Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below. PICOT Question Revise the PICOT question you wrote in

1 RESEARCH CRITIQUE GUIDELINES Name Department of Nursing, University Course Name Professor Name Date Commented [A1]: Do not use all caps Commented [A2]: -Double space element of title page -Change your title to detail your PICOT/subject of your paper, also you only need two spaces in between the subject and other elements of the title page 2 RESEARCH CRITIQUE GUIDELINES Background Hodson, M. (2016 ) article attempts to study malnutrition among COPD affected patients on both the patient and the healthcare's economy. Malnutrition is caused by the disease's effects, psychological, social, and environmental factors. The patients suffering from COPD have many nut ritional problems, and they should regularly seek a nutritional assessment, early dietary intervention, and monitoring their quality of life and overall experience. The study's problem is the causes of malnutrition among COPD patients and how it can be man aged. This article is significant to nursing since it enables patients to receive comprehensive and holistic care. The community nurses are trained to manage and identify patients at risk of malnutrition and meet their dietary needs. The research question was, "What are the consequences of malnutrition? What is the cost of malnutrition? How can malnutrition be managed?" The second article by Bades, A. (2014). COPD is an incurable progressive and debilitating disease; however, it can be managed after an e arly diagnosis. Due to the impact on the quality of life, people living with COPD often suffer depression which affects their quality of life. Education is essential for people with COPD to be responsible for their well -being and health. The research probl em how signs of COPD can be diagnosed earlier. The research objective is to obtain an overview, understand COPD and assist community nurses in detecting and understanding management options. The research question is, "What are the symptoms of COPD? How can one make sure that COPD is identified earlier?" Nurse Practice Supported by Chosen Articles Hodson, M. (2016) authored the first article answers the PICOT question by discussing nutritional help or assistance given to COPD patients by the community nurses. It illustrates how Commented [A3]: Do not use all caps Your intro should follow title and then your background Commented [A4]: Remove the authors initial from the text (onl y use the initial on your reference page) Commented [A5]: Remove the author first initial and the period after the parentheses 3 proper nutrition of patients is associated with the better COPD health c ondition of patients. The article discusses this by making the most out of food and drink; However, some patients are concerned with weight gain; they should understand how nutrition interventions are related to overcoming infections and performing one's d aily activities . COPD patients may also use oral nutritional supplementation that provides energy, protein, minerals, and vitamins. In the second article by Bades, A. (2014), my PICOT question is answered where there are discussions of the risk factors and different treatment methods used in managing COPD. This article identifies the risk factors such as smoking, including passive smoking, having a family history with COPD, and occupational exposure to the disease such as dust, chemicals, and fumes.

Add itionally, the article develops the treatment methods and early diagnosis of the condition to ease its effects, including; monitoring and assessing the disease, reducing the risk factors, and managing exacerbations. Method of Study This study (Hodson, M. (2016) used a descriptive analysis method to examine different variables. However, in the survey, secondary data sources were used when examining other variables; additionally, no samples were used. For example, it analyzed data from the BLF "British Lung foundations" where more than 1.2 million people in the United Kingdom were COPD. While according to NHS, in 2014, about 21% of COPD patients suffer from malnutrition. The main advantage of descriptive analysis is that there is a reliance on peer -reviewed articles; thus, the details used are more accurate and reliable. The downside is that due to fewer statistical tests of descriptive research, the results may be biase d. For the second article by Bades, A. (2014). Also employed descriptive analysis is used in summarizing data meaningfully to understand patterns that may arise from the data involved. Commented [A6]: Avoid first person Commented [A7]: Support this info with in -text citation Commented [A8]: Paragraphs should be at -least 4 sentences per APA recommendations 4 The article uses secondary research from NICE "national institute for health and care excellence" and BLF "British Lung Foundation." Where about 900,000 people have been diagnosed with COPD, this method's core advantage is the reliance on peer -reviewed articles; thus, the details used are more accurate and reliable. While t he disadva ntage is fewer statistical tests of descriptive research, the results may be biased. Results of Study The study's findings by Hodson, M. (2016) indicated that malnutrition is common among COPD patients where nurses have an essential responsibi lity of managing nutrition among these patients. Guidelines have been developed to help community nurses identify crucial ways to address nutrition and advice patients about the appropriate diet to take. Nurses would be actively involved in screening COPD patients and give them proper care practices. This study is related to holistic care and evidence -based practice where nurses have to be involved in promoting their patient's well -being. They should further ensure that patients receive the best nutritional care and develop feeding programs for them. In the second article by Bades, A. (2014). The summary that COPD is a debilitating and progressive incurable disease; although it can be managed through an early diagnosis, removing or identifying risk factors l ike; family history, smoking, occupation, etc., there should be patient sensitizations self -management plans among patients. This article is applying to my nursing practice, where we should be at the fore -front in assessing, educating, and informing COP D patients on how to manage their illnesses and live healthier lives. Through these practices, community nurses can gradually reduce COPD -related complications and deaths. Outcomes Comparison Commented [A9]: Where is citati on for this info. Commented [A10]: Avoid first person 5 My anticipated outcome for the PICOT question on Hodson, M. (2016) article was that appropriate feeding and nutrition programs for COPD patients would help them live better lives and alleviate the disease's effects. From the article, we identify that nurses can be actively involved in developing feeding and nutriti on programs for patients, helping them avoid malnutrition and other related illnesses. Thus, the outcome of my question and for this article are equal since we can alleviate malnutrition among COPD patients through community nurse involvement. In the second article, Bades, A. (2014), by expected PICOT results were to identify and try solving COPD effects among the patients. This will involve early assessment for the disease since it is incurable. From the article, we determine that COPD's treatm ent process is complex and requires nurses to identify and be involved in helping the patient alleviate the disease using self -assessment mechanisms. According to the article, COPD patients face physical, psychological, and social effects, which can be red uced if nurses are directly involved in caring for their patients. Thus, this article is also related to my PICOT by identifying and managing the COPD symptoms, thus reducing its complications and related deaths. Conclusion These articles aim to examine t he impact of malnutrition among COPD patients on both the patient and the healthcare system. The symptoms of the disease, as well as psychological, social, and environmental factors, all lead to malnutrition. COPD is a chronic, progressive, and debilitatin g condition that can be treated if diagnosed early. Nurses play a vital role in the control of nutrition. Patients with COPD have a better health status when they eat well. Some patients are worried about gaining weight; they should be mindful of how nutr ition interventions contribute to managing illnesses and carrying out everyday activities. Commented [A11]: Do not write in first person 6 References Bades, A. (2014). Community management of chronic obstructive pulmonary disease (COPD). Journal of Community Nursing, 28(3), 51 –56. https://lopes.idm. oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true &db=ccm&AN=107858651&site=eds - live&scope=site&custid=s8333196&groupid=main&profile=eds Hodson, M. (2016). Integrating nutrition into pathways for patients with COPD. British Journal of Community Nursing, 21(11), 548 –552. https://doi - org.lopes.idm.oclc.org/ 10.12968/bjcn.2016.21.11.548 Commented [A12]: Journal titles are italicized Commented [A13]: Journal articles are italiczed