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NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Student Name Capella University NURS FPX 4900 Capstone Project for Nursing Prof. Name Date Intervention Presentation and Capstone Video Reflection Good afternoon everyone! My name is _____ and I thank all of you for joining me for this video presentation. Today, I’ll present the evidence-based intervention that I developed and implemented in my capstone project. This intervention plan was developed for patient Joey who suffered from coronary heart disease and faced problems in acquiring adequate care treatment. Let’s see how this intervention plan played an effective role in improving Joey’s condition. Contribution of an Intervention to Patient Satisfaction and Quality of Life Before the proposed intervention for CHD treatment and management, Joey had to make multiple revisits to hospitals due to complications of his condition. It was found he had problems related to healthcare provision at the hospitals and some financial challenges also prevented him from treating his condition effectively. The proposed plan was a telehealth-based self-management education program for CHD along with the remote monitoring of medication adherence to promote medication compliance. This intervention was developed considering all these factors which were problematic to Joey and acted as a barrier to manage his disease. This patient-centered intervention was effective and resulted in enhanced patient satisfaction and quality of life.  Joey described that remote monitoring of medication intake was a great help in taking medication consistently. It made him become more mindful of the next dose to be taken and this application of notifying the nurse on medication adherence increased his motivation to take medication. The nurse’s recommendation of using a smart pill box to divide medication into each box for a whole week was excellent to prevent from forgetting to take medication. NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection Joey also mentioned that the self-management education program helped him observe a healthier lifestyle and maintain consistency as well. He was more aware of what foods he should eat and how physical activity can help him alleviate the progression of his condition. These interventions helped Joey control the risk factors of CHD and manage his condition effectively. This ultimately increases their quality of life, experience, and satisfaction.  Patient safety and quality of care are two key factors in providing healthcare services. When these factors are achieved, patient experience leads to patient satisfaction and improved quality of life. My proposed intervention fulfilled all these criteria as the intervention developed was patient-centered and involved nursing ethics. The needs of the patient were kept under consideration and clinical-decision making was done after noting the patient’s concern to his intervention. Hence, Joey’s experience was enhanced and his satisfaction and quality of life were improved through this proposed intervention. Evidence and Peer-Reviewed Literature to Plan and Implement a Capstone Project Evidence-based practices (EBP) are significant in designing and implementing an intervention for a capstone project. As these practices improve the clinical outcomes in the capstone project. Amalgaming evidence-based practices and credible data with the capstone project learnings, and interventions obtained can improve the clinical results of the patients (Kim et al., 2019). In my capstone project’s planning and implementation, evidence and peer-reviewed literature were utilized. These studies provided clear evidence of what strategy to include and how it can help my patient’s condition.  According to the American Heart Association, telehealth plays a great impact on the effective management of cardiovascular diseases including CHD (Takahashi et al., 2022). This supported the utilization of telehealth in bringing improvements for cardiovascular patients. Another study utilized the mobile-health for the self-management of cardiovascular patients by providing them with tools and guidelines to control their risk factors. This included lifestyle modifications, and the use of wearables to monitor their vital signs and heart rate. Nurses used smartphone apps or website-based patient portals to provide care treatment to patients in the comfort of their homes. This intervention in cardiovascular patients improved their overall quality of health and also well-managed their condition (Cruz-Ramos et al., 2022).  Another study on the utilization of mobile health technology for monitoring the medication adherence in patients to improve medication compliance using educational tools to promote medication adherence and deliverable reminders for their study population. This study resulted in improved outcomes in the overall health of the patients by promoting medication adherence through smartphone apps (Al-Arkee et al., 2021). Such evidence-based literature influenced me to create likewise intervention i.e. telehealth-based self-management education program and medication adherence application for Joey to improve his compliance to his medication regimen and bring quality improvements in his health condition. Leveraged Health Technology in Improving Outcomes and Communication in Capstone Project  For effective communication and gaining desired improved outcomes in a capstone project, it is essential to incorporate health technologies in all steps of providing care treatment. Healthcare technologies like information exchanging social media apps such as WhatsApp and telephonic calls and video calls can be a few examples to make articulate and effective communication among patients and health practitioners (Lee et al., 2020). In my capstone project, the role of health information technologies was the highest. From communicating with other health team members to providing proposed interventions, health information technologies were utilized throughout this capstone project. These technologies included telehealth for communication with patients to provide treatment and management of CHD. Other than that, smartphone applications were used to convey patient data on medication adherence, this also served to be a means of communication with my patient and his family. These communication tools of health information technologies were a great source of clinical improvement in patient outcomes. Further prospective opportunities for improving healthcare technologies can be made by publicizing the use of health information technologies. This can be done by increasing the public’s literacy levels about the impact of healthcare technologies on health problems. This will enhance the use of technologies like wearables, fitness trackers, wellness apps, reminders for physical activity, and other lifestyle changes in the everyday life of patients with chronic diseases (Tricás-Vidal et al., 2022). Influence of Health Policy on Planning and Implementation of

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Student Name Capella University NURS FPX 4900 Capstone Project for Nursing Prof. Name Date Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations Introduction Type II Diabetes Mellitus (DM) is one of the chronic health diseases that are common worldwide. There are various complications of this disease, which may lead to several challenges for the patients. One such patient has been observed in my healthcare facility, as discussed in Assessment 1. John, a 50-year-old, male patient, has been receiving DM treatment and care for a long period of time at our hospital. Recently, he has been suffering from extreme fatigue and blurry vision which are some of the complications of diabetes. Multiple lifestyle and medicinal changes have been implemented on John but his blood sugar levels remain high as he has acquired the disease hereditary from his parents. This assessment is another part of the previous one where I will be discussing some of the healthcare technologies that John has been using for the management of his disease and we will further dig into how coordination of care and community resources can be useful for improving John’s health.  Impact of Healthcare Technologies on Type II DM Recently, several technologies have become a part of the healthcare industry, and healthcare providers, as well as patients, are benefitted from their use. Technological advancements have proven to have multiple benefits improving patient safety by programming risks and it eases the process of diagnosis and consultation. Moreover, it facilitates information sharing, assists in deriving clinical decisions, reduces medical errors, improves healthcare practices, and most importantly manages human shortages (Astier et al., 2020).  Similarly, there are some of the technologies that have been innovated for the monitoring and management of diabetes. These are; glucose monitoring devices and insulin administration machines (pens and pumps). John used a blood glucose monitoring device previously when a new technology which is a Continous Glucose monitoring device has been introduced for better management of his condition. Although the plan of action for both CGM and blood glucose monitoring is the same, CGM has various other benefits as it provides both immediate as well as predictive glycemic data. This information will enable healthcare providers and John to monitor his glucose trends, identify hypo/hyperglycemia events with no symptoms, and review inconsistency over a period (Miller, 2020). Food and Drug Administration (FDA) have approved eight CGM systems worldwide and many of them are planned for future approval in years ahead (Aleppo & Webb, 2018).  Despite having several benefits, CGM has certain disadvantages too. One of the basic drawbacks is the alarm system in the device.  John has been recently introduced to this so he hasn’t shown any complaints however research finds various negative reports of CGM. Some patients have reported that these alarms can be disturbing while they are at work or school. Additionally, these alarms have resulted in increased anxiety and stress for various users. NURS FPX 4900 Assessment 3 Assessing the Problem An example of such a case is excessive night-time alarms which might cause anxiety-induced seizures and sleep deprivation in individuals (Alcántara-Aragón, 2019). This issue can be resolved by programming individualized alarms. Another disadvantage of CGM is it can sense the glucose present in interstitial fluid. There is always a difference between the glucose in the blood and interstitial spaces. Thus, the machines should be manually calibrated as BGM and patients must be educated about expected differences and should be instructed about performing BGM as needed (Alcántara-Aragón, 2019).  Continuous Glucose Monitoring Devices (CGM) in professional practices impose positive impacts on diabetic patients’ health but also have some potential barriers to implementation.  Cost and coverage by healthcare systems are two basic challenges faced by hospitals in terms of CGM implementation. With the advancements in technologies, cost-effectiveness has been an important aspect that most hospitals consider before introducing any digital devices in practice. Similarly, a study on the cost-effectiveness of CGM applications recommended that cost-benefit analysis is an important tool for decision-makers to have healthy gains and minimize the negative impact on the healthcare budget (Jiao et al., 2022). Another challenge is professional and personal education about CGM. Appropriate training of providers and patients is essential to the successful use of CGM in clinical practice. This training requires extensive development of curriculum and evidence-based practices which is a challenge for hospitals under this global burden of diseases (Aleppo & Webb, 2018).  NURS FPX 4900 Assessment 3 Assessing the Problem Lastly, accessibility and health disparities are further challenges of using advanced technologies. To combat this challenge, telehealth and the use of mobile apps can be a beneficial option in managing diabetes for chronic patients. Advances in digital technologies, especially the evolution of smartphone apps have largely impacted patients’ self-management skills related to diabetes, assist in improvising lifestyle and bringing modifications, enhance patient-provider connection through telemedicine, and motivates patients to be compliant with their medication regimen. In terms of managing type II diabetes, as our concerned patient, John, it will enable him to effectively manage his type II DM by recording his glucose trends, medicine intake, carbohydrate intake, physical activity, and hypoglycemia events. Moreover, through smartphone apps he can be given direct coaching and nursing care through telecommunication. Research shows that these technologies have proven to improve patients’ health and reduce the risk of complications (Doupis et al., 2020).  Use of Care Coordination and Community Resources The Agency for Healthcare Research and Quality (AHRQ) explains care coordination as the methodical planning of patients’ care activities and sharing of protected information only among required healthcare providers. This process results in effective, safe, and useful care according to patients’ needs and preferences (AHRQ, 2018). Management of diabetes can be costly, time-consuming, and is a complex process. Appropriate coordination of care by healthcare providers impacts positively these aspects of diabetes management thus improving patients’ outcomes. Since John is a chronic type II diabetes patient, he has been receiving various home health care services like home nursing, physical rehabilitation, and nutrition and dietary management. These services