Doctor of Nursing Practice (DNP) Projects

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

5-5-2017

Degree Program

Doctor of Nursing Practice

Degree Track

Post Master's DNP Completion

Year Degree Awarded

2017

Month Degree Awarded

May

Advisor Name

Genevieve

Advisor Last Name

Chandler

Capstone Chair First Name

Genevieve

Capstone Chair Last Name

Chandler

Capstone Member Name

Raeann

G

LeBlanc

Capstone Outside Member Name

Annette

N

Okereke

Abstract

Abstract

Background: Generalized anxiety disorder (GAD) among the older adults is characterized by excessive worries and major anxiety. The impairment and disability resulting from GAD indicates a significant mental health problem in long term care settings. In the United States, the lifetime prevalence of The Diagnostic Statistical Manual of Mental Disorders, Fourth Edition (DSM-1V) GAD is 5.1% to 11.9%. Evidence-based treatment for GAD in the older adult becomes a challenge due to the concern of frailty, comorbidity and drug side effects. Purpose: To implement the utilization of Cognitive-Behavioral Therapy (CBT) in the older adult population with GAD in a long-term care setting. Method: Based on an extensive review of research, a project was designed and conducted to offer the basic knowledge of CBT to nurses for the treatment of GAD. Outcome evaluation was based on post-implementation questionnaire. Conclusion: The nurse participants were clear that they valued CBT and perceived it helpful for the older adult with GAD, but they needed to be trained proper and increase utilization of CBT.

Keywords: Generalized anxiety disorder, older adult, cognitive-behavioral therapy.

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Nursing Commons

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