1. PICOT Question
In women between 30 to 40 years suffering from stress-related Dyspareunia (P), does meditation (I), compared to no psychological intervention (C) affect the incidence of painful intercourse (O) in a period of five months (T)?
Over the duration of your Practicum Classes (NGR6616 & NGR6638), you will write a (Capstone Case Study) scholarly paper addressing the existing knowledge and management related to a primary care practice problem (condition) that you will select from Appendix A


Capstone Case Study

Select one.

For this section, you will submit your proposal and PICOT question, detailing a health problem that is prevalent within your community and demonstrating your research of evidence-based health promotion strategies and disease prevention for addressing this specific health problem. The proposal must demonstrate Graduate School level writing and critical analysis.

The PICOT question is due on week 5; please bring it to class for review and approval.

PICOT Question
The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer.

P – Patient/Problem I – Intervention

C – Comparison O – Outcome

Section I
For this section of your assignment, include the following components: (due on week 13)

1. Title page.

2. Introduction (minimum two paragraphs).

· Introduce the topic of the paper.

· Describe the health problem. Don’t type “Introduction.”

· Using data and statistics, support your claim that your selected issue is a problem.

· Include your purpose statement and what specifically you will address in your proposed program.

· Be sure your proposed outcome is realistic and measurable.

3. PICOT (minimum one paragraph).
· This section should include your PICOT in a question format, followed by thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).

4. Describe the vulnerable population (minimum two paragraphs).

· Discuss the impact of social determinants on health for your selected population.

· What are the risk factors that make this a vulnerable population?

· Use evidence to support the risk factors you have identified.

5. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem (minimum six paragraphs). Use the “Literature Review Template” as a guideline to help you sort through your thoughts, note important points and think through the similarities and differences: Appendix B

Dyspareunia, also known as painful sexual activity, is a common but under-appreciated health issue for females. Estimates of the prevalence of this condition in the general population vary between 3 and 18%, and estimates of lifetime prevalence range from 10 to 28 percent. There is a lot of variation in the methods used in studies of prevalence (Yeo and al. 2021). The root causes of the disease are often difficult to detect and treat and the root causes are a bit hazy and not well recognized. The causes of sexual pain are often ignored or not addressed and, as a result, can significantly increase discomfort in patients. There are many possible reasons and attempts to understand and understand the problem are complicated by classification difficulties and the absence of any research evidence (Fiala 2019). While subtyping into deep or superficial classifications is not uncommon but it could hinder attempts to treat the pain in a holistic manner. Women suffering from vulvodynia often and alarmingly experience dyspareunia, which is a particular symptom that can be aggravation of vestibulodynia. Furthermore, a range of medical ailments which cause genital discomfort like endometriosis, skin issues involving the vulvus (such as the lichen Sclerosus) as well as vulvovaginal and urinary tract infections, as well as STIs which can cause painful sexual relations. Dyspareunia often co-occurs with other sexual disorders, including lack of sexual desire or anxiety in bed. Body image issues, catastrophizing as well as pain-sensitive and depression and low self-esteem are all psychosocial causes. Cont…

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