NURS FPX 6026 Assessment 3 Population Health Policy Advocacy
Phillip October 3, 2023 No Comments

NURS FPX 6030 Assessment 3 Intervention Plan Design

NURS FPX 6030 Assessment 3 Intervention Plan Design

Student Name

Capella University

NURS-FPX 6030 MSN Practicum and Capstone

Prof. Name

Date

Intervention Plan Component

Addressing the pressing concern of geriatric falls in community settings necessitates a comprehensive and strategic intervention. Drawing upon evidence-based research and the identified needs of the elderly community, we have devised a holistic approach to tackle this issue. The development of our intervention strategy revolves around three core components to address geriatric falls in community settings. Firstly, we introduce personalized exercise routines, understanding the uniqueness of every elderly individual’s health profile. These routines are designed to strike a balance, ensuring exercises are neither too strenuous nor lenient, maximizing engagement and health outcomes. Secondly, the targeted strength training programs come into play.

Recognizing the age-related decline in muscular strength, this component aims to bolster muscles vital for maintaining postural stability, which is paramount in reducing fall risks (Herold et al., 2019). The third pillar is the structured balance training sessions. Since balance tends to deteriorate with age, these sessions aim to equip the elderly with the skills to handle different terrains and situations, significantly minimizing the likelihood of falls (Rodrigues et al., 2022). These components have been carefully curated based on their potential to bring marked improvements in the identified need: reducing falls among the elderly community.

NURS FPX 6030 Assessment 3 Intervention Plan Design

Customized exercise routines enhance adherence, ensuring participants remain engaged and improving health outcomes. Strength training fortifies muscle groups and provides robust skeletal support, curbing falls resulting from muscular weakness. Meanwhile, improved balance ensures daily activities can be undertaken with increased confidence, significantly reducing unintentional tripping or fall incidents. The foundation for these strategic choices lies in empirical evidence from research, underscoring their efficacy in fall prevention and overall health enhancement for the elderly.

Several evaluation criteria are proposed to gauge the success and impact of this holistic intervention. The most crucial metric is reducing fall incidences, where a tangible decline in fall events over eight months will be monitored. Physical enhancement metrics will also be employed, tracking recorded advancements in participants’ physical strength and balance against set benchmarks. Finally, the participant feedback mechanism will be essential. By organizing feedback sessions, insights into participants’ confidence levels, perceived balance improvements, and overall intervention satisfaction will be gathered, ensuring the plan remains dynamic and responsive to their needs (Eckert et al., 2023).

Cultural Needs and Characteristics of the Target Population

The geriatric population, our primary target for intervention, possesses diverse cultural backgrounds, beliefs, and practices. Understanding the cultural fabric of this demographic is crucial to ensuring that our intervention plan aligns with their intrinsic values and lifestyles. Elderly individuals often have deeply rooted beliefs originating from traditions, which can influence their perspective on health and wellness. These beliefs can range from holistic health practices trust in herbal remedies, to a preference for familial or community-based healthcare decision-making. Our intervention setting is a community-based environment that likely consists of multiple ethnic groups with unique cultural nuances. In such settings, ensuring that healthcare services are culturally competent is essential.

For instance, some cultures prioritize family-centered care, wherein family members play an active role in decision-making, while others lean more toward individual autonomy. Ignoring these cultural characteristics could lead to resistance, misunderstandings, and reduced intervention effectiveness (Kayes & Papadimitriou, 2023).Moreover, the setting’s cultural characteristics, such as community structures, religious beliefs, or local traditions, can influence the format, approach, and even the timing of interventions. It might necessitate incorporating local community leaders or leveraging traditional community gatherings to impart education or training.

Additionally, some communities may have a firm reliance on traditional medicine, which would mean integrating such practices into the intervention for better acceptability (Sonali Munot et al., 2022). Assumptions on which this analysis is based include the idea that every member of the geriatric population might be deeply attached to their cultural beliefs. It also presumes that incorporating cultural aspects into interventions will yield better results. It is essential to ensure that while we are sensitive to these cultural characteristics, the primary focus remains on evidence-based, scientifically validated interventions for fall prevention.

Theoretical Foundations

Several models and strategies come to the fore in our intervention plan to reduce geriatric falls. The relevance of Orem’s Self-Care Model to nursing theories must be considered. This model accentuates the empowerment of the elderly, enabling them to take an active role in managing their health (Choi, 2023). While it offers the strength of promoting independence and proactive self-care, particularly crucial for geriatrics who value autonomy, it poses challenges. Only some geriatric individuals can be pigeonholed into this model, especially considering cultural nuances or those with severe health conditions that might require more assisted care than self-care.

Moreover, borrowing from other disciplines, physical therapy emerges as a potent strategy. Its evidence-based interventions, especially tailored exercises, directly cater to improving balance and strength—key deterrents of falls. Physical therapy’s hands-on, individualized nature acts as its strength, ensuring each geriatric individual gets a regimen suited to their needs (Criss et al., 2022). However, its limitations lie in accessibility and adherence; not every elderly individual might have easy access to consistent therapy, and some might find the rigor challenging.

Technology also promises significant advantages. Wearable health tech, with capabilities to monitor movements and, more vitally, detect falls, brings about proactive care. The immediacy they offer, alerting caregivers or medical personnel almost instantly after detecting a fall, ensures rapid assistance, potentially reducing fall-related complications (Virginia Anikwe et al., 2022). However, a potential pitfall is the decreased human interaction and the assumption that all elderly individuals are comfortable and adept with such technology.

Justification of Major Components 

A profound synthesis of theoretical nursing models, interdisciplinary strategies, and healthcare technologies was imperative when constructing the intervention. Orem’s Self-Care Model, a keystone in nursing theory, substantiates our intervention’s philosophy of empowering the geriatric cohort. Research attests to the potency of such self-care strategies, particularly among older adults facing chronic issues, demonstrating marked improvements in patient outcomes (Choi, 2023). Our emphasis on physical therapy finds its roots in interdisciplinary collaboration. Drawing from studies such as those by Criss et al. (2022), it is evident that individualized strength and balance exercises can significantly curb the incidence of falls in the elderly. Finally, including healthcare technologies, especially wearable devices, is not merely a nod to modernity.

NURS FPX 6030 Assessment 3 Intervention Plan Design

Research indicates that these devices, by offering real-time monitoring and immediate alerts during emergencies like falls, add a crucial layer of safety and prompt intervention (Virginia Anikwe et al., 2022). Despite the robust evidence backing our chosen components, a balanced approach demands acknowledgment of conflicting perspectives. Orem’s Self-Care Model, while influential, might resonate only sometimes across diverse cultural or cognitive landscapes in the geriatric population. Similarly, the efficacy of physical therapy, though vouched for by studies, could vary based on individual health disparities. As much as they are venerated in certain studies, wearable technologies might be met with skepticism, complexity concerns, or perceived intrusiveness by some elderly individuals. These potential conflicts underscore the need for adaptability in our intervention, ensuring we cater to the broad spectrum of geriatric experiences (Eckert et al., 2023).

Stakeholder, Policy, and Regulations

The intervention plan, focused on preventing geriatric falls within community settings, deeply intertwines with an intricate web of stakeholders. Geriatric patients, families, healthcare providers, and community administrators constitute the core of these stakeholders. The needs and concerns of family members, often serving as the primary caregivers, lean heavily towards the safety and efficacy of the interventions. For healthcare providers, clear, actionable guidelines, coupled with the necessary training and regular feedback mechanisms, become paramount. Addressing these needs is crucial, as it influences the intervention’s practicality, acceptability, and overall effectiveness (Beeckman et al., 2023).

On the policy front, the Older Americans Act, the Falls Free National Action Plan, and the Medicare and Medicaid policies on preventive services establish the foundation. These policies provide a blueprint for the intervention’s design, emphasizing evidence-based, community-centric strategies and ensuring potential financial coverage for specific preventive services associated with falls. Navigating through the maze of healthcare regulations set forth by governing bodies determines the intervention’s legitimacy. These regulations might dictate quality assurance, trainer certifications, or data privacy standards, especially if wearable health tech is in play. Complying ensures the initiative’s credibility and adherence to established safety benchmarks. Central to this analysis is the assumption that a meticulous alignment with stakeholder needs and adherence to healthcare policies and regulations is instrumental for an impactful, effective, and sustainable intervention (Eckert et al., 2023).

Ethical and Legal Implications

In developing interventions for geriatric falls, the importance of individual autonomy remains vital. Every elderly individual should make informed decisions, which is especially critical when introducing interventions that might be perceived as limiting or controlling. The nature of the intervention – such as using monitoring technologies or specific physical regimens – should uphold the principle of beneficence, ensuring that the intervention is wholly beneficial and devoid of harm. It is also essential to ensure that the intervention does not inadvertently isolate participants or make them feel stigmatized due to their susceptibility to falls (Ladin et al., 2023).

Legal considerations intertwine with the ethical. For geriatrics participating in any intervention, transparent, informed consent processes should be in place. They should be fully aware of the intervention’s details, potential benefits, and associated risks. Furthermore, adherence to data protection standards, such as HIPAA, is paramount if monitoring technologies are utilized to track movements or detect falls. This ensures that sensitive health data remain confidential and protected (Ladin et al., 2023). A potential knowledge gap lies in ensuring continuous engagement of the elderly in the program, given the diverse health challenges they face. Moreover, considering the intervention’s financial aspects, questions arise about affordability and potential subsidies or insurance coverages, ensuring that all geriatrics benefit equitably, irrespective of their financial standing.

Conclusion

In addressing the pressing concern of geriatric falls, our research highlights the importance of tailored, community-based interventions. By integrating evidence-based practices with contemporary healthcare technologies, we aim to reduce fall incidences substantially. Stakeholder needs, cultural nuances, and regulatory considerations further refine our approach. Ultimately, our objective is to foster a safer environment, enhancing the overall well-being of our elderly community.

References

Beeckman, D., Cooper, M. M., Greenstein, E., Idensohn, P., Klein, R. J., Kolbig, N., LeBlanc, K., Milne, C. T., Treadwell, T., Weir, D., & White, W. (2023). The role community‐based healthcare providers play in managing hard‐to‐heal wounds. International Wound Journal. https://doi.org/10.1111/iwj.14402 

Choi, S. (2023). Personal health tracking: A paradigm shift in the self-care models in nursing. JMIR Nursing, 6(1), e50991. https://doi.org/10.2196/50991 

Criss, M. G., Wingood, M., Staples, W. H., Southard, V., Miller, K. L., Norris, T. L., Avers, D., Ciolek, C. H., Lewis, C. B., & Strunk, E. R. (2022). APTA geriatrics’ guiding principles for best practices in geriatric physical therapy. Journal of Geriatric Physical Therapy, Publish Ahead of Print. https://doi.org/10.1519/jpt.0000000000000342 

Eckert, B. S., Wolf, R., & Ehrlich, A. R. (2023). A comprehensive guide to safety and aging: Minimizing risk, maximizing security. CRC Press. https://books.google.com/books?hl=en&lr=&id=7GC8EAAAQBAJ&oi=fnd&pg=PT89&dq=Older+Americans+Act 

Herold, F., Törpel, A., Schega, L., & Müller, N. G. (2019). Functional and/or structural brain changes in response to resistance exercises and resistance training lead to cognitive improvements: A systematic review. European Review of Aging and Physical Activity, 16(1). https://doi.org/10.1186/s11556-019-0217-2 

Kayes, N. M., & Papadimitriou, C. (2023). Reflecting on challenges and opportunities for the practice of person-centered rehabilitation. Clinical Rehabilitation, 026921552311529. https://doi.org/10.1177/02692155231152970 

NURS FPX 6030 Assessment 3 Intervention Plan Design

Ladin, K., Tighiouart, H., Bronzi, O., Koch-Weser, S., Wong, J. B., Levine, S., Agarwal, A., Ren, L., Degnan, J., Sewall, L. N., Kuramitsu, B., Fox, P., Gordon, E. J., Isakova, T., Rifkin, D., Rossi, A., & Weiner, D. E. (2023). Effectiveness of an intervention to improve decision-making for older patients with advanced chronic kidney disease. Annals of Internal Medicine, 176(1), 29–38. https://doi.org/10.7326/m22-1543 

Rodrigues, F., Domingos, C., Monteiro, D., & Morouço, P. (2022). A review on aging, sarcopenia, falls, and resistance training in community-dwelling older adults. International Journal of Environmental Research and Public Health, 19(2), 874. https://doi.org/10.3390/ijerph19020874 

Sonali Munot, Bray, J., Bauman, A., Rugel, E. J., Leticia Bezerra Giordan, Marschner, S., Chow, C. K., & Redfern, J. (2022). Development of an intervention to facilitate dissemination of community-based training to respond to out-of-hospital cardiac arrest: First CPR. PLOS ONE, 17(8), e0273028–e0273028. https://doi.org/10.1371/journal.pone.0273028 

Virginia Anikwe, C., Friday Nweke, H., Chukwu Ikegwu, A., Adolphus Egwuonwu, C., Uchenna Onu, F., Rita Alo, U., & Wah Teh, Y. (2022). Mobile and wearable sensors for data-driven health monitoring system: State-of-the-art and prospect. Expert Systems with Applications, 202, 117362. https://doi.org/10.1016/j.eswa.2022.117362