Assessment 4: Patient, Family, or Population Health Problem Solution Essay

Assessment 4: Patient, Family, or Population Health Problem Solution Essay

Assessment 4: Patient, Family, or Population Health Problem Solution Essay

Alzheimer’s disease (AD) among older adults was the identified population health problem for this practicum. AD was the project’s focus because it causes a decline in cognitive function and overall poor health status, putting patients at risk of social isolation, exploitation, and abuse. The proposed intervention for the practicum project is to create a teaching plan on AD symptoms and preventative measures.  The health problem is relevant to the nursing profession because there is a limited understanding of AD dementia among older adults, which contributes to stigma and barriers to diagnosis and treatment (Griffin et al., 2020). AD is also relevant to the population of older adults because it markedly affects their physical, psychological, and financial well-being and that of their caregivers, families, and communities.  The purpose of this paper is to explore how AD can be addressed through leadership and change management, propose patient communication and collaboration strategies, and discuss how the proposed intervention will address the problem.

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Role of Leadership and Change Management in Addressing Alzheimer’s

Healthcare leaders have a role in promoting person-centered care and getting actively involved in the implementation of AD interventions. Positive leadership has the potential to promote implementation efforts meant to address AD since it fosters a strong climate for implementing evidence-based practices (EBP) and encourages positive attitudes toward the adoption of EBP (Quasdorf & Bartholomeyczik, 2018). Leaders who encourage the staff to adopt EBP interventions significantly improve the management of AD since patients receive care based on best practices resulting in better health outcomes.

Change management seeks to implement interventions for effecting and controlling change and helping people to adapt to change. In AD patients, change management is vital to ensure proper and sufficient communication of information to patients about the desired behavior change to help slow or delay disease progress (Quasdorf & Bartholomeyczik, 2018). Besides, the role of change management in addressing AD is to help patients handle the recommended lifestyle changes and the changes in cognitive function such as memory loss caused by the condition. In addition, patients need to understand how to manage the changes in their cognitive, physical, emotional, and social abilities caused by AD.

Strategies for Communicating and Collaborating With the Group

Effective communication strategies are crucial when dealing with older adults with AD since they strengthen the client-provider relationship that eventually fosters better health outcomes.  Communication and collaboration strategies when interacting with older adults with AD include setting a positive mood for interaction by speaking to the patients pleasantly and respectfully (Jack et al., 2019). Positive nonverbal cues like facial expressions and physical touch should be used when appropriate to convey the message and show feelings of affection.  In addition, the provider should state the message clearly when communicating with older adults with AD by using simple words and sentences. The provider should speak slowly, clearly, and in a reassuring tone. Furthermore, the provider should ask the patients simple, answerable questions and better use visual prompts and cues to clarify the question and can guide patients’ responses (Jack et al., 2019). The provider should utilize communication skills like active listening, responsiveness, empathy, and giving feedback when interacting with older adults.

Collaboration skills are essential when interacting with AD patients to bring together older adults from diverse backgrounds and educate them about the health problem. The health provider working with AD patients should apply vital collaboration skills like adaptability, open-mindedness, and organization (Jack et al., 2019). The provider should demonstrate the ability to adapt and shift priorities according to patients’ needs. In addition, open-mindedness is crucial when dealing with older adults, and the provider should be open to and accept new ideas from the group (Jack et al., 2019). Furthermore, the provider can collaborate with the patient group by drawing ideas from them on how they can improve their health in the face of AD. Involving patients is crucial in motivating them to take initiative to improve their health.

How State Board Nursing Practice Standards and

Governmental Policies Guided the Development of the Proposed Intervention

The nursing practice standards guided the development of the proposed intervention for AD patients since they dictate to nurses the quality of care that should be provided to patients to promote safety and the best outcomes possible. For instance, the American Nurses Association (ANA) code of ethics requires nurses to prioritize improving patients’ access to quality healthcare. The ANA also required that care be based on the best available evidence, accepted clinical standards, and best practices (ANA, 2019). Therefore, the student selected an intervention based on evidence and best clinical practice and one that will prioritize promoting patient safety and improving health outcomes of older adults with AD.

Governmental policies on residential care and assisted living (RC/AL) also influenced the development of the proposed intervention. States have a policy mandating RC/AL facilities to evaluate residents to establish if their health needs can be met in the facility and accordingly plan for interventions that will meet their health needs and preferences (Carder, 2018). When developing the project, the student chose an intervention that will involve identifying the health needs of patients with AD and implementing an activity that will help meet these needs to improve their overall wellbeing.

How the Proposed Intervention Will Improve the Quality of Care, Enhance Patient Safety, and Reduce Costs to the System and Individual

The proposed intervention on creating a teaching plan on AD symptoms and preventative measures is aimed at significantly improving the quality and safety of AD care and lowering healthcare costs. Educating seniors about the signs and symptoms of AD will increase the number of individuals diagnosed with AD at an early stage and initiated the appropriate interventions to delay the progress of the disease (Livingston et al., 2020). The poor health outcomes that occur in AD are mostly in patients diagnosed at late stages since pharmacological and non-pharmacological interventions are less effective when the disease has progressed (Livingston et al., 2020). Therefore, education on AD will increase awareness about the condition which will encourage more adults to seek medical care when they recognize that they have the symptoms. Seeking medical care will promote early diagnosis before the disorder progresses to the moderate and severe stages. Besides, patients will be initiated on lifestyle modification interventions that will help delay the progress of AD.

The teaching plan will also create awareness of the interventions that should be taken to increase the safety of AD patients since it is usually compromised by cognitive impairment. Education on home safety interventions for AD persons will significantly reduce falls and injuries at home, which significantly affect their overall wellbeing (Nadash et al., 2019). Furthermore, the teaching plan intervention will lower healthcare costs for individuals and the healthcare system. Delaying the advancement of AD through lifestyle preventive measures will reduce the healthcare costs spent on drugs and therapies like cognitive, physical, and occupational therapy. Patients with late-stage AD are usually fully-dependent on others for their care (Livingston et al., 2020). Consequently, a lot of resources are spent in assisted living facilities since most families cannot manage AD patients on their own. The proposed intervention will also reduce costs on healthcare care systems and the funds can be channeled to managing other conditions.

How Technology, Care Coordination, and the Utilization of Community Resources Can Be Applied In Addressing the Problem

Healthcare technology can be applied in implementing the teaching plan on AD to older adults. For instance, Telemedicine can be used to implement the teaching plan by facilitating communication between the healthcare provider and patients. Since it is challenging for patients to regularly visit healthcare facilities for consultation on AD, Telemedicine technology can facilitate the consultations and enable the provider to evaluate patients’ knowledge of AD (Shu & Woo, 2021). Furthermore, Telemedicine can be used to follow up on patients diagnosed with early-stage AD and assess their progress in implementing the lifestyle changes to slow the disease progress.

Care coordination can be applied to address patients’ multidisciplinary needs and improve their health outcomes. AD patients can be assigned care coordinators whose roles include assessing the patient’s health needs and preferences and communicating them to the interdisciplinary team (Chen et al., 2020). The care coordinator also identifies a patient’s priorities in AD management like meeting their physical, cognitive, social, and financial needs. This can help address AD by guiding the interdisciplinary healthcare team in delivering safe, appropriate, effective, and relevant patient care.  In addition, community resources like adult daycare centers, AD education programs, and support groups can be used to address AD (Nadash et al., 2019). The education programs include caregiver education and training and coaching services that equip primary caregivers with skills in providing home care, which can improve health outcomes for AD patients. Consequently, they can lower AD complications associated with ineffective home care.

Conclusion

The proposed intervention is a teaching plan on AD symptoms and preventive measures for older adults. Leadership is a crucial factor in the implementation of AD evidence-based interventions within healthcare organizations. The state board of nursing practice standards and government policies influence the quality of care delivered to AD patients and thus guided the development of the intervention. The teaching plan will increase the number of patients diagnosed with AD and initiate appropriate measures at an early stage. Telemedicine technology can facilitate the process of educating patients, consultations, and patient evaluation.

References

American Nurses Association. (2019, June). ANA Core Principles On Connected Health Mapped To The Code Of Ethics For Nurses With Interpretive Statements. https://www.nursingworld.org/~491792/globalassets/docs/ana/practice/connected-health-prinicples-and-code-of-ethics-2019

Carder, P. C. (2018). State regulatory approaches for dementia care in residential care and assisted living. The Gerontologist, 57(4), 776-786. https://doi.org/10.1093/geront/gnw197

Griffin, S. C., Mezuk, B., Williams, A. B., Perrin, P. B., & Rybarczyk, B. D. (2020). Isolation, not loneliness or cynical hostility, predicts cognitive decline in older Americans. Journal of Aging and Health, 32(1-2), 52-60. https://doi.org/10.1177/0898264318800587

Jack, K., Ridley, C., & Turner, S. (2019). Effective communication with older people. Nursing Older People, 31(4), 40–48. doi:10.7748/nop.2019.e1126

Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., … & Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413-446. https://doi.org/10.1016/S0140-6736(20)30367-6

Nadash, P., Silverstein, N. M., & Porell, F. (2019). The Dementia Care Coordination Program: Engaging Health Systems in Caregiver Supports. Dementia, 18(4), 1273-1285. https://doi.org/10.1177/1471301217697466

Quasdorf, T., & Bartholomeyczik, S. (2018). Influence of leadership on implementing Dementia Care Mapping: A multiple case study. Dementia, 147130121773447. https://doi.org/10.1177/1471301217734477

Shu, S., & Woo, B. K. (2021). Use of technology and social media in dementia care: Current and future directions. World journal of psychiatry, 11(4), 109–123. https://doi.org/10.5498/wjp.v11.i4.109

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Patient, Family, or Population Health Problem Solution Scoring Guide https://courserooma.capella.edu/bbcswebdav/institution/NURS-FPX/NURS-FPX4900/220100/Scori…

Patient, Family, or Population Health Problem Solution Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution
/professional product. Does not describe leadership and change management strategies, and does not include a copy of the intervention/solution
/professional product. Attempts to describe leadership and change management strategies, and/or does not include a copy of the intervention/solution/professional product. Defines the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of the intervention/solution
/professional product. Defines the role of leadership and change management in addressing a patient, family, or population health problem. Provides an articulate, cogent explanation of the influence that leadership strategies, change management strategies, and nursing ethics had on the development of an intervention and includes a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem. Does not describe communication and collaboration strategies. Attempts to describe communication and collaboration strategies. Proposes strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem. Proposes clear, best-practice strategies, well-supported in the literature, for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem. Presents a strong case for the benefits of obtaining input from a patient, family, or group.
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Does not describe state board nursing practice standards and/or organizational or governmental policies applicable to the development of a proposed intervention. Attempts to explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Explains how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Provides an articulate, cogent explanation of how specific state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Describes credible research on the effectiveness of these standards and/or policies in improving outcomes.
Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Does not explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Provides an explanation, dependent upon unsubstantiated assumptions, of how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Explains how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Provides an articulate, cogent explanation of how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Conclusions are well-supported by credible evidence. Cites specific, relevant, and available sources of benchmark data.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem. Does not describe technology, care coordination, and community resources that can be applied in addressing a patient, family, or population health problem. Attempts to explain how technology, care coordination, and community resources can be applied in addressing a patient, family, or population health problem. Explains how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem. Provides an articulate, cogent explanation of how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
Conclusions are well-supported by specific, credible evidence.
Write concisely and directly, using active voice. Does not write concisely and directly, using active voice. Writes passively, with a tendency toward wordiness. Writes concisely and directly, using active voice. Writes concisely and directly. Conveys precise and unequivocal meaning through clear and consistent use of active voice.
Apply APA formatting to in-text citations and references. Does not apply APA formatting to in-text citations and references. Applies APA formatting to in-text citations and references incorrectly and/or inconsistently, detracting noticeably from good scholarship. Applies APA formatting to in- text citations and references. Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references.