Chronic Diseases: Evidence-Based Project

Chronic Diseases: Evidence-Based Project

Chronic diseases become one of the most threatening health issues all over the globe. In particular, insufficient health literacy unreasonably impacts older adults in the United States. The challenge is complicated by the fact that the aging population, being a vulnerable group, needs adequate patient-oriented education. At this point, nurses are expected to engage the patients in highly-productive communication, explaining all the necessary points to improve their health outcomes and behaviors (Hessle, 2014). The current lack of various teaching strategies as well as the inability to properly promote health literacy in older adults causes the deterioration of their health statuses. Considering the topic of the proposed research, it is possible to come up with the following PICOT question: Chronic Diseases: Evidence-Based Project

Cut 15% OFF your first order
We’ll deliver a custom Diagnostics paper tailored to your requirements with a good discount
Use discount
322 specialists online


  • (P) – In elderly patients with chronic diseases
  • (I) – Does patient education intervention
  • (C) – Compare with only medication treatments
  • (O) – Increase their health knowledge and improve their health statuses
  • (T) – In a period of 6 months?

As a result of the mentioned teaching intervention, it is expected that the health literacy of older adults would be significantly increased, thus leading to their improved health outcomes. In particular, patients with chronic diseases would be aware of their health peculiarities and ways to either facilitate or reduce their manifestations (Garcia, Espinoza, Lichtenstein, & Hazuda, 2013). The importance of the issue in the context of poor outcomes or costs cannot be overestimated. In case the desired outcomes would not be achieved, the situation is likely to develop in an adverse way. Therefore, the key approach to accomplish the proposed goal is to be associated with age-related education and communication strategies (Souza et al., 2014). More importantly, these strategies are to be clearly planned and adapted to the individual needs and concerns of a certain patient.

The search of the literature for evidence was conducted according to the guidelines of evidence-based research. Such databases as ProQuest Nursing & Allied Health Source, PubMed, Medline, CINAHL, and so on were searched. In order to ensure the appropriateness of search, the literature that was published less than five years old was selected. The table presented below outlines the key appraisal points. The article by Garcia et al. (2013) named “Health literacy associations between Hispanic elderly patients and their caregivers” refers to the first study while “Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study” by Souza et al. (2014) is the second one.

Rapid Critical Appraisal Evidence-Based Clinical Practice Guidelines Numbered Studies
Unless otherwise specified, answers are Y=yes; N=no; U-unknown 1 2
1. Are the results of the study valid
1. Who were the guideline developers? Fill in  Garcia, Espinoza, Lichtenstein, and Hazuda; Souza, Apolinario, Magaldi, Busse, Campora, and Jacob-Filho.
2. Were the developers representative of key stakeholders in this specialty (interdisciplinary?) Y Y
3. Who funded the guideline development? Fill in  Taylor & Francis; BMJ Publishing Group Limited.
4. Were any of the developers of the guidelines funded researchers of the reviewed studies? U U
5. Did the team have a valid development strategy? Y Y
6. Was an explicit (how decisions were made), sensible and imperial process used to identify, select, and combine evidence? Y Y
7. Did its developers carry out a comprehensive,
reproducible literature review within the past 12 months of its publication/revision?
8. Were all important options and outcomes considered? Y Y
9. Is each recommendation in the guideline tagged by the level/strength of evidence upon which it is based and linked with the scientific evidence? Y Y
10. Do the guidelines make explicit recommendations (reflecting value judgments about outcomes)? Y Y
11. Has the guideline been subjected to peer review and testing? Y Y
2. Applicability/Generalizability
12. Is the intent of use provided (e.g. national, regional, local)? Y Y
13. Are the recommendations clinically relevant? Y Y
14. Will the recommendations help me in caring for my patients? Y Y
15. Are the recommendations practical/feasible (e.g. resources-people and equipment- available)? Y Y
16. Are the recommendations a major variation from current practice? N Y
17. Can the outcomes be measured through standard care? Y Y

Table 1. Evaluation Table.

PICOT question organizer

P Population In elderly patients with chronic diseases
I Intervention or
Issue of interest
Does patient education intervention
C Comparison Compare with only medication treatments
O Outcome Increase their health knowledge and improve their health statuses
T Time frame In a period of 6 months?

Search Tracker

Search # Initial search terms Database And/Or? Added search terms Title (Ti)
Anywhere, etc.
# of articles found
1 Health literacy
Elder patients
ProQuest Nursing & Allied Health Source, PubMed, Medline, CINAHL Or
Time frame Anywhere 7(3)
2 Teaching intervention
Elder patients
ProQuest Nursing & Allied Health Source, PubMed, Medline, CINAHL And Time frame Anywhere 10(5)
3 Reduce chronic disease outcomes
Elder patients with chronic diseases
ProQuest Nursing & Allied Health Source, PubMed, Medline, CINAHL Or
Time frame Anywhere 12(3)
4 Elder patient education ProQuest Nursing & Allied Health Source, PubMed, Medline, CINAHL And Time frame Anywhere 15(6)
5 Nursing intervention
Older adults with chronic diseases
ProQuest Nursing & Allied Health Source, PubMed, Medline, CINAHL Or
Time frame Anywhere 9(3)

Table 2. Search Tracker.


Garcia, C. H., Espinoza, S. E., Lichtenstein, M., & Hazuda, H. P. (2013). Health literacy associations between Hispanic elderly patients and their caregivers. Journal of Health Communication, 18(1), 256-272. Chronic Diseases: Evidence-Based Project

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.


Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.


Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.


Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality


It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.


Happy Clients


Words Written This Week


Ongoing Orders


Customer Satisfaction Rate

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success


We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now