Patient-Centered Care Report Essay.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply evidence-based practice to plan patient-centered care. ◾Evaluate the outcomes of a population health improvement initiative.Patient-Centered Care Report Essay.

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◾Develop an approach to personalizing patient care that incorporates lessons learned from a population health improvement initiative. Patient-Centered Care Report example.

Competency 2: Apply evidence-based practice to design interventions to improve population health. ◾Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence.

Competency 3: Evaluate outcomes of evidence-based interventions. ◾Propose a framework for evaluating the outcomes of an approach to personalizing patient care and determining what aspects of the approach could be applied to similar situations and patients. Assignment: Patient-Centered Care Report

Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. ◾Justify the value and relevance of evidence used to support an approach to personalizing patient care.Patient-Centered Care Report Essay.

Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. ◾Write clearly and logically, with correct grammar and mechanics.
◾Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Preparation

In this assessment, you will base your Patient-Centered Care Report on the scenario presented in the Evidence-Based Health Evaluation and Application media piece. Some of the writing you completed and exported from the media piece should serve as pre-writing for this assessment and inform the final draft of your report. Even though the media piece presented only one type of care setting, you can extrapolate individualized care decisions, based on population health improvement initiative outcomes, to other settings.Patient-Centered Care Report Essay.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed. Patient-Centered Care Report example Assignment: Patient-Centered Care Report

Writing, Supporting Evidence, and APA Style
◾Write clearly and logically, using correct grammar and mechanics.
◾Integrate relevant evidence from 3–5 current scholarly or professional sources to support your evaluation, recommendations, and plans. •Apply correct APA formatting to all in-text citations and references.
•Attach a reference list to your report.Patient-Centered Care Report Essay.

Report Content

Address the following points in a 4–6 page Patient-Centered Care Report example:
◾Evaluate the expected outcomes of the population health improvement initiative that were, and were not, achieved. •Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
•Describe the outcomes that were not achieved, the extent to which they fell short of expectations, and any variance across demographic groups.
•Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls.Patient-Centered Care Report Essay.

◾Propose a strategy for improving the outcomes of the population health improvement initiative, or ensuring that all outcomes are being addressed, based on the best available evidence. •Describe the corrective measures you would take to address the factors that may have contributed to achievement shortfalls.
•Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
•Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted

◾Develop an approach to personalizing patient care that incorporates lessons learned from the population health improvement initiative outcomes. •Explain how the outcomes and lessons learned informed the decisions you made in your approach for personalizing care for the patient with a health condition related to the population health concern addressed in the improvement initiative. Patient-Centered Care Report example.Patient-Centered Care Report Essay.
•Ensure that your approach to personalizing care for the individual patient addresses the patient’s: •Individual health needs.
•Economic and environmental realities.
•Culture and family.

•Incorporate the best available evidence (from both the population health improvement initiative and other relevant sources) to inform your approach and actions you intend to take.

◾Justify the value and relevance of evidence you used to support your approach to personalizing care for your patient. •Explain why your evidence is valuable and relevant to your patient’s case.
•Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.Patient-Centered Care Report Essay.

◾Propose a framework for evaluating the outcomes of your approach to personalizing patient care. •Ensure that your framework includes measurable criteria that are relevant to your desired outcomes.
•Explain why the criteria are appropriate and useful measures of success.
•Identify the specific aspects of your approach that are most likely to be transferable to other individual cases.Patient-Centered Care Report Essay.

Evidence–Based Health Evaluation and Application

Introduction

Public health improvement initiatives (PHII) provide invaluable data for patient–centered care, but their research is often conducted in a context different from the needs of any individual patient. Providers must make a conscious effort to apply their findings to specific patients’ care.

In this activity, you will learn about a PHII, and explore its application to a particular patient’s care plan.Patient-Centered Care Report Essay.

Patient Assignment

Overview

You continue in your role as a nurse at the Uptown Wellness Clinic. You receive an email from the charge nurse, Janie Poole. Click the button to read it. Patient-Centered Care Report example.

Patient Profiles

From: Janie Poole4/21/2019

To: Student

Good morning!

At last week’s conference I spoke with Alicia Balewa, Director of Safe Headspace. They’re a relatively new nonprofit working on improving outcomes for TBI patients, and I immediately thought of Mr. Nowak. At his last biannual cholesterol screening he mentioned having trouble with his balance. This may be related to his hypertension, but he believes it’s related to the time he was hospitalized many years ago after falling out of a tree, and expressed distress that this might be the beginning of a rapid decline.Patient-Centered Care Report Essay.

Ms. Balewa will be on premises next week, and I’d like to set aside some time for you to talk. Assignment: Patient-Centered Care Report

— Janie

Overview

Interview Alicia Balewa to find out more about a public health improvement initiative that might apply to Mr. Nowak’s care.

Alicia Balewa
Director of Safe Headspace

Interview:

I have a patient who might benefit from some of the interventions for TBI and PTSD you recently studied. What populations did your public health improvement initiative study?Patient-Centered Care Report Essay.

My father came home from Vietnam with a kaleidoscope of mental health problems. That was the 1970s, when treatment options for things like PTSD, TBI, and even depression were very different. Since then there has been a lot of investment in treatment and recovery for combat veterans. That’s excellent news for veterans in treatment now, but they’re not looking at my dad, and how his TBI and PTSD have affected him through mid–life and now as a senior. That’s why I started Safe Headspace: to focus on older patients who are years or decades past their trauma, and find ways to help them. Patient-Centered Care Report example.

Which treatments showed the strongest improvement?

Exercise. We were able to persuade about half of our participants — that’s around 400 people, mostly men ages 45–80 — to follow the CDC’s recommendations for moderate aerobic exercise. Almost everyone showed improvement in mood, memory, and muscle control after four weeks. After that a lot of participants dropped out, which is disappointing. But of the 75 who stuck with it for another three months, muscle control improved 15%, mood improved 22%, and short–to–medium term memory improved 61%. We didn’t specify what kind of exercise, but we did ask them to record what they did every week, so that data is available. Assignment: Patient-Centered Care Report

Second was medication and therapy. Most of our participants didn’t receive any kind of psychotherapy in the years immediately following their trauma, so we had everyone assessed by a team of psychotherapists. As a result of those assessments, 40% of participants started on anti–depressant medication and 9% started taking anti–psychotics. Those who started taking medications now have regular contact with a therapist to manage that care. With some help at home to stick to the regimen, all but a few have successfully followed their treatment plans. They’ve reported a 26% improvement in mood over six months, and a 6% improvement in memory. Patient-Centered Care Report example.Patient-Centered Care Report Essay.

The third treatment I want to mention is meditation. We only had a small group interested in trying it, but the results were dramatic. We prescribed daily meditation at home, just 10 to 15 minutes, with a weekly hour–long guided group meditation for all 23 participants. After three weeks we lost two to disinterest, but the other 21 showed improvements of over 70% in mood and memory, and 32% in muscle control.

Have you tried anything that hasn’t worked?

Sure. There are memory exercises for patients in elderly care, and things like Sudoku and crossword puzzles. We didn’t see any gains with those. Some of our participants preferred strength training to aerobic exercise, and the only improvement we saw in that group was in muscle control, but only 4%, which is significantly less than the aerobic group.Patient-Centered Care Report Essay.

I should also say that we were working with a willing group of participants. They knew they needed help, and were motivated to get it. One of the hurdles we see with veterans, especially in older generations, is an unwillingness to acknowledge that they have a problem. We haven’t had to wrestle with that because everyone who volunteers to participate wants to be there.Patient-Centered Care Report Essay.

Your organization is intervening with people who have TBI and PTSD simultaneously. We have a patient with moderate TBI suffered almost 40 years ago, but no history of PTSD. Have you separated your population and studied each separately? Assignment: Patient-Centered Care Report

What were the outcomes of the PHII? .

 How could they have been improved? .

 How do the results of the PHII relate to Mr. Nowak’s case?

Conclusion:

As you’ve seen, a PHII can apply to a patient under your care. But it’s not always a perfect fit, and it’s important to think carefully about how your patient’s condition, symptoms, background, and experience compare to that of participants in a PHII.Patient-Centered Care Report Essay.

You may find it helpful to download the responses you made in this activity. Assignment: Patient-Centered Care Report.

[Title Here, up to 12 Words, on One to Two Lines]

Learner’s Name

Capella University

Evidence-Based Practice for Patient-Centered Care and Population Health

Patient-Centered Care Report

Patient-Centered Care Report

Traumatic brain injury or TBI is a condition that results from events causing trauma to the brain (Hammer & McPhee, 2018). The effects could be diverse and include mental health problems which fall under the category of organic brain syndromes. For patients with TBI, there is need for them to receive help by way of structured population health improvement initiatives (PHII). This paper is concerned with one such population health improvement initiative and its outcomes.Patient-Centered Care Report Essay.

Outcomes: Achieved and Not Achieved

Patients with TBI require a multifaceted approach in order for them to regain functionality and be able to perform their daily tasks. These include activities of daily living. TBI occurs when a person gets to suffer physical injury that affects their brain. These could range from a fall to road accidents. What happens is that, depending on the extent of the injury, the person who is injured suffers from differing degrees of cognitive deficits and behavioral deficiencies that affect their functioning. There may be memory loss such that the person experiences difficulty in recalling events that either occurred recently (anterograde amnesia) or a long time ago (retrograde amnesia). Studies have shown that three interventions appear to be effective in benefiting persons with TBI. These are exercise, medications, and meditation.Patient-Centered Care Report Essay.

Exercise in all its forms is beneficial to persons who have suffered TBI (Lal et al., 2017). There are two main types of exercise, namely aerobic exercise and resistance training. Aerobic exercise incorporates isotonic exercise which basically means walking. Aerobic exercise is beneficial in improving blood flow to the brain and strengthening the heart muscle. Then there is resistance training which involves training for strength. The most common form of resistance training is weight lifting. In all, exercise helps the body heal itself without outside intervention in the form of other chemical therapies. By improving blood flow to the brain, the healing process is encouraged and the person gets their neurologic circuitry back to proper functionality through repeated episodes of exercising.Patient-Centered Care Report Essay.

The other intervention in traumatic brain injury (TBI) is the use of medications for the accompanying cognitive impairment. Some of the most effective medications in this are dopaminergic drugs that influence the neurotransmission of dopamine (Jenkins et al., 2019). Evidence-based practice (EBP) shows that drug treatment of TBI should be regarded as an adjunct to nonpharmacologic measures such as exercise (discussed above) and diet. Some of the medications used and proven to be efficacious include methylphenidate (which increases cerebral levels of dopamine and noradrenaline), bromocriptine (which reduces dopaminergic release), and amantadine (which improves dopaminergic neurotransmission (Wortzel & Arciniegas, 2012). Lastly, meditation has also been shown to positively affect healing in TBI.Patient-Centered Care Report Essay.

In this case, the outcomes that were achieved with the above interventions were a return to proper cognitive functioning and restoration of some memory. However, the restoration of speech was not fully achieved. The positive effects of the achieved outcomes on community health included improved family bonding and social cohesiveness. Younger persons were seen to be more likely to recover more cognitive functions than older subjects. The extent to which the factors that were not achieved fell short of expectations was not great, community and resource factors that may have contributed to achievement shortfalls included stigma and lack of sufficient financial resources to cover treatment and rehabilitation, despite healthcare coverage.Patient-Centered Care Report Essay.

Strategy for Improving Outcomes

One of the strategies for improving the outcomes that were not achieved would be community sensitization and education about the consequences of TBI and their effect on a person and the community. The other measure would be to harness the support of faith-based organizations and nongovernmental charitable organizations that can help with resources in the form of medications and manpower. There is evidence f success from these kinds of measures in the developed as well as developing world. The evidence illustrates the likelihood of success if the above measures are implemented in the sense that educating the community changes perceptions. When perceptions are changed, behavior also changes. This is the most important driving force to enabling communities take care of their members who have suffered TBI and have cognitive impairments.Patient-Centered Care Report Essay.

The approach to personalizing care that incorporates the lessons learnt from the population health improvement initiatives (PHIIs) above would entail coming up with an individualized timetable for exercise therapy for the patient, taking the person affected through several sessions of health education to enable them internalize the details of a suitable diet as well as the importance of compliance to treatment and medications. Because not all persons affected are able to afford all the care needs for the interventions, it will be within the responsibilities of the healthcare worker to advise the affected to use the available resources and get the maximum benefit out of them. Specifically, the patient and their family will be advised to take advantage of the nonpharmacologic measures which do not require a lot of monetary resources to implement.Patient-Centered Care Report Essay. This includes diet and exercise. Luckily, these are the first line measures that are effective in achieving the desired patient outcomes. As has been seen above, medications only serve as adjuvant therapy. This evidence is demonstrated by the work of Wortzel and Arciniegas (2012). The evidence is valuable and relevant to the patients’ cases because it enables the planning of resources that are needed to effect the interventions and achieve the desired outcomes. Most importantly, the evidence is useful in educating the community that interventions for TBI need not necessarily be expensive in order to achieve desirable outcomes. They need to know that simple measures such as exercise and dietary discretion are enough to bring about the outcomes that are required and envisaged. The evidence is appropriate for the issue (TBI) as well as the family situation of the patients who are being assisted to regain functionality. This is because the evidence outlines cost-effective measures that are also evidence-based in terms of efficacy and reliability to bring about desired outcomes.Patient-Centered Care Report Essay.

Criteria for Evaluating Outcomes

The criteria for evaluating outcomes would include memory recovery measurement (taken as the number of events that the patient can remember every week after commencement of therapy), the number of words pronounced correctly with each day of therapy, and the number of personal tasks (activities of daily living) performed without assistance with each successive day of therapy. These criteria are appropriate because they are fashioned from the outcomes that are expected from the PHII taken. All the aspects in the criteria are transferrable to other individuals suffering from the same condition. This is because the measures employed are universally effective, from the research and evidence that is available.Patient-Centered Care Report Essay.