ICU delirium in high-risk patients (Sullinger et al., 2017).
Picot Question:
Would the adherence and enforcement of quiet time (I) reduce the incidences of ICU delirium (O) in critically ill adult patients (P) when compared to patients that adherence and enforcement of quiet time were not implemented (C) in one month? (T)
Question 2: Addiction
Adults in treatment facilities who are on pharmacotherapy are given medicines to help them recuperate. Prescription opioids are among these medicines. The misuse of non-medical prescription opioids has been recognized as a public health issue (Weiss & Rao, 2017). This medical condition has not just been examined in adults, but Choate (2015) has also investigated the problem in a home environment when a teenager is involved. According to research, prescription opioid dependency has a negative influence on teenage attitudes, and so tendencies have a detrimental effect on households. As a result, problems may emerge regarding how to avoid recurrence to prescription opioid addiction following a recovery program in individuals completing such treatments. Once the different components of the PICOT question have been discovered, they are merged to generate the appropriate PICOT question.
PICOT Question: In adult patients with a history of opioid abuse (P), how successful is behavior adjustment likened (I) to no behavior adjustment (C) in decreasing the occurrence of relapse and taming patient and domestic outlooks in behaviors (O) six months after finishing a drug rehabilitation package?
Question 3: Prevention of Pressure Ulcers
Pressure ulcers, also known as bedsores, are damages to the papillary dermis and skin caused by sustained pressure on the skin, particularly those that surround the skeletal regions of the body like the knees, tailbone, ankles, and hips (Ayello & Baranoski & Cuddigan & Harris, 2015). This ailment affects patients who are immobile and have limited movement; pressure ulcers are defined by an odd alteration in skin pigmentation, thickening of the skin, fluid drainage, the skin average temperature shifting simultaneously, and the creation of painful regions (Westcott & Welding, 2017). Any use of pressure redistribution treatment based alone was not beneficial, but the addition of rotating and repositioning 2–4 hours, significantly decreased pressure ulcers.
PICOT Question: In critically ill patients who are bedridden (P), how does repositioning and turning of the immobile patient frequently in a 2-4 hours (I) interval associate to the usage of pressure redistributing support surfaces (C) in the prevention of pressure ulcers (O) within a one-month observational period (T)?
Ayello, E. A., Baranoski, S., Cuddigan, J. E., & Harris, W. S. (2015). Pressure ulcers. In Wound Care Essentials: Practice Principles: Fourth Edition. Wolters Kluwer Health
Choate, P. (2015). Adolescent Alcoholism and Drug Addiction: The Experience of Parents. Behavioral Sciences, 5(4), 461-476. DOI: 10.3390/bs5040461
Sullinger, D., Gilmer, A., Jurado, L., Zimmerman, L. H., Steelman, J., Gallagher, A., & Acquista, E. (2017). Development, implementation, and outcomes of a delirium protocol in the surgical trauma intensive care unit. Annals of Pharmacotherapy, 51(1), 5-12. DOI:10.1177/1060028016668627
Weiss, R., & Rao, V. (2017). The Prescription Opioid Addiction Treatment Study: What have we learned. Drug And Alcohol Dependence, 173, S48-S54. DOI:10.1016/j.drugalcdep.2016.12.001
Westcott, S., & Welding, L. (2017). Support surface selection for long-term patients in the community. Journal of Community Nursing, 31(4)