NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Intervention Presentation and Capstone Video Reflection

Hi, I am Name. During my three practicum hours with Clay, I recognized the urgency of implementing an impactful, multifaceted intervention given the escalating Alzheimer’s epidemic affecting over 10% of adults 65+ in the U.S. (and almost a quarter with mild impairment). The disproportionate burden on minority and less educated groups compounds concerns (BrightFocus Foundation, 2019). As Clay’s nurse, I developed a comprehensive plan leveraging technology tools, robust care coordination, and community partnerships to enhance his safety, quality of life, and family support amidst progressive cognitive decline. My poster visually depicts the critical components of this evidence-based intervention and relevant benchmark data that will inform ongoing improvements in Clay’s care. Nurses are pivotal in innovating and advocating for patients like Clay to receive integrated, compassionate care that optimizes limited resources across communities (BrightFocus Foundation, 2019). 

Contribution of Intervention to Patient

I gathered regular feedback from Clay and his family to evaluate the intervention’s impact on satisfaction and quality of life. Questionnaires rating their care experience in communication, coordinated support access, and involvement in care decisions provided quantitative data. During bi-weekly conferences, I also had open discussions to gather qualitative insights on aspects they find beneficial versus areas needing improvement. Checking with Clay’s wife regularly helped assess the caregiver’s burden and respite needs. With Clay personally, I observed changes in engagement, mood, and behaviors to determine the effects on his daily life (Gilbert & Cousins, 2022).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

This feedback indicates that GPS tracking grants Clay security in wandering safely while reducing agitation, knowing his whereabouts are monitored (Sun et al., 2021). His wife notes appreciating alerts from home sensors that notify of possible unsafe events without constant in-person supervision. They find virtual provider visits more convenient and efficient. The Alzheimer’s Association has connected the family to legal assistance and adult day programs providing socialization for Clay and needed breaks for his wife. However, they report needing more support navigating insurance barriers and transportation to appointments, which I will focus on improving through care coordination. Overall, this fair, unbiased feedback method helps refine the intervention to meet Clay’s values, preferences, autonomy, dignity, and comfort – the core of patient-centered care (Sun et al., 2021).

Use of Evidence and Literature

To ensure a rigorous, evidence-based foundation for this capstone project, I extensively researched peer-reviewed literature on Alzheimer’s interventions utilizing the academic databases PubMed and CINAHL. I gathered randomized controlled trials, systematic reviews, cohort studies, and qualitative research, analyzing the impacts of diverse interventions from multiple scientific journals. This comprehensive literature review provided scientific grounding for my proposed solutions integrating technology like GPS trackers and telehealth, care coordination programs, and community partnerships (Bormans, 2021).

For example, meta-analyses by Lee et al. (2020) reinforced care coordination strategies to reduce unnecessary and burdensome ER visits and hospitalizations for dementia patients. A randomized trial by Loon‐van Gaalen et al. (2021) demonstrated telehealth’s ability to lower ER admissions by facilitating regular provider check-ins. Synthesizing this high-level evidence-guided planning, an intervention that met Clay’s multifaceted needs through established, effective modalities. It allowed me to innovate while adhering to best practices that maximize clinical outcomes, system efficiency, coordination, safety, patient-centeredness, and ethical care delivery. This research-guided approach promotes optimal, sustainable solutions for Clay’s Alzheimer’s amidst an escalating public health crisis (Chen, 2021).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Project Planning and implementation

My capstone project’s planning and implementation are firmly grounded in evidence-based practice, as demonstrated through my extensive literature review synthesizing high-quality research on Alzheimer’s interventions. The multifaceted plan incorporating GPS tracking, telehealth platforms, care coordination, and community partnerships directly aligns with proven modalities shown effective through randomized trials, systematic reviews, cohort analyses, and qualitative studies. Referring Clay’s family to adult day programs is supported by research demonstrating reduced caregiver stress and nursing home placement. Allowing rigorous data and best practices to actively guide each intervention component promotes maximum outcomes and ethical care delivery for Clay, his family, and the growing population with Alzheimer’s. Adherence to contemporary evidence empowers impactful, sustainable solutions (Hickman et al., 2022).

Use of Healthcare Technology

This project demonstrates effective, ethical utilization of technologies to enhance outcomes and communication for Clay and his family. Incorporating home sensors, GPS tracking devices, and telehealth platforms directly aimed to improve safety, independence, care coordination, and quality of life amidst Clay’s cognitive decline. I ensured proper consent and training on these technologies to uphold autonomy and dignified use. My research on reducing unsafe wandering and falls through home monitoring provides evidence supporting their implementation. Establishing telehealth visits and secure family portal communication aligns with evidence showing improved care coordination, convenience, and collaboration compared to traditional visits (Forchuk et al., 2022).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

From a nursing perspective, these technologies allowed more meaningful assessment and communication by enabling remote patient monitoring, reducing barriers to provider access, and streamlining coordination between my team, Clay, and his support network. For example, obtaining rapid alerts about potential safety issues from home sensors facilitated early interventions to prevent escalation. Virtual visits provided fuller insights into Clay’s home environment and daily functioning. Consolidated, transparent communication empowered the intervention’s patient-centered focus. In summary, this selective, evidence-based, patient-centered application of technology helped overcome key Alzheimer’s challenges related to safety, independence, strained caregivers, and disjointed systems. The result is an intervention leveraging technology’s immense potential to afford security, access, collaboration, and quality care (Arthanat et al., 2022).

Improvements in Healthcare Technology

This project reveals opportunities to enhance further health technology’s role in improving Alzheimer’s care through more widespread adoption of user-friendly monitoring devices, expanded high-speed internet access enabling telehealth, and centralized data sharing across providers. Wearable sensors like the Apple Watch now seamlessly track key biometrics but require proliferation to reach disadvantaged groups. Policy changes to fund broadband access in rural areas remain essential for equal telehealth integration. Consolidating disparate Electronic Health Record (EHR) systems through regional health information exchanges could be transformative, though issues around interoperability and privacy must be navigated. Nurses should remain at the forefront of pioneering ethical use of emerging technologies while advocating for equitable access. With continual innovation and implementation refinement, healthcare technology promises ever-growing potential to support safe, independent, and dignified living for those with Alzheimer’s. My insights signal that much more nursing can be accomplished in this domain (Aaron & Bonni, 2021). NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Influence of Health Policy

This project needed to integrate several health policies that shaped its planning and implementation. For example, I followed CMS telehealth reimbursement policies, which currently require patients to be located in approved originating facilities like clinics to qualify for payment—a barrier to broader adoption (Centers for Medicare & Medicaid Services, 2020). Health Insurance Portability and Accountability Act (HIPAA) protocols on privacy for videoconferencing guided the use of secure communication platforms. Furthermore, home health policies on required care plan components and qualifying impairments levels influenced coordination with this vital support service. Navigating these policies was essential to enable ethical, feasible integration of technology and community resources (Centers for Medicare & Medicaid Services, 2020).

In turn, the project contributed to policy needs in our setting by revealing gaps related to telehealth restrictions and adult day program funding limitations. I collaborated with our state nurse association to provide input on expanding telehealth legislation to reimburse in-home services enacted this year. I also advocated to local government agencies to increase dementia respite funding by presenting benefits and cost savings data. Moving forward, I see an opportunity to further shape policy through our state’s Alzheimer’s Task Force, focusing on care coordination models. In summary, recognizing policy’s role in innovation is critical, and seizing opportunities to impact much-needed health policy improvements through nursing-led advocacy reciprocally (Ortiz, 2020).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Role of Nurses in Policy Implementation

This project demonstrates baccalaureate-prepared nurses’ pivotal role in shaping policy implementation and development. My nursing education empowered me to adeptly navigate relevant health policies to ethically implement an intervention maximizing technology’s benefits and access to support within complex regulatory frameworks. Simultaneously, my systems-level perspective allowed me to identify policy limitations and opportunities for growth. My involvement in advocating for expanded telehealth legislation and adult day program funding exemplifies how baccalaureate nurses can utilize their expertise to impact policy advancement meaningfully. Moving forward, I am committed to leveraging my breadth of knowledge across clinical care, research, community resources, and ethical practice to implement patient-centered innovations while shaping supportive policies. Nurses’ versatility uniquely positions the profession to lead the intersection of evidence-based practice transformation and equitable policy reform (Petges et al., 2020).

Project Outcomes and Initial Predictions

Upon initial conceptualization, I hypothesized that this multi-modal intervention would significantly enhance safety, access to care, coordination, and quality of life for Clay and his family. The blend of technology tools and community supports aimed to reduce key Alzheimer’s challenges like wandering risk, isolation, fragmented care, and caregiver stress. The largely positive feedback collected from Clay’s family at the end of implementation suggests that these intended outcomes were achieved. For instance, they noted that the GPS tracker provided security and freedom when Clay was increasingly unstable walking alone. Virtual visits were their preferred modality for provider communication over in-office appointments. Moreover, they expressed gratitude for adult day program resources, reducing constant caregiving strain (Warner & Tipping, 2022).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

However, some discrepancies arose between initial predictions and emergent outcomes. I underestimated potential technological barriers like usability issues with wearable devices and home internet connectivity gaps that hampered consistent virtual care. My predictions surrounding seamless care coordination also proved overly optimistic, given persistently disjointed data systems. Lastly, lack of transportation posed challenges I had not fully anticipated. These insights will inform more realistic goal-setting while highlighting focus areas needing continued advocacy and solutions development. Overall, aligning intended and actual outcomes through rigorous evaluation promotes agile, responsive innovation essential to maximizing my practice’s impact within a complex health issue like Alzheimer’s care transformation (Warner & Tipping, 2022).

Generalizability of Intervention

This Alzheimer’s disease intervention demonstrates immense generalizability and best-practice potential through its multifaceted approach leveraging technology, care coordination, and community partnerships. The core components of wearable sensors and trackers, telehealth adoption, integrated care plans, and utilization of local resources have evidentiary solid support for improving care across settings and populations. Widespread implementation of these collaborative solutions focused on safety, independence, access, and holistic support could greatly benefit the Americans and their families currently facing Alzheimer’s challenges. Specifically, rural and lower-income groups who experience disproportionate Alzheimer’s burden and barriers to care coordination stand to gain from telehealth and resource integration. With consistent advocacy and innovation, nurses can optimize these evidence-based practices to transform care paradigms and public health for the growing number of diverse individuals with dementia (Ortiz, 2020). NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Personal and Professional Growth

On a personal level, implementing this complex intervention cultivated my resilience, adaptability, and self-reflection as I navigated unanticipated barriers. The multifaceted nature of addressing Alzheimer’s disease required perseverance yet flexibility when initial plans did not unfold as predicted. I also honed self-awareness of my biases and tendency toward idealistic thinking that served as an essential reminder to ground goals in humility. My communication and emotional intelligence grew significantly through sensitive collaboration with diverse stakeholders. Most importantly, this project instilled a passion for advocating for our rapidly growing aging population (Hickman et al., 2022).

Professionally, my competencies expanded enormously, especially regarding evidence-based care, policy awareness, systems thinking, and leadership capabilities. I strengthened my skills in literature critique, data synthesis, practice change management, and outcome evaluation. My writing and presentation abilities grew, integrating scholarly work. Navigating complex regulations, standards, and ethical dilemmas prepared me for expert nursing practice. I am now more empowered to implement patient-centered, innovative solutions while dynamically shaping policy advancement. Overall, this project ignited my commitment to harness nursing’s immense potential to transform care paradigms and health outcomes through practice and policy leadership. I feel equipped with new knowledge and self-awareness to progress as a nurse leader (Forchuk et al., 2022).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Areas for Growth

Reflecting on my overall performance, this capstone project demonstrated growth in competently leading a complex practice change initiative requiring synthesis of research, technology skills, ethical reasoning, stakeholder engagement, and policy navigation. I strengthened literature evaluation, planning, implementation, and outcome assessment capabilities to prepare me for leadership roles. My communication, emotional intelligence, systems thinking, and advocacy abilities significantly expanded through multifaceted collaboration. I gained self-awareness around personal biases and idealism to approach innovation realistically and empathetically. Most importantly, this project ignited a passion for leveraging nursing’s immense potential through practice excellence and policy reform to enhance experiences and outcomes for our diverse aging population. I am grateful for the opportunity to develop confidence in my vision and voice as a nurse leader amidst an urgent public health issue. This reflective review of my development equips me to progress toward personal and professional lifelong learning goals, evidence-based practice, policy engagement, and unwavering advocacy (Chen, 2021).

Conclusion

In conclusion, this project demonstrates nursing’s pivotal role in implementing innovative, multifaceted solutions that improve care paradigms and health outcomes for patients like Clay living with Alzheimer’s disease. Integrating technology tools, care coordination activities, and community partnerships into a patient-centered intervention, I aimed to enhance Clay’s safety, independence, access, and quality of life amidst cognitive decline. While growth is needed regarding consistent adoption and addressing barriers to optimal utilization, the immense potential of evidence-based technologies and collaborative supports is clear. This ability to synthesize the big picture and individual perspectives empowers nurses to spearhead integrated, just solutions that live up to our highest professional ideals. I am committed to realizing this potential.

References

Aaron, P. L., & Bonni, S. (2021). An evaluation of wearable technological advancement in medical practices. International Journal of Advanced Information and Communication Technology, 8(9), 189–196. https://doi.org/10.46532/ijaict-202108026 

Arthanat, S., Wilcox, J., & LaRoche, D. (2022). Smart home automation technology to support caring of individuals with Alzheimer’s disease and related dementia: An early intervention framework. Disability and Rehabilitation: Assistive Technology, 1–11. https://doi.org/10.1080/17483107.2022.2125088 

Bormans, K. (2021). Compliance‐without‐pressure techniques to enhance the implementation of psychosocial interventions in Alzheimer’s research. Alzheimer’s & Dementia, 17(7). https://doi.org/10.1002/alz.056557 

BrightFocus Foundation. (2019, March 19). Alzheimer’s disease: Facts & figures. BrightFocus Foundation. https://www.brightfocus.org/alzheimers/article/alzheimers-disease-facts-figures 

Centers for Medicare & Medicaid Services. (2020). CMS announces new details of plan to cover new Alzheimer’s drugs | CMS. Www.cms.gov. https://www.cms.gov/newsroom/fact-sheets/cms-announces-new-details-plan-cover-new-alzheimers-drugs 

Chen, J. (2021). Accountable care organizations and preventable hospitalization among patients with Alzheimer’s disease. Alzheimer’s & Dementia, 17(10). https://doi.org/10.1002/alz.052248 

Forchuk, C., Rudnick, A., Corring, D., Lizotte, D. J., Hoch, J. S., Booth, R., Frampton, B., Mann, R. G., & Serrato, J. (2022). A smart technology intervention in the homes of people with mental illness and physical comorbidities. Sensors, 23(1), 406–406. https://doi.org/10.3390/s23010406 

Gilbert, N., & Cousins, J. B. (2022). Examining the process and effects of engaging patients/family in health service evaluation: Results from a one-year prospective study. Canadian Journal of Program Evaluation, 37(1), 43-63. https://doi.org/10.3138/cjpe.69932 

Hickman, S. E., Mitchell, S. L., Hanson, L. C., Tu, W., Stump, T. E., & Unroe, K. T. (2022). The design and conduct of a pragmatic cluster randomized trial of an advanced care planning program for nursing home residents with dementia. Clinical Trials, 19(6), 623–635. https://doi.org/10.1177/17407745221108992 

Lee, D.-C. A., Tirlea, L., & Haines, T. P. (2020). Non-pharmacological interventions to prevent hospital or nursing home admissions among community-dwelling older people with dementia: A systematic review and meta-analysis. Health & Social Care in the Community, 28(5), 1408-1429. https://doi.org/10.1111/hsc.12984 

Loon‐van Gaalen, M., Linden, M. C., Gussekloo, J., & Mast, R. C. (2021). Telephone follow‐up to reduce unplanned hospital returns for older emergency department patients: A randomized trial. Journal of the American Geriatrics Society, 69(11), 3157–3166. https://doi.org/10.1111/jgs.17336 

Ortiz, M. R. (2020). Community change concepts and health policy implications. Nursing Science Quarterly, 34(1), 88–92. https://doi.org/10.1177/0894318420965205 

Petges, N., Sabio, C., & Hickey, K. (2020). An academic and clinical practice partnership model: Collaboration toward baccalaureate preparation of RNs. Journal of Nursing Education, 59(4), 203–209. https://doi.org/10.3928/01484834-20200323-05 

Sun, Y., Hye Min Kim, Xu, Y., Wang, Y., Kwong, J., Kim, S., Do Own Kim, & McLaughlin, M. L. (2021). GPS tracking in dementia caregiving: Social norm, perceived usefulness, and behavioral intent to use technology. Proceedings of the … Annual Hawaii International Conference on System Sciences. https://doi.org/10.24251/hicss.2021.461 

Warner, L., & Tipping, L. (2022). “Can everyday assistive technologies provide meaningful support to persons with dementia and their informal caregivers? Evaluation of collaborative community program.” Journal of Applied Gerontology, 14(9). https://doi.org/10.1177/07334648221101041 

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