NURS4900 - Assessment 5

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Capella University *

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4900

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Nursing

Date

May 24, 2024

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Uploaded by springy7228

Capstone Project – NURS4900 – Assessment 5 Hello, my name is Megan Palombi, and I am here to present to you my reflection on my capstone project and the discussion of interventions with Mr. Doyle. In this capstone project, I chose hypertension and the problem. I interviewed an African American male and his family for this project. The CDC reports that high blood pressure is greater in men than women and more common in non-Hispanic black adults than non-Hispanic white adults. Studies have shown that non-Hispanic Asian adults and Hispanic adults have a low prevalence in reference to other ethnic groups (CDC, 2021). The prevalence of hypertension in African Americans is higher than other groups. I chose a patient with an African American origin, who is 68-years-old because I felt that he was at the most risk and would benefit the most from this project. Providing education on hypertension to individuals in this group is imperative in reducing the mortality and morbidity incidences. This will help improve quality of life, patient’s safety, reducing cost in healthcare, and improve effectiveness. The interventions implemented for Mr. Doyle including oral medications, dietary changes, and lifestyle modifications such as weight management, physical activity, and cessation of cigarette smoking. These interventions were presented to the patient and ensured that the patient was fully involved in the decision-making process of his care. Also, inputs from the family are also important when deciding on strategies. Including technology with the communication and collaboration helps improve effective, safe, quality care. Mr. Doyle accepted all the interventions proposed in his treatment plan to help lower his blood pressure. He has agreed to regular physical activity such as walking, running, or aerobics for about 30 minutes a day. He is currently implemented the DASH diet plan while reducing his sodium intake. He’s also increasing the about of fruits, vegetables, and potassium in his diet. Along with the physical activity and dietary changes, Mr. Doyle will also be managing his stress appropriately, reducing his alcohol intake, and smoking cessation. These interventions will help improve the patient’s quality of life and will help achieve personal health goals. Implementing communication and collaboration between the patient, his family, and healthcare providers has improved patient satisfaction and experience. Using telemedicine provided the patient will obtaining laboratory and diagnostic results more quickly but also allowed for video calling when Mr. Doyle could not make it into the office. This aided in

improving blood pressure control and reducing hospital and office visits. Managing hypertension requires self-determination and regular care. While providing education and instructions, care coordination helps improve patient’s quality of life while reducing medical errors. All the improvements and interventions implemented for Mr. Doyle has improved his satisfaction and enthusiasm for health promotion. The application of technology was applied for this project to aid in advancing communication between the patient and the provider. The success of this capstone project relied on the Mr. Doyle embracing healthy lifestyle modifications, adherence to medications, and the patient using technology to supervise his health status. Telemedicine helps with education on disease also with how to manage the disease. During the implementation stage of this capstone project, I reviewed several healthcare policies that affect the nursing practice in the healthcare industry. These policies include Affordable Care Act (ACA), Health Insurance Portability and Accountability Act (HIPAA), and Nursing Code of Ethics. The Nursing Code of Ethics helps ensure that nurses maintain ethics when practice nursing. HIPAA ensures patient’s safety, privacy, and confidentiality. In researching these policies, I focused on discussing the importance of these policies to the nursing field but also maintaining the patient’s needs and preferences. Hypertension was chosen due to the prevalence of it in the community, along with its high mortality and morbidity. It helped me understand the significance in hypertension among certain ethnic groups. The ultimate goal for this project was to improve Mr. Doyle’s health status by implementing practical interventions to conquer medication adherence and lifestyle modifications. Adopting telemedicine for Mr. Doyle resulted in monitoring of blood pressures at home, along with adopting health promotion traits and having the support of his family. These interventions have been cost effective due to reduces hospital and primary care visits, along with management of hypertension with lifestyle modifications. I would say that my initial predictions were that this project would make a positive impact, but I did not realize the significance that it would be. Mr. Doyle, so far, is positively responding to the DASH diet, physical exercise, smoking cessation, and reduction in alcohol. The capstone project has contributed significantly to my professional and personal development as a nurse. I’ve divided into the ethics of nursing and feel as though I have a newfound understanding of these ethics that I should use daily as a nurse. I’ve also researched

and learned about patient consent, medication errors, embracing interdisciplinary practices, and how to achieve safe, quality care. This research was conducted by exploring peer-reviewed nursing journals, which has increased my knowledge, nursing competencies, and evidence-based practice. Understanding that as a nurse and with thorough research and implementation, I have the ability to change a patient’s health status, has significantly impacted my experience. I have a better understanding of care coordination, research in nursing, and ethical principles in nursing. I have also learned that when healthcare professionals work together as a team, they can improve patient’s quality of care, well-being, health, and safety. Overall, completing my BSN at Capella University was a great experience and I have learned a lot from this program. The instructions provided by the instructor was very clear. I have a lot that I will be taking away from this program and that is all thanks to the instructor’s feedback on my assignments. The BSN overall experience has prepared me to approach team and leadership qualities in an efficient manner. Being able to perform as a team leader is something that I look forward to with my new experience and degree. I feel that this will allow me to provide better quality patient care. It feels great to achieve quality knowledge from a university with such quality, to enhance my knowledge base as a BSN. With this, I can perform quality patient care and take on leadership roles. Ms. Hood, you are a great professor, and it was an honor to learn from you in this course.

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