NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Intervention Presentation and Capstone Video Reflection

In the video reflection, I will concentrate on the consequences of the evidence-based approach to diabetes that I undertook in my capstone project. I intend to propose the intervention of telehealth which assists in the treatment of diabetic patients. 

Contribution of an Intervention

The treatment of diabetes through telemedicine contributed a lot to patient satisfaction and improved the quality of life of diabetes patients by offering innovative digital options. Michael Calica has reached the age of sixty but has not moved out of the family house. Michael Calica continues to live there with the rest of his relatives. He stands at an impressive 5 feet tall and weighs 162 pounds. Michael was diagnosed with prediabetic status in 2018 because his a1c levels had been abnormal for more than three visits. In 2020, Michael was diagnosed with diabetes even though he had made efforts to enhance his health by increasing the number of times he participated in physical activity and the number of times he ate meals rich in nutrients. 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

The emphasis of the physical examination must be on the skin and extremities, particularly the feet. Therefore, at least yearly in-person appointments are required to tell diabetes patients to undergo comprehensive foot inspections and sensory screens and to rectify concerns identified through past telemedicine consultations.

Telemedicine improves a patient’s health via the digital transmission of medical data and is divided into multiple areas. In synchronous telemedicine, virtual treatment is administered in real-time. Asynchronous telemedicine includes the collection of medical data for transmission and evaluation at a later time. Finally, distant supervision is the ongoing collection of health data from the patient. Michael gave feedback on the implementation of telehealth by stating that telemedicine services for his diabetes control may be cost-effective. Moreover, Teleretinal testing enables the virtual examination of retinal photographs collected at the primary care office to expedite the yearly testing process. In my position as a nurse practitioner, my strategy for combating the prevalence of diabetes will include encouraging patients to make behavioral adjustments to their daily routines. I plan to use the instrument of lifestyle modification as a means of assisting diabetic patients in finding solutions to the challenges they face as a result of their condition. Modifications to a diabetic patient’s way of lifestyle will enhance the quality of treatment they get because, if they have a much more regimented schedule, they would be preferably prepared to keep blood sugar levels under control.

Evidence and Peer-Reviewed Literature

Using telehealth to do diabetes self-management chores like monitoring and tracking blood sugar may be beneficial, claim Rattelman et al. (2021). For instance, the Community Preventive Services Task Force (CPSTF) promotes the implementation of mobile phone applications in healthcare institutions for diabetic self-management (Chatterjee et al., 2018). In addition, these treatments can enhance communication (Tabak et al., 2018).

Mobile applications allow patients to input information and receive automated or custom answers from healthcare professionals. Numerous remote areas depend on medical collaborations to provide telehealth services. Seeking cooperation options may aid in overcoming implementation costs for telehealth services. When it comes to addressing the diabetes issue faced by patients, I intend to apply transformational leadership as is the leadership position that offers the greatest benefits. At each level of the healthcare sector, there is leadership who originate from a range of professional and personal experiences. Due to the fact that the National Health Service (NHS) is currently facing some of the most challenging issues, it has ever encountered in its entire existence, diabetes procedure commissioners and providers are looking for leadership that is capable of utilizing the collective comprehension of organizations and motivating individuals to collaborate differently beyond the confines of facility and obstacles.

Project Planning and Implementation

The implementation of my plan for the telehealth service may assist in expanding the offerings provided to patients (Gregg et al., 2018). It is, therefore, crucial to guarantee patient satisfaction with technology while utilizing telehealth. The implementation also involves engaging relatives, colleagues, or providers, which is one strategy for assisting less confident patients with telehealth technology. In particular, programs must inform patients of telemedicine’s benefits and ensure that telehealth services match their diabetes care requirements (Marks et al., 2021).

Leveraged Healthcare Technology in a Capstone Project

For my implementation plan, if complementary telehealth sessions are successfully implemented, it may enhance glucose control in individuals with untreated diabetes; such technology advancements may also be cost-effective by minimizing the short- and long-term consequences of diabetes. In addition, self-management of diabetes is a complex procedure essential to the health of persons with this persistent condition (An et al., 2019).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

A patient-centered telehealth initiative can lessen socioeconomic gaps by meeting the requirements of disadvantaged communities. This objective needs a concentrated emphasis on marginalized people’s health habits and procedures.  Technological advancements have enabled the development of effective and appropriate telehealth programs for diabetes self-management education and support (DSMES) for patients and physicians (Chou & Chuang, 2020).

Telehealth uses digital data and communications technology to facilitate and enhance long medical treatment and patient awareness. When implementing a telemedicine program, the nursing profession must identify the requirements of the patients (Genco & Borgnakke, 2020). In addition, with a knowledge of the health habits and practices of low-socioeconomic status groups, telehealth initiatives might provide answers for reducing disparities in diabetes treatment by boosting accessibility and awareness (Lee & Lee, 2018)

Health Policy Influence

I intend to apply the policy of Diabetes Self-Management Education (DSME) as the policy developments impacted the planning and implementation of my capstone project to enhance the results of patient communication: Diabetes Self-Management Education (DSME) is an essential part of treatment for people who have diabetes or are at risk of catching it. It is necessary to protect against or lessen the effects of diabetes. As part of efforts to prevent disease, prediabetic people need to change their lifestyle (Cassiani & Lira Neto, 2018). The goal of the National Standards for Diabetes Self-Management Instruction is to support diabetes instructors by giving evidence-based knowledge, support, advice, and help with DSME and care.

The American Diabetes Association (ADA), is also called the “Standards of Care.” They are intended to offer doctors, specialists, decision-makers, and numerous people involved with diabetes care data regarding the components of treatment, the right goals for rehabilitation, and ways to measure the effectiveness of care (Marc et al., 2018). The Specifications of Treatment recommendations must be utilized as a part of good clinical treatment, with adjustments for each patient’s specific needs, preferences, and other factors. 

Outcomes of the Project

The outcomes of my capstone project were consistent with the initial predictions, which stated that there would indeed be an increase in the likelihood that patients would adhere to the recommended telehealth treatment for diabetes. When a patient is required to consult an institution through telehealth personally, is not only the patient’s healthcare improved, but also medication management and the assistance of nursing care are improved. In the practicum hours spent with the volunteer on diabetes, I learned that Michael Calica believes using mobile health technology has made such advancements feasible. He said he can now maintain control of his medication updates and dosages and obtain advice from a healthcare specialist that may aid them with the medical routine by using internet portals and smartphone apps to manage their healthcare.

Professional Growth

My personal and professional skills have improved because of this program’s support. The continuing effort intends to strengthen the many diabetes screening methods now available due to telehealth. Furthermore, rapid innovations in visualizing technology have opened up additional testing possibilities and improved the accuracy of earlier identification of diabetes. The project demonstrated the contribution and significance that nurses perform in the healthcare industry framework and that even a modest error might entail significant implications. This was an important takeaway for participants. Consequently, nurses must focus on every aspect of care and management and cultivate intimate interaction with the patients to increase the degree of happiness and contentment that patients experience.

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Conclusion

The treatment of diabetes may benefit from telehealth. Initiatives for telemedicine diabetes control may be economical. Telehealth may also be useful for diabetes self-management chores like monitoring and analyzing blood sugar. To self-manage type 2 diabetes, the Community Preventive Services Task Force (CPSTF) advises adopting smartphones in healthcare institutions. Diabetes self-instruction is a crucial component of treatment for all people with diabetes and those with the potential to develop the illness

References 

Anyanwu, A., Qavi, A., Alturkistani, P. E., Greenfield, G., Greaves, F., & Costelloe, C. (2020). Patient portal functionalities and patient outcomes among patients with diabetes: a systematic review. Journal of Medical Internet Research22(9), e18976.

https://doi.org/10.2196/18976

Connelly, K. K., Bush, R. A., & Marsh, C. D. (2020). Exploring perceptions and use of the patient portal by young adults with type 1 diabetes: A qualitative study. Health Informatics Journal26(4), 2586–2596.

https://doi.org/10.1177/1460458220911780

Knoerl, W., Hackstadt, A. J., Hickson, G. B., John, T., Rosenbloom, S. T., Wallston, K. A., & Elasy, T. A. (2021). The My Diabetes care patient portal intervention: usability and pre-post assessment. Applied Clinical Informatics12(3), 539–550.

https://doi.org/10.1055/s-0041-1730324

Mayo A. M. (2017). Time to define the DNP capstone project. Clinical Nurse Specialist CNS31(2), 63–65.

https://doi.org/10.1097/NUR.0000000000000287

Metzendorf, B., Gimenez-Perez, G., Mauricio, D., Roqué I Figuls, M., Hemmingsen, M. I., & Richter, B. (2017). Diet, physical activity or both for prevention or delay of type 2 diabetes mellitus and its associated complications in people at increased risk of developing type 2 diabetes mellitus. The Cochrane Database of Systematic Reviews12(12), CD003054.

https://doi.org/10.1002/14651858.CD003054.pub4

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