Phillip January 9, 2024 No Comments

Capella 4900 Assessment 5

Capella 4900 Assessment 5: Patient, Family, or Population Health Problem Solution

Name

Capella university

NURS-FPX 4900: Capstone Project for Nursing

Prof. Name

Date

Intervention Presentation and Capstone Video Reflection

Hello everyone, I am Jaclene and today I will be presenting a presentation and capstone video reflection on the proposed intervention for Brian’s management of hypertension. Hypertension is a chronic condition in which the blood pressure is elevated from the usual range of 120/80 mmHg. This condition can not be treated with pharmacological agents alone but requires management with lifestyle modifications (Centers for Disease Control and Prevention, 2021). In Brian’s case, due to a poor lifestyle with active smoking and alcohol consumption, he suffered from a hypertension crisis which fortunately was timely managed and further interventions for lifestyle management were developed with equal participation of Brian and his family. Now, I will reflect on the contributions this intervention made in this capstone video. 

Contributions of Intervention to Patient’s Satisfaction & Quality of Life

The proposed and implemented intervention for Brian was the utilization of an Electronic Health Record or often called an Electronic Medical Record along with self-management education for managing hypertension. The EHR technology enabled physicians and nurses to analyze Brian’s health status and previously recorded blood pressure measurements quickly and prompt treatment was possible without further delays. This prevented the incidence of any further cardiovascular problems associated with hypertension as timely treatment was provided due to EHR. Furthermore, Brian was provided access to EHR which enabled him to upload his medical and health record of regular blood pressure readings, smoking and alcohol cessation updates, and lifestyle modification progress.

Brian and his family reported in practicum hours that Brian was facing difficulty in smoking cessation but continuous motivation from his family and lifestyle coach made him firm on not going back to his unhealthy lifestyle. His self-management education played a vital role in educating him about his condition and how he can manage it by himself with self-monitoring and support from his family in lifestyle modification. Brian’s family reported that his sedentary lifestyle has changed and he actively goes for exercise. Overall, this intervention proved to be effective for Brian in managing his hypertension. This resulted in improved Brian’s satisfaction as his care treatment experience was effective and his quality of life was far better than his previous condition when he was admitted to the hospital on the incidence of hypertension crisis. 

Use of Evidence and Peer-Reviewed Literature to Plan and Implement Capstone Project

Now, I’ll discuss the use of evidence and peer-reviewed literature to plan and implement the capstone project. The intervention plan developed and implemented for Brian is evidence-based and derived from peer-reviewed literature research. As research-based interventions give us a clear estimate of the probable results in our patients, it is important to seek evidence-based research and peer-reviewed literature to plan and implement a capstone project. In the case of Brian, the EHR technology use in hypertension was evidence-based as one study on hypertension management using EHR showed that 49% relative improvement in BP control was observed by using an EHR-based tool.

Furthermore, a greater proportion of patients achieved their BP goals at 3 and 6 months (Soreide et al., 2022). In another study by Cohen and colleagues (2022), the access to home BP readings during hypertension management through an EHR-integrated visualization tool improved patient engagement in decision-making and enhances sense-making. On this basis, Brian was given access to EHR so his engagement with physicians and nurses improved and hypertension management was improved (Cohen et al., 2022).

Capella 4900 Assessment 5

Further planning of intervention followed by the intervention was based on an evidence-based strategy of self-management education on hypertension and lifestyle modification. A study by Delavar and colleagues (2020) on the effectiveness of hypertension-related self-management was performed. The study promoted lifestyle modification education, health literacy on medication adherence, and blood pressure control as the results were obvious in lowering high blood pressure in hypertensive patients.

Having been influenced by this study, a self-management education strategy as an intervention was selected tailored to Brian’s health needs like weight management, smoking cessation, alcohol abstinence, healthy eating, medication adherence, and improved physical activity. He was further educated on self-monitoring of blood pressure so he can update his caretakers on blood pressure control. Both of these interventions proposed and implemented for Brian in this capstone project planning and implementation were influenced by evidence-based practices and peer-review literature-based studies.

Leveraged Healthcare Technology to Improve Outcomes/Communication with Patient

Now, I will discuss the degree to which I utilized healthcare technology successfully in this capstone project to improve outcomes or communication with Brian. Healthcare technologies like telehealth, EHR, and remote monitoring are some of the novel strategies to provide care treatments to patients. In Brian’s case, I incorporated the use of EHR for hypertension management. Moreover, I provided its access to Brian so he can update me online about his health and medication record by utilizing this technology.

The use of EHR in managing hypertension resulted in positive outcomes in terms of lowering his high blood pressure levels as all of Brian’s health data were available in one digital record system and quick analysis could be done for further treatment, it helped in a timely decision making and prevented future delays in providing treatment to Brian based on his health conditions. This technology not only improved the health outcomes for Brian but also acted as a source of communication as both the care providers and the patient as Brian could inform the care providers about his health status through this technology without clinical visits and telephonic communication.

Capella 4900 Assessment 5

Furthermore, prospective improvements in healthcare technology used for Brian’s hypertension management can be utilizing telehealth or telemonitoring in which healthcare professionals can provide consultations to Brian online by using smartphone applications like video calls, meetings via Zoom or Meet, or specific web-based patient portals can be made for online consultation. By utilizing telehealth technology, Brian can get consultation sessions in the comfort of his home, and healthcare providers will be able to guide him about his health and any related queries. Healthcare providers can monitor the blood pressure measurements through telemonitoring and treatment adjuments can be provided. This will improve the health outcomes of the patient as his hypertension is monitored consistently through online consultations (Wang et al., 2021). 

Influence of Health Policy on Planning and Implementation of Capstone Project 

Next, I will be talking about the particular health policy that influenced the planning and implementation of this capstone project. The Health Information Technology for Economic and Clinical Health (HITECH) Act is a health policy or legislation that promotes the adoption of health technologies in healthcare systems of the U.S. This policy was developed to make the use of health technologies like EHR in hospitals to manage patient data in a better way (Lite et al., 2020). This policy of implementing health information technologies like EHR in hospitals influenced me to adopt this strategy in the planning and implementation of a capstone project related to Brian. For this purpose, I talked to hospital authorities to allow me to use this technology to effectively manage Brian’s condition.

Later, the implementation of HITECH policy in my capstone project contributed to policy development in our hospital. The policy developed as a result of this capstone project in our hospital was enabling EHR technology for all patients with chronic diseases to better manage their condition. This resulted in effective and timely management of conditions like hypertension, diabetes, and COPD, etc. The baccalaureate-prepared nurses play an immense role in policy implementation and development in the hospitals as their valuable knowledge and insights on disease conditions and possible consequences can convince hospital authorities like policymakers or health administrators to develop a certain policy. After the development of a certain health policy, nurses integrate the newly developed approach into practice by educating fellow nurses, ensuring the nursing staff practices the new policy and lastly monitoring the impact of policy on patient outcomes and forwarding reports to hospital authorities.

Comparison of Capstone Project Outcomes to Initial Predictions

Now, I will be discussing the capstone project outcomes and their comparison to initial predictions. My primary goal initially was to lower the elevated blood pressure of Brian in this capstone project and the secondary goal was to sustain the blood pressure. Through this project’s development and implementation, Brian’s blood pressure was lowered through medication and major lifestyle modifications. His condition was nearly stable as predicted initially. Brian and his family together fought this battle of hypertension through consistent efforts and his BP results matched the initial prediction about capstone project outcomes.

Considering the health outcomes of this project intervention, the use of EHR in hypertension management along with self-management education on hypertension can be regarded as the best practice potential of this intervention. Furthermore, as these interventions of project are evidence-based and taken from peer-reviewed literature, they can be generally effective for all healthcare systems outside this particular setting having patients that require chronic care. Lastly, I have documented the time of 9 hours spent with Brian and his family in the Capella Portal Volunteer Experience Form.

Personal and Professional Growth

Before I end this capstone video reflection, I would like to highlight my personal and professional growth throughout this capstone project and the RN-to-BSN program. Throughout this capstone project, I was deeply moved by Brian’s case as I was a physical witness to his struggles in improving his lifestyle and his family’s concern for his health. I become personally more empathetic towards elderly people who suffer from comorbidities. It made me more mindful of acquiring a healthy lifestyle so I can have a healthier body later in my life. Moreover, I practiced the ethical principles of providing care more consciously and offered Brian my help in off-hours as well.

I strived hard to coordinate with my team members so I could provide coordinated care with minimal errors in treatment and medication. The specific growth areas which I am most proud of and have acquired satisfaction from are my professional personality becoming more empathetic in terms of providing care and my personal personality becoming more active, mindful, and healthy. As before this capstone project development and implementation, I was more focused on completing my duty hours and having moderate compassion for others. I was also addicted to fast-food which I have limited now as I learned from Brian’s case. Hence, this capstone project development and implementation helped me grow both personally and professionally. 

Conclusion 

We have reached the conclusion of this capstone video reflection and to conclude, Brian suffering from a hypertension crisis was timely treated and further interventions of EHR and self-management education were selected for him. These interventions are evidence-based and taken from peer-review literature. These interventions contributed immensely to Brian’s health in obtaining positive outcomes of lowered blood pressure levels. Furthermore, EHR implementation was influenced from HITECH policy as this policy stimulates hospitals to adopt health information technologies. The outcomes of this capstone project matched the initial predictions of lowered and sustained blood pressure levels in the case of Brian. Moreover, this capstone project was a source of my personal and professional growth throughout the journey. Thank you for watching this capstone reflection video.

References  

Centers for Disease Control and Prevention. (2021, May 18). About high blood pressure (hypertension). https://www.cdc.gov/bloodpressure/about.htm 

Cohen, D. J., Wyte-Lake, T., Canfield, S. M., Hall, J. D., Steege, L., Wareg, N. K., & Koopman, R. J. (2022). Impact of Home Blood Pressure Data Visualization on Hypertension Medical Decision Making in Primary Care. The Annals of Family Medicine, 20(4), 305–311. https://doi.org/10.1370/afm.2820 

Delavar, F., Pashaeypoor, S., & Negarandeh, R. (2020). The effects of self-management education tailored to health literacy on medication adherence and blood pressure control among elderly people with primary hypertension: A randomized controlled trial. Patient Education and Counseling, 103(2), 336–342. https://doi.org/10.1016/j.pec.2019.08.028 

Capella 4900 Assessment 5

Lite, S., Gordon, W. J., & Stern, A. D. (2020). Association of the meaningful use electronic health record incentive program with health information technology venture capital funding. JAMA Network Open, 3(3), e201402. https://doi.org/10.1001/jamanetworkopen.2020.1402 

Soreide, K., Solomon, O., Farhat, N., Kolander, S., Gottschall, T., George, D., Szandzik, E., Kalus, J., & Thomas, E. (2022). Pharmacist hypertension management using an electronic health record–based approach. The American Journal of Managed Care, 28(4). https://www.ajmc.com/view/pharmacist-hypertension-management-using-an-electronic-health-record-based-approach 

Wang, J., Li, Y., Chia, Y., Cheng, H., Minh, H. V., Siddique, S., Sogunuru, G. P., Tay, J. C., Teo, B. W., Tsoi, K., Turana, Y., Wang, T., Zhang, Y., & Kario, K. (2021). Telemedicine in the management of hypertension: Evolving technological platforms for blood pressure telemonitoring. The Journal of Clinical Hypertension, 23(3), 435–439. https://doi.org/10.1111/jch.14194 

Capella 4900 Assessment 5