Course Code NRS-493 Class Code NRS-493-O503 Criteria Content Percentage 80.0% Revisions Incorporated as Directed by Instructor 5.0% Background 5.0% Clinical Problem Statement 5.0% Purpose of Change Proposal 5.0% PICOT Question 5.0% Literature Search 5.0% Evaluation of Literature 5.0% Change or Nursing Theory 5.0% Implementation Plan and Outcome Measures 10.0% Use of Evidence-Based Practice in Intervention Plan 10.0% Plan for Evaluating Proposed Nursing Intervention 10.0% Potential Barriers and Plan to Overcome Barriers 10.0% Organization and Effectiveness 15.0% Thesis Development and Purpose 5.0% Argument Logic and Construction 5.0% Criteria 3Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Format 5.0% Paper Format (use of appropriate style for the major and assignment) 2.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Total Weightage 100% Assignment Title Benchmark - Capstone Project Change Proposal 1: Unsatisfactory (0.00%) Revision is omitted. Background of clinical problem omitted. Clinical problem statement omitted. Purpose of the change proposal in relation to providing patient care in the changing health care system is omitted. PICOT questions is omitted. Literature search strategy employed omitted. Evaluation of literature omitted. Change or nursing theory omitted. Implementation plan and outcome measures are omitted. Use of evidence-based practice in intervention plan omitted. Plan for evaluating proposed nursing intervention omitted. Potential barriers and plan to overcome barriers are omitted. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately or documentation format is rarely followed correctly. Sources are not documented. Total Points 200.0 2: Less Than Satisfactory (75.00%) Revision is incomplete. Many aspects are still incomplete, inaccurate, or unclear. Background of clinical problem is incomplete. Clinical problem statement is incomplete. Purpose of the change proposal in relation to providing patient care in the changing health care system is incomplete. Topic is presented but criteria is incomplete. Topic is presented but criteria is incomplete. Evaluation of literature is incomplete. Change or nursing theory is incomplete. Implementation plan and outcome measures are presented is incomplete. Use of evidence-based practice in intervention plan is incomplete. Plan for evaluating proposed nursing intervention is incomplete. Potential barriers and plan to overcome barriers are incomplete. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 3: Satisfactory (79.00%) Most key aspects were revised. Some aspects are still vague or contain minor inaccuracies. Background of clinical problem are summarized. There are minor omissions or inaccuracies. Some support or information is needed. Clinical problem statement is summarized. There are minor omissions or inaccuracies. Some support or information is needed. Purpose of the change proposal in relation to providing patient care in the changing health care system is summarized. There are minor omissions or inaccuracies. Some support or information is needed. Topic and most criteria are presented. There are minor omissions or inaccuracies. Some support or information is needed. Topic and most criteria are presented. There are minor omissions or inaccuracies. Some support or information is needed. Evaluation of literature is summarized. There are minor omissions or inaccuracies. Some support or information is needed. Change or nursing theory is summarized. There are minor omissions or inaccuracies. Some support or information is needed. Implementation plan and outcome measures are summarized. There are minor omissions or inaccuracies. Some support or information is needed. Use of evidence-based practice in intervention plan is summarized. There are minor omissions or inaccuracies. Some support or information is needed. Plan for evaluating proposed nursing intervention is summarized. There are minor omissions or inaccuracies. Some support or information is needed. Potential barriers and plan to overcome barriers are summarized. There are minor omissions or inaccuracies. Some support or information is needed. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Template is used, and formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4: Good (89.00%) The key aspects were revised. The revision generally improves the accuracy and clarity of the project. Background of clinical problem are presented. Minor aspects are unclear or require support. Clinical problem statement is presented. Minor aspects are unclear or require support. Purpose of the change proposal in relation to providing patient care in the changing health care system is presented. Minor aspects are unclear or require support. Topic and criteria are presented. Minor aspects are unclear or require support. Topic and criteria are presented. Minor aspects are unclear or require support. Evaluation of literature is presented. Minor aspects are unclear or require support. Change or nursing theory is presented. Minor aspects are unclear or require support. Implementation plan and outcome measures are presented. Minor aspects are unclear or require support. Use of evidence-based practice in intervention plan is presented. Minor aspects are unclear or require support. Plan for evaluating proposed nursing intervention is presented. Minor aspects are unclear or require support. Potential barriers and plan to overcome barriers are presented. Minor aspects are unclear or require support. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Template is fully used; There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. 5: Excellent (100.00%) All revisions are incorporated. The revision greatly improves the accuracy and clarity of the project. Background of clinical problem are clearly and logically presented. Relevant support and rationale are evident. Clinical problem statement is clearly and logically presented. Relevant support and rationale are evident. Purpose of the change proposal in relation to providing patient care in the changing health care system is logically presented. Relevant support and rationale are evident. Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. Comments Evaluation of literature is clearly and logically presented. Relevant support and rationale are evident. Change or nursing theory is logically presented. Relevant support and rationale are evident. Implementation plan and outcome measures are clearly and logically presented. Relevant support and rationale are evident. Use of evidence-based practice in intervention plan is clearly and logically presented. Relevant support and rationale are evident. Plan for evaluating proposed nursing intervention is clearly and logically presented. Relevant support and rationale are evident. Potential barriers and plan to overcome barriers are clearly and logically presented. Relevant support and rationale are evident. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned MANAGING HYPERTENSION MANAGING HYPERTENSION REGINA EBIWARE Grand Canyon University NRS-493 9/10/2021 MANAGING HYPERTENSION Introduction It has been reported that hypertension is one of the most common issue which is prevalent in United States among older adults above the age of 65year. The count is expected to enhance by 20% in the year 2050 which requires a proper management (Li et al., 2021). The below paper will discuss about intervention which will be effective in reducing hypertension. Discussion Research question- Does implementation combined intervention of exercise and dietary management helps in lowering hypertension among older adult in nursing home? PICOT question Population- Elderly population Or Older Adult Intervention- Combined diet and exercise intervention for older adult above the age of 60. Comparison- Usual care such as providing the patient with medication Outcome- Reduction of hypertension Time- 3 month Search strategies- The search strategies which is utilised for collecting articles are- “Older Adult AND hypertension”, “Exercise AND Hypertension”, “Physical exercise OR hypertension”, “Dietary Management AND hypertension”. The Boolean operator AND and OR is used for including papers in the study. Search databases- The search database or engines used in this stud are- “NCBI”, “Google Scholar”, “Elsevier”, “PubMed”. The articles published in English between the year 2016 to 2021 is included in the study. Evidence based solution 1 MANAGING HYPERTENSION Lopes et al., (2018) stated that exercise is one of the most effective intervention which helps in managing hypertension. The study highlighted that physical activity such as light exercise training for older adult helps in reducing the stiffness of the blood vessel and ultimately manages the systolic and diastolic pressure. The exercises along with Lifestyle intervention purchase aerobic exercise helps in reducing blood pressure among the patient. Carpio-Rivera et al., (2016) stated that exercise intervention helps in lowering the systole and diastole pressure and the timing of exercise influences its effectiveness with reduction of hypertension. The study highlighted that exercise intervention must be provided to the patient which not only reduce hypertension but will also help in maintaining body balance and maintaining a proper body mass index. Hence in this case physical intervention will help in managing hypertension among the older adults in healthcare organisation. Nursing Intervention The nurse plays an essential role for providing the patient with proper multi-disciplinary approach which not only helps in managing hypertension but also improve the quality of life. The nurse in this case must communicate with the patient for suggesting the patient with proper dietary intervention along with physical exercise which will lower the blood pressure. Similarly, then ask must provide proper attention in providing physical activity as it might increase the risk of fall among the patient. The nurse must educate the patient about the importance of maintaining light physical activities which will not only help in lowering blood pressure but it will also enhance the muscle strength (Iellamo et al., 2021). The nurse must guide the patient step by step in maintaining physical activity which will help in managing the blood pressure level. Health agency 2 MANAGING HYPERTENSION The organisation must implement policies for caring older adult which will help in improving the quality of care. The patient must be provided with proper guidelines about the benefit of intervention for enhancing knowledge. Nursing Practice The nurse must maintain a proper documentation process and assess the vital for understanding the blood pressure level of the older adult. The nurse must assess the patient’s fluid balance in order to determine the effectiveness of the intervention (Sardeli et al., 2021). Conclusion The above paper discussed about the exercise intervention for lowering blood pressure. Exercise intervention helps in lowering the systole and diastole pressure and the timing of exercise influences its effectiveness with reduction of hypertension. The study also discussed about nursing practice which is essential for delivering care to the older adult. 3 4 MANAGING HYPERTENSION References Carpio-Rivera, E., Moncada-Jiménez, J., Salazar-Rojas, W., & Solera-Herrera, A. (2016). Acute Effects of Exercise on Blood Pressure: A Meta-Analytic Investigation. Arquivos brasileiros de cardiologia, 106(5), 422–433. https://doi.org/10.5935/abc.20160064 Iellamo, F., Caminiti, G., Montano, M., Manzi, V., Franchini, A., Mancuso, A., & Volterrani, M. (2021). Prolonged Post-Exercise Hypotension: Effects of Different Exercise Modalities and Training Statuses in Elderly Patients with Hypertension. International journal of environmental research and public health, 18(6), 3229. https://doi.org/10.3390/ijerph18063229 Li, S., Schwartz, J. E., Shimbo, D., Muntner, P., Shikany, J. M., Booth, J. N., ... & Zhang, Y. (2021). Estimated Prevalence of Masked Asleep Hypertension in US Adults. JAMA cardiology, 6(5), 568-573. doi: 10.1001/jamacardio.2020.5212 Lopes, S., Mesquita-Bastos, J., Alves, A. J., & Ribeiro, F. (2018). Exercise as a tool for hypertension and resistant hypertension management: current insights. Integrated blood pressure control, 11, 65–71. https://doi.org/10.2147/IBPC.S136028 Sardeli, A. V., Griffth, G. J., Dos Santos, M. V. M. A., Ito, M. S. R., & Chacon-Mikahil, M. P. T. (2021). The effects of exercise training on hypertensive older adults: an umbrella meta-analysis. Hypertension Research, 1-10. https://doi.org/10.1038/s41440-02100715-0 AutoSave Off H9 NRS-493-RS4-LiteratureEvaluation Table (1) - Saved to this PC- Search A Regina Ebiware RE O х File Home Insert Draw Design Layout References Mailings Review View Help Share Comments X Cut Times New Roma 18 A A Aav po 在三 21 1 Аавьсср Аавьссос Аавьс. Аавьссі АаВ Аавьсаг Аавьссра La Copy O Find Soc Replace A Select Paste B I U v ab. x, X? A 1 Normal Dictate 三。 Editor Title I No Spac... Heading 1 Subtitle Heading 2 Subtle Em... V Format Painter Clipboard Font Paragraph Styles Editing Voice Editor Literature Evaluation Table Student Name: Regina Ebiware Change Topic (2-3 sentences): Article 1 Article 2 Article 3 Article 4 Criteri a Author, Journal (Peer- Reviewe d), and Permali nk or Workin gLink to Access Article Nair, L., & Adetayo, 0. A. (2019, May 16). Cultural competence and ethnic diversity in healthcare. Plastic and reconstructive surgery. Global open. https://www.n cbi.nlm.nih.gov/pmc/ articles/PMC6571328/ Himmelfarb, C. R. D., Commodore-Mensah, Y., & Hill, M. N. (2016, June 29). Expanding the role of nurses to improve hypertension care and control globally. Annals of Global Health. https://www.scien cedirect.com/science/arti cle/pii/S221499961600028 X. Benetos, A., Athanase Benetos Correspondence to Athanase Benetos, Petrovic, M., Mirko Petrovic Department of Geriatrics, Strandberg, T., Timo Strandberg University of Helsinki, Benetos, C. to A., & Al., E. (2019, March 28). Hypertension management in older and frail older patients. Circulation Research. https://www.ahajourn als.org/doi/10.1161/C IRCRESAHA. 118.31323 6. Benetos et al. Hypertension management in older and frail older patients. Bartolome, R. E., Chen, A., Handler, J., Platt, S. T., & Gould, B. (2016). Population care management and team-based approach to reduce racial disparities among African Americans/Blacks with hypertension. The Permanente journal. https://www.ncbi. nlm.nih.gov/pmc/a rticles/PMC4732795 1. Article Title and Year Publish ed Article 5: Nair & Adetayo, 2019) Cultural competence and ethnic diversity in healthcare. The strength of this article is well identified with its method of intuitive contents. Article 4: Himmelfarb et al. (2016) Expanding the role of nurses to improve hypertension care and control globally. The strength of the article is well detailed with the role of the nurse. Analysis method was very comprehensive Authored by Bartolome et, al (2016) Population care management and team-based approach to reduce racial disparities among African Americans/Blacks with hypertension. Researc h Questio ns (Qualita tive)/Hy nothasis 8 Page 1 of 3 345 words C Focus 單 100% 目 O Type here to search חו w IK () 11:22 PM 9/16/2021 m. 2 Untitled do X week 5.pdf x * Maytee we X Student Po X Student As X Using the x PDE _Project Ev X Facilitating x June 26, 20 X My Citatio x + + - 个 https://lms-ugrad.gcu.edu/learning Platform/user/users.Ic?operation=loggedIn&classid=5b7b9359-ef87-4f27-bfc5-723293736947#/learning Platform/class/syll.... Ĉ ...
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