Patient-Centered Care Report


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Write a abode on the appliance of citizenry bloom advance action outcomes to patient-centered care, based on advice presented in an alternate multimedia scenario.

In this assessment, you accept an befalling to administer the credo of evidence-based convenance in both patient-centered affliction and citizenry bloom advance contexts. You will be challenged to anticipate critically, appraise what the affirmation suggests is an adapted access to personalizing accommodating care, and actuate what aspects of the access could be activated to agnate situations and patients.

SHOW LESS

By auspiciously commutual this assessment, you will authenticate your accomplishment in the afterward advance competencies and appraisal criteria:

  • Competency 1: Administer evidence-based convenance to plan patient-centered care.
    • Evaluate the outcomes of a citizenry bloom advance initiative.
    • Develop an access to personalizing accommodating affliction that incorporates acquaint abstruse from a citizenry bloom advance initiative.
  • Competency 2: Administer evidence-based convenance to architecture interventions to advance citizenry health.
    • Propose a action for convalescent the outcomes of a citizenry bloom advance initiative, or for ensuring that all outcomes are actuality addressed, based on the best accessible evidence.
  • Competency 3: Appraise outcomes of evidence-based interventions.
    • Propose a framework for evaluating the outcomes of an access to personalizing accommodating affliction and free what aspects of the access could be activated to agnate situations and patients.
  • Competency 4: Appraise the amount and about weight of accessible affirmation aloft which to accomplish a analytic decision.
    • Justify the amount and appliance of affirmation acclimated to abutment an access to personalizing accommodating care.
  • Competency 5: Synthesize evidence-based convenance and bookish analysis to acquaint able solutions.
    • Write acutely and logically, with actual grammar and mechanics.
    • Integrate accordant and aboveboard sources of affirmation to abutment assertions, accurately formatting citations and references appliance APA style.

 Evidence-Based Practice

  • Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., . . . Reeves, C. (2015). Part 1: Evidence-based ability architecture appliance transforming affliction at the bedside attempt [PDF]. JONA: The Journal of Nursing Administration45(2), 74–83.
  • Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what affirmation is, bond it to accommodating outcomes, and authoritative it accordant to practice: Insight from analytic nursesApplied Nursing Research26(3), 105–109.
  • Krugman, M., Sanders, C., & Kinney, L. J. (2015). Part 2: Appraisal and outcomes of an evidence-based ability architecture projectJONA: The Journal of Nursing Administration45(2), 84–92.
  • Rice, M. J. (2013). Evidence-based practice: A archetypal for analytic applicationJournal of the American Psychiatric Nurses Association19(4), 217–221.
  • Evidence-Based Convenance in Nursing & Bloom Sciences: Analysis Levels of Evidence.
  • Evidence-Based Convenance in Nursing & Bloom Sciences.
  • Research Guides
  • Nursing Masters (MSN) Analysis Guide.
  • Database Guide: Ovid Nursing Full Text PLUS.
  • Kaplan, L. (n.d.). Framework for how to apprehend and appraisal a analysis study. Retrieved from https://www.nursingworld.org/~4afdfd/globalassets/practiceandpolicy/innovation--evidence/framework-for-how-to-read-and-critique-a-research-study.pdf
  • Assessment InstructionsPreparation
    In this assessment, you will abject your Patient-Centered Affliction Abode on the book presented in the Evidence-Based Bloom Appraisal and Appliance media piece. Some of the autograph you completed and exported from the media allotment should serve as pre-writing for this appraisal and acquaint the final abstract of your report. Alike admitting the media allotment presented alone one blazon of affliction setting, you can extrapolate abundant affliction decisions, based on citizenry bloom advance action outcomes, to alternative settings.
    Requirements
    Note: The requirements categorical beneath accord to the allocation belief in the scoring guide, so be abiding to abode anniversary point. In addition, you may appetite to analysis the accomplishment akin descriptions for anniversary archetype to see how your assignment will be assessed.
    Writing, Supporting Evidence, and APA Style
    • Write acutely and logically, appliance actual grammar and mechanics.
    • Integrate accordant affirmation from 3–5 accepted bookish or able sources to abutment your evaluation, recommendations, and plans.
      • Apply actual APA formatting to all in-text citations and references.
      • Attach a advertence account to your report.
    • Report Content
      Address the afterward credibility in a 4–6 folio report:
    • Evaluate the accepted outcomes of the citizenry bloom advance action that were, and were not, achieved.
      • Describe the outcomes that were achieved, their absolute furnishings on the community's health, and any about-face beyond demographic groups.
      • Describe the outcomes that were not achieved, the admeasurement to which they fell abbreviate of expectations, and any about-face beyond demographic groups.
      • Identify the factors (for example: institutional, community, environmental, resources, communication) that may accept contributed to any accomplishment shortfalls.
    • Propose a action for convalescent the outcomes of the citizenry bloom advance initiative, or ensuring that all outcomes are actuality addressed, based on the best accessible evidence.
      • Describe the antidotal measures you would booty to abode the factors that may accept contributed to accomplishment shortfalls.
      • Cite the affirmation (from agnate projects, research, or able alignment resources) that supports the antidotal measures you are proposing.
      • Explain how the affirmation illustrates the likelihood of bigger outcomes if your proposed action is enacted
    • Develop an access to personalizing accommodating affliction that incorporates acquaint abstruse from the citizenry bloom advance action outcomes.
      • Explain how the outcomes and acquaint abstruse abreast the decisions you fabricated in your access for personalizing affliction for the accommodating with a bloom action accompanying to the citizenry bloom affair addressed in the advance initiative.
      • Ensure that your access to personalizing affliction for the alone accommodating addresses the patient's:
        • Individual bloom needs.
        • Economic and ecology realities.
        • Culture and family.
      • Incorporate the best accessible affirmation (from both the citizenry bloom advance action and alternative accordant sources) to acquaint your access and accomplishments you intend to take.
    • Justify the amount and appliance of affirmation you acclimated to abutment your access to personalizing affliction for your patient.
      • Explain why your affirmation is admired and accordant to your patient's case.
      • Explain why anniversary allotment of affirmation is adapted for both the bloom affair you are aggravating to actual and for the altered bearings of your accommodating and their family.
    • Propose a framework for evaluating the outcomes of your access to personalizing accommodating care.
      • Ensure that your framework includes assessable belief that are accordant to your adapted outcomes.
      • Explain why the belief are adapted and advantageous measures of success.
      • Identify the specific aspects of your access that are best acceptable to be communicable to alternative alone cases.
    • Note: Faculty may use the Writing Acknowledgment Tool when allocation this assessment. The Autograph Acknowledgment Tool is advised to accommodate you with advice and assets to advance your autograph based on bristles amount skills. You will acquisition autograph acknowledgment in the Scoring Adviser for the assessment, already your assignment has been evaluated.

Has to be based on the book below:

Introduction

Public bloom advance initiatives (PHII) accommodate invaluable abstracts for patient–centered care, but their analysis is generally conducted in a ambience altered from the needs of any alone patient. Providers allegation accomplish a acquainted accomplishment to administer their allegation to specific patients' care.

In this activity, you will apprentice about a PHII, and analyze its appliance to a accurate patient's affliction plan.

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Overview

You abide in your role as a assistant at the Uptown Wellness Clinic. You accept an email from the allegation nurse, Janie Poole. Click the button to apprehend it.

Good morning!

At aftermost week's appointment I batten with Alicia Balewa, Director of Safe Headspace. They're a about new nonprofit alive on convalescent outcomes for TBI patients, and I anon anticipation of Mr. Nowak. At his aftermost biannual cholesterol screening he mentioned accepting agitation with his balance. This may be accompanying to his hypertension, but he believes it's accompanying to the time he was ailing abounding years ago afterwards falling out of a tree, and bidding ache that this ability be the alpha of a accelerated decline.

Ms. Balewa will be on bounds abutting week, and I'd like to set abreast some time for you to talk.

— Janie

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Alicia Balewa

Director of Safe Headspace

Overview

Interview Alicia Balewa to acquisition out added about a accessible bloom advance action that ability administer to Mr. Nowak's care.

Interview:

I accept a accommodating who ability account from some of the interventions for TBI and PTSD you afresh studied. What populations did your accessible bloom advance action study?

My ancestor came home from Vietnam with a kaleidoscope of brainy bloom problems. That was the 1970s, back analysis options for things like PTSD, TBI, and alike abasement were actual different. Since again there has been a lot of advance in analysis and accretion for action veterans. That's accomplished account for veterans in analysis now, but they're not attractive at my dad, and how his TBI and PTSD accept afflicted him through mid–life and now as a senior. That's why I started Safe Headspace: to focus on earlier patients who are years or decades accomplished their trauma, and acquisition means to advice them.

Which treatments showed the arch improvement?

Exercise. We were able to actuate about bisected of our participants — that's about 400 people, mostly men ages 45–80 — to chase the CDC's recommendations for abstinent aerobic exercise. About anybody showed advance in mood, memory, and beef ascendancy afterwards four weeks. Afterwards that a lot of participants alone out, which is disappointing. But of the 75 who ashore with it for addition three months, beef ascendancy bigger 15%, affection bigger 22%, and short–to–medium appellation anamnesis bigger 61%. We didn't specify what affectionate of exercise, but we did ask them to almanac what they did every week, so that abstracts is available.

Second was medication and therapy. Best of our participants didn't accept any affectionate of psychotherapy in the years anon afterward their trauma, so we had anybody adjourned by a aggregation of psychotherapists. As a aftereffect of those assessments, 40% of participants started on anti–depressant medication and 9% started demography anti–psychotics. Those who started demography medications now accept approved acquaintance with a therapist to administer that care. With some advice at home to stick to the regimen, all but a few accept auspiciously followed their analysis plans. They've appear a 26% advance in affection over six months, and a 6% advance in memory.

The third analysis I appetite to acknowledgment is meditation. We alone had a baby accumulation absorbed in aggravating it, but the after-effects were dramatic. We assigned circadian brainwork at home, aloof 10 to 15 minutes, with a account hour–long guided accumulation brainwork for all 23 participants. Afterwards three weeks we absent two to disinterest, but the alternative 21 showed improvements of over 70% in affection and memory, and 32% in beef control.

Have you approved annihilation that hasn't worked?

Sure. There are anamnesis contest for patients in aged care, and things like Sudoku and crossword puzzles. We didn't see any assets with those. Some of our participants adopted backbone training to aerobic exercise, and the alone advance we saw in that accumulation was in beef control, but alone 4%, which is decidedly beneath than the aerobic group.

I should additionally say that we were alive with a accommodating accumulation of participants. They knew they bare help, and were motivated to get it. One of the hurdles we see with veterans, abnormally in earlier generations, is an abhorrence to accede that they accept a problem. We haven't had to battle with that because anybody who volunteers to participate wants to be there.

Your alignment is amid with bodies who accept TBI and PTSD simultaneously. We accept a accommodating with abstinent TBI suffered about 40 years ago, but no history of PTSD. Accept you afar your citizenry and advised anniversary separately?

We haven't, no. In some cases we could, for those who appear in with antecedent diagnoses and medical records. But we accept participants who either weren't diagnosed, were under–diagnosed at the time, or don't accept annal to appearance us.

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Conclusion

As you've seen, a PHII can administer to a accommodating beneath your care. But it's not consistently a absolute fit, and it's important to anticipate anxiously about how your patient's condition, symptoms, background, and acquaintance analyze to that of participants in a PHII.

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