NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

Sample Answer for NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution Included After Question

Please use stroke for the assessment as it will be used throughout the remaining assessments.

A Sample Answer For the Assignment: NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

Title: NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution 

Assessing the Problem

Part 1

The proposed intervention that is recommended for providing high quality, safe, and efficient care to the patient with stroke is offering coordinated care via telehealth. Telehealth is a digital technology in healthcare that facilitates the provision of patient care remotely. The technology enables patients and their healthcare providers to interact and share ideas on ways of ensuring the optimum management of their health problems (Lawson et al., 2020). Telehealth has proven effective in use in patients suffering from chronic and acute illnesses. Evidence shows that besides providing effective care coordination remotely in stroke, telehealth also enhances the care outcomes for patients suffering from conditions such as asthma, depression, heart disease, and chronic obstructive pulmonary disease among others (Rutledge et al., 2017).

The effectiveness of telehealth in providing coordinated care to the patient is that it enhances the safety, quality, and efficiency of care. The improvement in safety of care is attributable to continuity in care provision to patients even after discharge from the hospital. The patient is also assured of timely care and attention when needed, minimizing the risk of adverse events due to recurrent strokes and associated complications. Telehealth promotes cost-effectiveness by reducing the costs that the patient could have incurred travelling for unnecessary assessments (Hubert et al., 2021). It also prevents adverse events such as complications that would result in high costs of care, hence, cost efficiency. Therefore, the use of telehealth is anticipated to improve the safety, quality and efficiency of care given to the patient and burden of the disorder to the healthcare system (Bashir, 2020). Each of the following considerations shaped my understanding of the problem (stroke) and need for telehealth to address the care needs of the patient.

Leadership: Leadership in nursing is important for the promotion of the health and wellbeing of the patient with stroke. Nurses have to demonstrate their leadership skills in proposing and implementing evidence-based interventions that will minimize the burden of stroke to the patient, family and healthcare system. Nurses also demonstrate leadership by strengthening teamwork, active stakeholder collaboration, and open communication in addressing the care needs of the patient (Morley & Cashell, 2017). Therefore, leadership informed my understanding of the severity of the problem and the needed interventions that could enhance the health outcomes of the patient and his family.

Collaboration: The realization of optimum outcomes for the patient with stroke requires effective inter-professional collaboration. Healthcare providers from different specialties are needed to work together in the assessment, planning, implementation, monitoring, and evaluation of the care needs of the patients. They also have to work together in determining the advanced care needs of the patient that should be met to prevent and minimize complications. Having the different healthcare providers working together from the same setting may be a challenge in healthcare organizations (Morley & Cashell, 2017). As a result, telehealth for care coordination is an effective alternative to achieve the desired collaboration in patient care.

Communication: Communication is an important aspect in ensuring the provision of high quality, efficient and safe care to the patient. Communication strategies such as open communication, consistency, and conciseness in communication should be encouraged in working with the patient in the project. Through open communication, healthcare providers involved in the care process will understand the needs, views, and concerns of the others and patient in the care process (Lawson et al., 2020). The consideration of communication therefore shaped my understanding of the vital aspects of communication that should be incorporated into care coordination for the patient.

Change management: The effective management of stroke using interventions such as technology, care coordination and community resources is a change initiative on its own. Healthcare providers involved in the care process have to transform their existing systems and processes to ensure the optimum health outcomes of the patient. They also need to have the desired competencies in utilizing technologies to address the care needs of the patient. Therefore, change management interventions such as training, open communication, and active stakeholder involvement are needed to increase the success rate of the approaches to patient care (Lawson et al., 2020). The consideration of this aspect increased my understanding of the requirements that should be met for the effective use of telehealth for care coordination.  

Policy: Healthcare policies will influence the care given to the patient. Policies related to the use of healthcare technologies, care coordination and utilization of community resources must be adhered to in the implementation of the proposed intervention. Policies will also influence the scope of nursing practice in providing care to the stroke patient (Haddad & Geiger, 2021). Therefore, policies shaped my understanding of the dynamic roles that each of the healthcare providers and resources play in ensuring the realization of the optimum care outcomes for the patient with stroke.

            Quality of care: Quality of care in stroke management is important. Nurses and other healthcare providers have the responsibility of ensuring that the care interventions use promote quality, safety and efficiency. Healthcare providers utilized evidence-based interventions to achieve this care outcome (Carrigan & Livesay, 2018). The focus on quality in stroke management informed the decision to propose telehealth for care coordination to achieve optimum outcomes of care.

            Patient safety: Patient safety is important in the provision of care. Nurses and other healthcare providers ensure that the care that patients receive has minimal harm but optimum benefits to promote recovery from their health problems. Stroke patients require safe care to accelerate their recovery process. The consideration of patient safety informed the recommendation of telehealth, as it has optimum benefits such as enhanced quality and efficiency of care and minimal harms (Rutledge et al., 2017). Patients also develop their desired competencies in self-management, hence, safety and quality outcomes.

            Costs to system and individual: The care given to patients with stroke should aim at reducing the cost burden of managing the condition. The cost implications of stroke to patients and healthcare system are enormous. The adopted interventions should targeted at ensuring the provision of optimum and high quality care at the lowest cost possible. Telehealth technologies provide cost-effective and efficient solutions to lowering the costs incurred by patients and healthcare systems. The technology eliminates unnecessary hospital visits and hospitalizations, hence, cost-efficiency in the treatment process (Gorelick, 2019). Therefore, the cost benefits of the solution informed its adoption for the patient in this project.

            Technology: Healthcare technologies have transformed the provision of healthcare in the modern world. The technologies are used to ensure safety, efficiency and quality in patient care. Healthcare technologies are also applicable in stroke management to enhance the care outcomes. Review of the existing literature showed that digital technologies such as telehealth are effective hence, its recommendation for use in coordinating the care needed by the patient in this practicum experience (Bashir, 2020).

            Care coordination: Care coordination is important for the realization of optimum outcomes in the care of the patient. Care coordination also promotes the realization of other outcomes such as patient and provider satisfaction, patient empowerment, increase in the quality of care, and enhanced access to specialized care (Kitzman et al., 2017). As a result, this concept informed the decision to incorporate telehealth for the provision of coordinated care to the patient.

            Community resources: Community resources should be utilized optimally to achieve the desired outcomes of care for the patient with stroke. Community resources such as social support systems are important in facilitating the coping of the patient and his family. Nurses and other healthcare providers will work with the patient and his family to explore the available resources in the community that can be used to achieve the set goals of treatment (Mackie et al., 2019).

Part 2

            Healthcare problems such as stroke have immense effects on the affected populations, their significant others and healthcare systems. Nurses and other healthcare providers play the responsibility of ensuring the adoption of responsive interventions to address the care needs of the affected populations. They explore the best practice interventions that can be adopted to ensure efficiency, quality, and safety in case management. They also explore evidence-based technologies that are applicable in optimizing care outcomes for their populations. Therefore, this section of the project explores the proposed solution that would be used to meet the care needs of the patient with stroke.

Summary of the Patient Problem

            The selected patient problem is stroke. Stroke is a condition that develops due to the occlusion of blood flow to the brain. It also occurs due to the bursting of the blood vessels in the brain. The occlusion or bursting of blood vessels impairs the supply of oxygen to different parts of the brain leading to death of brain cells. The patient used in the practicum experience is a male patient in my neighborhood who was diagnosed with stroke a year ago. The patient has partial paralysis and requires moderate assistance in undertaking most of his activities of the daily living. The patient enjoys ready support from his family members and community members who provide the support he needs to live a healthier life and wellbeing.

Reason for Selection

            Stroke was selected for the practicum project because of a number of reasons. Firstly, stroke is the leading cause of disability and mortality in the USA. The CDC reports that about 795000 people are diagnosed with stroke in the US on an annual basis. It further reports that one person gets stroke after every 40 seconds in America. Stroke is a preventable condition. Modifiable factors such as obesity, hypertension, heart disease, diabetes, and cigarette smoking contribute to it (Gorelick, 2019). Nurses can therefore play a proactive role in leading the implementation of interventions that will promote the health and wellbeing of patients affected or at risk of developing stroke. Stroke was also selected due to the effect it has on the affected populations and healthcare systems. As a result, it was important to explore the ways in which the burden associated with it can be reduced in families and healthcare systems (Carrigan & Livesay, 2018).

Relevance to Professional Practice and to the Patient and Family

Stroke is relevant to professional practice. As noted above, stroke is a preventable condition. Nurses have a critical role in the promotion of health and prevention of illnesses. As a result, the relevance of stroke can be seen from the increased need for nurses to ensure creation of awareness among the community members on the prevention and minimization of burden of stroke (Ouriques Martins et al., 2019). Stroke also has enormous burden to the patients, their families and healthcare systems. Issues such as the high costs of managing stroke, loss of productivity due to disability, and increased utilization of healthcare resources in addressing the complex needs of stroke patients evidence the burden of the condition (Gorelick, 2019). Nurses play an important role in easing the burden of disease for patients, their significant others and healthcare systems. Consequently, stroke is relevant to their professional practice, as they have to identify efficient and effective interventions needed to lower the disease burden and improve the quality of health and lives of the affected populations.

Influence of Leadership and Change Management Strategies on the Development of Proposed Intervention

As noted, the proposed intervention entails the use of telehealth to enhance care coordination for the patient with stroke. Leadership and change management strategies had an influence on the development of the proposed intervention. Leadership in nursing entails influencing others to act in ways that contribute to the realization of the desired outcomes. Nurses influence others using interventions such as active participation, open communication, and modeling the desired behaviors (Berra et al., 2019). The use of effective leadership approaches contribute to change management in managing health problems including stroke. Therefore, I used the concepts of leadership such as innovation to propose the use of telehealth to enhance the quality, safety and efficiency of care given to the patient (Carrigan & Livesay, 2018). I also utilized the concepts of change management such as open communication and active stakeholder participation to propose the use of telehealth, as it will increase the engagement of those involved and ownership of the care process by the patient and healthcare providers.

How Nursing Ethics Informed the Development of the Proposed Intervention

Nursing ethics also informed the development of the proposed intervention. Ethics in nursing entails universal rules that guide the motives, actions, and intentions of the nurses. Several ethics in nursing informed the development of the intervention. One of them is my primary commitment to the patient and his family. According to nursing ethics, nurses must prioritize the patients and their significant others. The prioritization includes implementation of interventions that enhance the realization of their actual and potential needs. The need for advocacy in my role also informed the development of the intervention. Nurses have critical roles to play in ensuring the protection of the rights, safety, and health of their patients.

Patients have a right to equity in healthcare irrespective of their health problems. As a result, the incorporation of telehealth into the coordination of the care the patient needs will ensure equity in access to high quality care by the patient, hence, my role in advocacy. The ethical principles of benevolence, non-maleficence, justice, and veracity also informed the development of the intervention. Accordingly, the use of telehealth in care coordination for chronic conditions is safe, efficient and effective (Haddad & Geiger, 2021). It also ensures that healthcare providers demonstrate their commitment and professional responsibility in promoting continuity in the care given to the patient remotely.

Patient Identification

            The patient for the practicum activity is a male diagnosed with stroke. The patient was diagnosed with stroke a year ago and has been on home-care management. He lives with his family that assists him in meeting his daily needs. The patient has partial paralysis. The aim of the project is therefore to propose the use of telehealth to enhance the coordination of care given to the patient. Telehealth will also promote the realization of care outcomes that include safety, quality and efficiency.

Benefits of Gathering Patient and Family Input

            Patient and their families play an important role in the development and implementation of care interventions used to achieve the desired care outcomes. As a result, nurses should prioritize gathering their input as a way of improving care associated with the identified health problem. Input from the patient with stroke and his family should be obtained in the treatment process because of a number of reasons. Firstly, gathering input from them promotes ownership of the adopted interventions. The patient and family can implemented the interventions with ease to achieve their desired outcomes (Morel & Cano, 2017). Gathering their input also ensures relevance of the adopted interventions. Healthcare providers will implement interventions that align with the expectations of the patients and healthcare providers.

Relevance of the adopted interventions is important, as it ensures sustainability in the treatment process. Gathering the inputs of the patient and his family members also promotes their empowerment. They are empowered to play a proactive role in the implementation of care interventions that will optimize their care outcomes. Lastly, gathering the inputs of the patient and his family promotes their satisfaction with the care process (Mackie et al., 2019). By gathering their inputs, values, needs, and preferences of the patient and his family are prioritized in the decision-making processes, hence, their satisfaction with the care given to them.

Best Practice Strategies for Effective Communication and Collaboration

Effective communication and collaboration are important for the realization of the optimum care outcomes for the patient and his family. One of the communication strategies that would be used to achieve the desired outcomes is open communication. Open, transparent communication between the patient, his family and healthcare providers will be promoted to ensure trust in the adopted interventions. The involved stakeholders will have the freedom to express their concerns, ideas, and views on the ways in which the treatment plans can be improved to address the care needs of the patient and his family. The communication will also be concise and consistent.

Concise and consistent communication is essential to underpin the information needed to enhance the care outcomes of patients, their families and healthcare systems (Wang et al., 2018). One of the collaboration strategies that will be adopted is defining and assigning roles to the different healthcare providers. Defining and assigning roles will prevent duplication of tasks, hence, efficiency in care provision. Active stakeholder involvement will also be used as a collaboration approach. Active involvement will aim at ensuring that the healthcare providers, patient and his family develop the desired competencies for the effective management of the health problem (Morley & Cashell, 2017). Therefore, the above strategies will ensure the realization of optimum outcomes for the patient and the family in the treatment process.

Standards or Policies that Guided the Work

            Nursing practice standards and government policies guided the development of the intervention. The nursing practice standards that influenced the development of the intervention included health information technology, quality and efficiency competencies in the provision of patient care. Nurses have the responsibility of promoting the meaningful use of health information data in their practice. They ensure privacy and confidentiality in the access and use of patients’ data. The competencies related to efficient and quality use of data in healthcare informed the selection of telehealth for care coordination (Park & Jeong, 2021).

The existing evidence has shown that telehealth systems are safe and efficient in use in coordinating care given to patients suffering from chronic illnesses. Government regulations including HIPAA also guided the development of the intervention. Accordingly, HIPAA requires healthcare providers to adopt efficient technologies for patient care that offer adequate security for private and confidential data of the patients. The meaningful use of health information data should also be promoted in patient care (Rutledge et al., 2017). Through it, technologies such as telehealth will enhance the care outcomes for the diverse patient populations.

Effectiveness of the Proposed Intervention

The proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the patient, his family and the system in a number of ways. Firstly, it will improve quality of care by ensuring the patient accesses specialized care remotely. The system will incorporate care interventions from different healthcare providers to optimize the treatment outcomes (Hubert et al., 2021). The intervention will also facilitate the early identification and management of any complications. Through it, the system will promote safety in patient care (Lawson et al., 2020).

The intervention will also reduce the costs of care to the patient and healthcare system. For instance, telehealth will enable the patient to address his care concerns remotely without having to travel to the hospital. It will also eliminate any complications through their early identification and management. As a result, costs incurred by the patient and healthcare system will decline significantly (Bashir, 2020). Therefore, the adoption of telehealth for use in care coordination should be prioritized. The available sources of benchmark data that can be used include those reported in journals and institutions that have implemented telehealth for chronic disease management.

Application of Technology, Care Coordination and Utilization of Community Resources

            Technology can be applied in addressing the care needs of the stroke patients. As seen from this project, technologies such as telehealth are effective in enhancing the care outcomes such as quality, safety, efficiency and patient satisfaction with care. Care coordination can also be applied in addressing the problem. Nurses can coordinate inter-professional care to ensure the realization of optimum care outcomes of the patient and the family. Care coordination can also be used to enhance patient satisfaction and empowerment with care. Community resources can also be applied in addressing the problem. Community resources such as social support systems can be used to promote coping in the patient and his family with the functional changes due to stroke.

Conclusion

            Overall, the proposed intervention for the project is the use of telehealth to provide coordinated care to the patient. Telehealth is appropriate, as it reduces costs of care and enhances care outcomes such as safety and quality. Board of nursing standards and government policies informed the development of the intervention. Therefore, an effective use of change management practices will be considered to achieve the optimum outcomes of the intervention.

References

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Gorelick, P. B. (2019). The global burden of stroke: Persistent and disabling. The Lancet Neurology, 18(5), 417–418. https://doi.org/10.1016/S1474-4422(19)30030-4

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