Did you implement the intervention as planned? If not, what were the reasons?

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Week 10 project

Evaluation of Plan Effectiveness Criteria

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned to implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It is time now for you to present your final submission of this Capstone project.

There are two parts to this assignment.

Part 1: A 10-15 slide power point presentation addressing the following:

  • A detailed description of the aggregate including strengths and weaknesses
  • A risk assessment of the aggregate
  • Diagnoses based on the risk assessment
  • A detailed care plan for the aggregate
  • A description of at least one intervention that was implemented (or the implementation itself if presented as a power point)

Part 2: In a Microsoft Word document of 3-4 pages formatted in APA style, you will describe the evaluation process of the intervention(s) you implemented.

Include the following in your paper:

An evaluation of the effectiveness of the intervention:

  • Did you implement the intervention as planned? If not, what were the reasons?
  • Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
    • Include transcripts of the interviews with the participants from the group in the appendix of your paper.
  • Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
    • Are there visible signs of success (for example, reduced health issues)? If yes, describe. If no, describe what signs you would anticipate and rationale for no change.
  • You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.

Conclusion

  • Cited at least two scholarly references

On a separate references page, cite all sources using APA format.

What physiological factors might contribute to Mr. Basset’s weight loss? What psychosocial factors might contribute to Mr. Basset’s weight loss? Give one likely explanation why Mr. Basset’s dentures do not fit.

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Case study

You are asked to see Mr. Basset, who is 80 years old and has recently lost his wife. His children do not live nearby, but Mr. Basset sees them on holidays. Mr. Basset has had an unexplained weight loss of 20 pounds in 3 months. He is taking medication for hypertension and arthritis.
Mr. Basset reports that his wife did most of the cooking and he has limited cooking skills. He usually has cereal with milk and coffee for breakfast and soup for a second meal later in the day. He eats crackers throughout the day if he is hungry. In addition, Mr. Basset has ill-fitting dentures and claims that food just does not taste the same. He is also on a limited budget. More than anything, however, Mr. Basset is lonely.

Discussion Questions

a. What physiological factors might contribute to Mr. Basset’s weight loss?

b. What psychosocial factors might contribute to Mr. Basset’s weight loss?

c. Give one likely explanation why Mr. Basset’s dentures do not fit.

d. What community resources might be used to improve Mr. Basset’s nutritional status?

e. Compare the risk factors described in Mr. Basset’s case with the “Determine Your Nutritional Health” checklist from the Nutrition Screening Initiative

f. Come up with a nursing diagnosis and care plan with goal and at least three interventions to follow Mr. Basset. Nurselabs.com is an excellent resource.

g. SBAR a concern to Mr. Basset’s PCP relevant to Mr. Bassett’s status.

For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency. Propose how you plan to engage in social change in your community as a nurse practitioner. Describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved.

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NATIONAL ORGANIZATION OF NURSE PRACTITIONER FACULTIES (NONPF) COMPETENCIES

The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.

The nine areas of competency are:

  • Scientific Foundations
  • Leadership
  • Quality
  • Practice Inquiry
  • Technology and Information Literacy
  • Policy
  • Health Delivery System
  • Ethics

Independent Practice For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples.

Respond to discussion below using current APA edition and 2 scholarly (academic) references within 5 years or less.

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Response 3

Respond to discussion below using current APA edition and 2 scholarly (academic) references within 5 years or less. Must be at least 150 words.

The Concept of Personhood

The concept of personhood is at the core of the nursing as caring theory. This theory was developed by Jean Watson in the 1970s and has since gained widespread recognition in the nursing profession. Watson’s theory emphasizes the importance of treating each patient as a unique individual with their own experiences, emotions, and needs. It is based on the premise that caring can promote healing and enhance the overall well-being of patients. Central to the nursing as caring theory is the idea that the nurse-patient relationship is a partnership built on mutual respect, trust, and empathy (Eklund et al., 2019). As nurses strive to provide high-quality care to their patients, understanding and embracing the concept of personhood is critical to delivering care that is both compassionate and effective.

The nursing as caring theory is an approach to nursing that places an emphasis on relationships and the inter connectivity of all beings. One key concept in this theory is personhood, which refers to the unique qualities and characteristics that make each individual who they are. Personhood is integral to the nursing as caring theory because it emphasizes the importance of treating each patient as a whole person, rather than just a set of symptoms or conditions. This view acknowledges the complexity of human beings and the many factors that contribute to overall health and wellbeing.

One aspect of personhood that is particularly important in the nursing as caring theory is the idea of connectedness. A central tenet of this theory is that all living things are connected and interdependent, and that human beings are part of a larger ecosystem. Thus, healthcare providers must take into account the physical, emotional, social, and spiritual needs of patients in order to provide the most effective care (Langberg et al., 2019). Consequently, nurses can help patients to understand the impact that their lifestyle choices have on their health, and provide guidance on ways to make positive changes.

The caring theory addresses the concept of personhood through the idea of presence. Presence refers to the ability of the healthcare provider to be fully engaged with the patient both physically and emotionally. This means being fully present in the moment, attentive to the patient’s needs and concerns, and willing to listen and respond to their questions and feedback. This deep level of engagement is essential in building trust and rapport with patients, and can have a positive impact on their overall wellbeing.

The element of spirituality in healthcare cannot be underestimated. This can include religious beliefs and practices, as well as other forms of spiritual expression. By taking a holistic approach to healthcare, nurses can help patients to explore their spirituality and use this as a means of coping with illness and other challenges (Wei et al., 2019). The approach can help patients to find meaning and purpose in their lives, which can be an important factor in overall health and wellbeing. Healthcare providers must take a proactive approach to learning about the needs and preferences of individual patients. This can involve asking open-ended questions, actively listening to feedback, and working collaboratively with patients to develop treatment plans that take into account their unique needs and circumstances.

In conclusion, the nursing as caring theory places a strong emphasis on the concept of personhood, recognizing the unique qualities and characteristics that make each individual who they are. By taking a holistic approach to healthcare and recognizing the interconnectedness of all living things, nurses can provide more effective care and help patients to achieve better health outcomes. To effectively incorporate the concept of personhood into their nursing practice, healthcare providers must take a proactive approach to learning about and understanding the needs and preferences of individual patients, and work collaboratively with them to develop treatment plans that address their unique needs and circumstances.

Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

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Prescribing for older adult and pregnant women

Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5-TR to use.

Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one non pharmacological intervention for treating the disorder in that population.

Recommend one FDA-approved drug, one off-label drug, and one non pharmacological intervention for treating your chosen disorder in older adults or pregnant women. (Depression in pregnancy)

Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a non pharmacological intervention for the disorder.

Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy-making. Why it is important for registered nurses to influence the regulatory process? Does the nurse’s education have an influence on their ability to make an impact?

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Policy Discussion Post

1-2 paragraphs for each part. Include references

PART1– Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy-making. Why it is important for registered nurses to influence the regulatory process? Does the nurse’s education have an influence on their ability to make an impact?

Resources Part 1-

PART2- Reflect on what you have learned in this course. What were your major takeaways? Surprises? How will you apply what you have learned to your career?

Resource to answer part 2 – Below (Description of the material spoken in class)

Week Topic Objectives Activities & Assignments
1 An introduction to health care in America. Understanding the business side of Health Care. Action, Policy and Politics Describe the size and scope of the health care industry in the United States

Summarize the major components of the health care industry and the role that government plays in this industry

Describe health care policy, and the policy process

Review the history of policy, politics, and nursing

 Reading:

  • Chapter 1 (Austin)
  • Chapters 1, 2, 3, 4 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • Public Policy Meeting Topic Approval- Post in the Discussion Board
  • Respond and participate in the weekly discussion boards.
2 The payment process: who is covered, interacting with third-party party payers. Understand basic insurance terms. Policy, Politics and Advocacy in Health Care The role of nurses, demographics, career ladder, certification vs. license, and the job outlook. Describe the role and characteristics of the different types of health care providers.

Compare and contrast the major issues facing the different types of health care providers.

Discuss the roles and functions of hospital administrators and the laws affecting hospital administration.

Describe legal issues facing primary care providers.

Review political analysis and strategies nurses can use to influence health policy issues.

Examine the United States health care system from a variety of aspects.

Review several ethical approaches for resolving health care issues.

 Reading:

  • Chapters 5, 6 (Austin)
  • Chapters 9, 14, 15 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • View/Attend Public Policy Meeting
  • Position Paper
  • Respond and participate in the weekly discussion boards.
3 The U.S. Health Care System, financing health care and a national health system Describe how health care services are paid for in the United States.

Identify legal forms of business ownership and key business functions.

Identify who is and who is not insured and how much is spent for coverage.

Review financing of health care in the United States and investigate if a national health system could work in the United States.

Discuss the problem of the uninsured and underinsured in the United States and approaches to address health disparities.

Compare and contrast the other federal health insurance programs, such as SCHIP and those for government and military personnel.

 Reading:

  • Chapter 2 (Austin)
  • Chapters 16, 18, 19, 20, 23 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • Public Policy Meeting Summary Paper
  • Respond and participate in the weekly discussion boards.
  • This week, your instructor will assign your Ethical Issue Debate topic and viewpoint stance.
4 The Government’s role in health care. The uninsured and underinsured in the U.S. Describe the interaction between the patient, the third-party payer, the employer, and the health care provider, and how third-party payers are regulated.

Identify the major components and reimbursement processes of the Medicare and Medicaid programs.

Explore the rural health care environment.

Explain the various ways LTC is provided and financed.

Review some of the ethical and political issues in LTC.

Explain Social Security policy formulation and Social Security policy enactment.

 Reading:

  • Chapters 3, 4 (Austin)
  • Chapters 18, 25, 38, 61 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • Respond and participate in the weekly discussion boards.
5 The Government’s role in health care. Health care research and technology. Health care research and prevention. Identify the major goals of health care research.

Explain the issues involved in the use of technology to enhance the quality of health care.

Examine the policy issues of quality and safety in health care.

 Reading:

  • Chapters 11, 12 (Austin)
  • Chapters 26, 58, 71 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • Ethical Issues Debate -Post your video in the discussion board.
  • Respond and participate in the weekly discussion boards.
6 Nurse managed health centers. Community health centers. Social Security in the United States. Quality and safety in health care. The nursing workforce. Nursing Education Policy. Advanced practice nurses. Summarize the different forms for the delivery of primary care.

Discuss secondary care and compare the different types of hospitals.

Review community health centers, what services they provide, their history, and their future.

Discuss nurse-managed health centers and the National Nursing centers Consortium.

 Reading:

  • Chapters 7, 8, 9 (Austin)
  • Chapters 33, 34 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • Ethical Issues Debate Rebuttals
  • Respond and participate in the weekly discussion boards.
7 Nurse managed health centers. Community health centers. Social Security in the United States. Quality and safety in health care. The nursing workforce. Define the concept of public health.

Explain the role of government in public health and key public health functions.

Explain the role of the government in disease prevention.

Review the goals of Healthy People 2020.

Discuss the supply of nurses in the United States, the different categories of nurses, and the forecasted demand for nurses in the future.

Explain the issues of educational entry level into nursing practice. Review the issues and debates surrounding advanced practice nurses.

 Reading:

  • Chapters 10 (Austin)
  • Chapters 60, 66, 70 (Mason, Gardner, Outlaw, and O’Grady)

Assignments:

  • Ethical Issues Debate with peer response rebuttals
  • Respond and participate in the weekly discussion boards.
  • Review of a Bill Paper
8 Nursing and government. Discuss how nurses can support improvements in policies affecting health.

Analyze the nurse’s role in influencing health care policy issues.

 Reading:

  • Chapters 40, 41, 42, 43, 48 (Mason, Gardner, Outlaw, and O’Grady)
  • Supplemental readings

Assignments:

  • Respond and participate in the weekly discussion boards.

Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?

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Briefly explain the Neurobiological basis for PTSD illness.

Succinctly, in 1–2 pages, address the following:

  • Briefly explain the neurobiological basis for PTSD illness.
  • Discuss the DSM-5-TR diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?
  • Discuss one other psychotherapy treatment option for the client in this case study. Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.

*****Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.*****

  • View the media Presentation Example: Posttraumatic Stress Disorder (PTSD) and assess the client in the case study.

Write an essay exposing your reasons to agree or disagree with the Healthy People 2020 Agenda.

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Healthy People 2020 Agenda

Write an essay exposing your reasons to agree or disagree with the Healthy People 2020 Agenda.

In a PowerPoint presentation, identify the specific preventive health needs of different type of population (elderly, infants, pregnancy, lower income family, among others).

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DISCUSSION ESSAY

In a PowerPoint presentation, identify the specific preventive health needs of different type of population (elderly, infants, pregnancy, lower income family, among others).

Choose 2 community-related Nursing Theories, and in a PowerPoint presentation, describe a brief overview of them, and describe the contribution of each of them to the care of the community.

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PowerPoint presentation

Choose 2 community-related Nursing Theories, and in a PowerPoint presentation, describe a brief overview of them, and describe the contribution of each of them to the care of the community.