ASU Quality Improvement Presentation Poster

User Generated

dvzngfvaql

Health Medical

American Sentinel University - Aurora

Description

Create a poster for a presentation about a quality improvement (QI) project or plan that builds on the work you completed in the first two assessments. Include an abstract of 100-250 words about the QI plan and key information in your poster. SEE ATTACHMENT FOR FULL DETAIL




Unformatted Attachment Preview

• Create a poster for a presentation about a quality improvement (QI) project or plan that builds on the work you completed in the first two assessments. Include an abstract of 100-250 words about the QI plan and key information in your poster. Introduction Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented. As a master's-level nurse you will be responsible for promoting equitable quality of care. In the biopsychosocial model of care, there are a number of areas where you can have an impact on improving the quality, safety, and equitability of care. One example area where equitable quality of care is an issue is with medications, especially considering the cost of various medications to treat the same condition versus the effectiveness and potential side-effects of the medications. A further pharmacological concern for safe and quality care is medication errors. This could include considerations like a patient getting the wrong medication or a dangerous interaction due to other aspects of a patient's health and treatment situation. An example could be vitamin or herbal supplements the patient has not disclosed as part of the medication reconciliation process. The ability to propose and promote quality improvements in care is a vital skill for a master's-prepared nurse. One aspect of this is understanding strategies for implementing best practice changes in a team, department, or care setting. Another is understanding how best practices can help lead to a continuous quality improvement cycle. Additionally, it is important to grasp how successful change strategies can be leveraged to help in the creation or implementation of clinical best practices. Part of this is considering the audience when proposing quality improvement projects or new best practices. Another part of this is being able to effectively communicate the goals, rationale, and benefits of a project. One way to communicate the need for quality improvements, and your plans for achieving specific improvements, is through a presentation poster. This type of communication tool is used both in the work place and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster. Preparation As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. The assessment will be built around creating a professional and compelling poster to present a quality improvement project that may have grown out of your change initiative in the second assessment. • • Guiding Questions: Quality Improvement Presentation Poster [DOC] (see at the end of page). This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality Improvement Presentation Poster assessment Who will be the primary audience of your poster? Who might be the wider, or outreach, audience that will be relevant to consider when creating your poster? • What details or information will be most important and compelling to your audiences? • How might you craft the design of your poster so that it better speaks to your audiences? • What steps might a nurse take to implement best practice changes in a care setting while respecting the multidisciplinary team? • What does each member bring to the care of the client or community? • How might recognizing the contributions of the multidisciplinary team help build buy-in or collaboration? ▪ Why is buy-in important to the success of a quality improvement project? Scenario For this assessment, you may take one of two approaches: • • The first is to build upon the clinical issue that was the focus of your Change Strategy and Implementation assessment, and turn it into a full, organization- or communitywide quality improvement initiative. The second is to identify a new issue related to a biopsychosocial (BPS) clinical issue, or a clinical issue related to one of the items from the list of conditions, diseases, and disorders presented in the Concept Map assessment. The focus should be on a community rather than on a specific patient or health care setting. As a master's level nurse, your specific focus is on reviewing the implications of the data relevant to the clinical issue you are trying to address. Once you research this, review the aggregate data, and understand the BPS considerations relevant to the clinical issue, you can suggest strategies for improving the quality, equitability, and safety of care around the issue. You should act as an advocate for the value and need to pursue quality improvements to leadership and executives, as well as be able to present potential projects to a wide range of colleagues and community stakeholders. Instructions Create an abstract and a poster for a presentation to executive-level leadership of the organization, to the community, or to your colleagues that will sell them on your quality improvement plan. Abstract Requirements • • • Your abstract should be 100250 words. It should summarize the key information in your poster. Do not put your abstract on your poster itself; submit it as a separate document. Or, if you are using PowerPoint to help create your poster, create a new slide that is clearly labeled as your abstract. Poster Requirements Your poster should include the following sections: • Quality Improvement Methods. • Evidence Supporting QI Methods. • Change Strategy Foundation. • Interprofessional Team Benefits. • Overall Project Benefits. • There are templates in PowerPoint or on the Internet that can help you get a start designing your poster. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses all of them. You may also want to read the Quality Improvement Presentation Poster scoring guide and the Guiding Questions: Quality Improvement Presentation Poster [DOCX] document to better understand how each grading criterion will be assessed. • Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration. • Evaluate specific evidence that supports the quality improvement methods proposed. • Explain how the project is grounded in successful change strategies. • Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project. • Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience. • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like: • Assessment 3 Example [PPTX] (see the end ). • Additional Requirements • • Length of submission: • Abstract: 100-250 words. Your abstract should be succinct and precise. • Poster: Make sure your poster fits entirely onto a single poster template page (or slide) and contains all of the sections described in the assessment instructions. Number of references: Cite a minimum of 5-7 sources of scholarly or professional • evidence that support your considerations and plans. Resources should be no more than five years old. APA formatting: Resources and citations are formatted according to current APA style. Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: • • • Competency 1: Design patientcentered, evidence-based, advanced nursing care for achieving high-quality patient outcomes. • Evaluate specific evidence that supports the quality improvement methods proposed. Competency 2: Develop change strategies for improving the care environment. • Explain how the project is grounded in successful change strategies. Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care. • Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration. • • Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired healthcare improvement outcomes. • Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project. Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards. • Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience. • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. Guiding Questions: Quality Improvement Presentation Poster This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality Improvement Presentation Poster assessment. You may find it useful to use this document as a pre-writing exercise, as an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission. Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration. • Have you proposed specific quality improvement (QI) methods? o • Have you explained the key aspects of the QI methods? How will the QI methods help promote continuous improvement? o What challenges or difficulties might you encounter in promoting continuous improvement? ▪ • How could you work to mitigate these challenges or difficulties? How are the proposed QI methods related to your specific biopsychosocial consideration? o What challenges or difficulties might you encounter in adapting the QI methods to ensure they effectively address your specific biopsychosocial consideration? ▪ How could you work to mitigate these challenges or difficulties? Evaluate specific evidence that supports the quality improvement methods proposed. • What evidence suggests the quality improvement methods proposed will be appropriate and effective for the project? • Which pieces of evidence that you cited will be most valuable and relevant for your project? o How does the evidence support and inform the specific QI approach and application? Explain how the project is grounded in successful change strategies. • What change strategies informed the development or identification of the proposed quality improvement methods? o What are the key aspects of these change strategies? o How have these change strategies been implemented successfully in other projects, especially QI projects with characteristics similar to yours? o How are these change strategies appropriate, relevant, and built into this QI project? Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project. • Which teams or role groups will be working interprofessionally on your QI project? • How will interprofessional teamwork improve the effectiveness of your QI project? o • Why is interprofessional teamwork likely to lead to the effectiveness improvements that you described? How will interprofessional teamwork improve the efficiency of your QI project? o Why is interprofessional teamwork likely to lead to the efficiency improvements that you described? Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience. • Is your poster clearly presented? • Does your poster include all the sections described in the assessment instructions? • o Quality Improvement Methods. o Evidence Supporting QI Methods. o Change Strategy Foundation. o Interprofessional Team Benefits. o Overall Project Benefits. Is the writing for your abstract clear and professional? o Is your writing free from errors? o Is your abstract 100–250 words? Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. • Did you use 5–7 sources in your assessment? o • Are the sources you used no more than five years old? Are your sources cited in APA format? EXAMPLE: The underdiagnosis and the undertreatment of comorbidities of chronic obstructive pulmonary disorder (COPD) such as anxiety and depression are key issues in pulmonary care. Typically, primary care involves addressing physical health issues, such as COPD, which have a significant impact on patients. However, this does not adequately account for the overall well-being of patients. Anxiety and depression may have negative impact on patients’ quality of life and are likely to impede their ability to recover (Pooler & Beech, 2014). To address this, it is necessary to provide patients with access to mental health facilities. The change strategy proposed in this presentation is to provide cognitive behavior therapy (CBT) to patients by mental health professionals. Organizations could also train their nurses in CBT or hire nurses who are trained in CBT. The Deming Cycle, or the Plan-Do-Check-Act (PDCA) cycle, could be used to evaluate the efficacy of the strategy. The PDCA cycle would ensure that the change strategy is adequately evaluated in terms of whether it improves patients’ quality of life and their ability to cope both mentally and physically with COPD, anxiety, and depression. Quality Improvement Presentation Poster Learner’s Name Capella University Biopsychosocial Concepts for Advanced Nursing Practice I Quality Improvement Presentation Poster April, 2019 Interprofessional Team Benefits Quality Improvement Methods • • • • • • • Quality improvement is the betterment of the desired outcomes of any existing process. Typically, this would require prior understanding of the process and aspects of it that require improvement. The PDCA cycle is one of the tools used in quality improvement (Pietrzak & Paliszkiewicz, 2015). Once an area of improvement is identified, it is necessary to provide a plan of action to enhance the outcomes in that area. Primary care largely focuses on the physical health of patients. In pulmonary care, physicians and nurses typically focus on the physical symptoms that patients experience. However, COPD patients are often underdiagnosed and are undertreated for anxiety and depression (Pooler & Beech, 2014). These issues tend to impede patient recovery and deteriorate quality of life and health care outcomes. After an area of improvement is identified, the plan of action would address the issue of insufficient care by providing COPD patients with adequate access to mental health facilities. Once the plan of action is set, the next step is implementation. This is the “do” stage of the Deming Cycle. During this stage, it is necessary to execute the plan on a small scale to record its results and evaluate its efficacy. The effects of the change implemented are then evaluated during the “check” stage of the PDCA cycle (Pietrzak & Paliszkiewicz, 2015). The key question to be asked at this stage is whether the change does what it purports to do. If it does, would the change positively affect patients’ recovery and capacity to self-manage their condition? Based on the evaluation during the “check” stage, the quality improvement method is modified, and the cycle is repeated if the implemented change does not match the expected outcome. If the change proves to be effective, the quality improvement method is standardized and documented (Pietrzak & Paliszkiewicz, 2015). Limitations of the PDCA Cycle • • • • The PDCA cycle itself cannot guarantee quality improvement. The process of achieving a solution is slow and may not be linear. The cycle focuses on learning and taking informed actions. Adapting the cycle to different problems may not be simple and may require extensive skills and knowledge (Reed & Card, 2015). Insufficient planning may lead to failure in achieving desired results (Reed & Card, 2015). Strategies of the PDCA cycle also require scenarios that are not necessarily realistic (Pietrzak & Paliszkiewicz, 2015). When applied to realistic scenarios, these strategies could lead to failure, thereby creating more problems or adding to existing ones. To arrive at a solution to a problem, the four-step process has to be repeated several times. An iterative process could result in slow progress (Kliem, 2015). Therefore, the cycle may be ineffective at achieving swift results in emergencies (Reed & Card, 2015). • Overall Project Benefits • • • • • • In health care, quality improvement comprises continuous, combined efforts by patients, professionals, researchers, and institutes to improve processes toward better patient care, health care outcomes, systems of care, and professional development (Carvalho, Jun, & Mitchell, 2017). The Deming Cycle, or the PDCA cycle, is a useful tool for quality improvement as it focuses on the creation of a plan followed by its execution and the evaluation of its results. By following this process, organizations can identify the shortcomings of the assumptions that their change strategies are based on and rectify those shortcomings. The PDCA cycle also provides a structure for teams to initiate change from within the system. The framework of the PDCA cycle ensures that the objective of any change process is within sight at all times and that the improvement that a process achieves is visible (Donnelly & Kirk, 2015). The evidence from the studies cited here indicates that an interprofessional approach that caters to COPD patients’ physical and psychological needs would improve their quality of life and aid their ability to self-manage and thereby recover from both issues. Using the Deming Cycle, physicians, nurses, and mental health professionals could evaluate the outcomes of implementing a CBT program for COPD patients. After the evaluation, if the quality improvement method suggested is found to result in optimal outcomes, the process could be standardized. If the outcomes are found to be suboptimal, then the process could be amended, and the Deming Cycle would begin again to ensure that quality improvement is an ongoing process. By ensuring that quality improvement is an ongoing process, patients will receive care that is continuous and of high quality, and teams will be able to develop better communication and cooperation among themselves. Further, through a collaborative approach, physicians, nurses, and mental health professionals could identify gaps in patient safety during the implementation of change strategies. Knowledge Gaps and Unknowns References • Amalakuhan, B., & Adams, S. G. (2015). Improving outcomes in chronic obstructive pulmonary disease: The role of the interprofessional approach. International Journal of Chronic Obstructive Pulmonary Disease, 10(1). 1225–1232. Carvalho, F., Jun, G. T., & Mitchell, V. (2017). Participatory design for behaviour change: An integrative approach to healthcare quality improvement. Paper presented at IASDR 2017 Proceedings, 7th International Congress of the International Association of Societies of Design Research, Cincinnati, OH. Coury, J., Schneider, J. L., Rivelli, J. S., Petrik, A. F., Seibel, E., D’Agostini, B., . . . Coronado, G. D. (2017). Applying the Plan-Do-Study-Act (PDSA) approach to a large pragmatic study involving safety net clinics. BMC Health Services Research, 17(411). Donnelly, P., & Kirk, P. (2015). Use the PDSA model for effective change management. Education for Primary Care, 26(4), 279–281. Heslop, K., Newton, J., Baker, C., Burns, G., Carrick-Sen, D., & De Soyza, A. (2013). Effectiveness of cognitive behavioural therapy (CBT) interventions for anxiety in patients with chronic obstructive pulmonary disease (COPD) undertaken by respiratory nurses: The COPD CBT CARE study: (ISRCTN55206395). BMC Pulmonary Medicine, 13(1). Howard, C., & Dupont, S. (2014). ‘The COPD breathlessness manual’: A randomised controlled trial to test a cognitive-behavioural manual versus information booklets on health service use, mood and health status, in patients with chronic obstructive pulmonary disease. npj Primary Care Respiratory Medicine, 24. Kliem, R. L. (2015). Managing Lean Projects. Boca Raton, FL: CRC Press. Pietrzak, M., & Paliszkiewicz, J. (2015). Framework of strategic learning: The PDCA cycle. Management, 10(2), 149–161. Pooler, A., & Beech, R. (2014). Examining the relationship between anxiety and depression and exacerbations of COPD which result in hospital admission: A systematic review. International Journal of Chronic Obstructive Pulmonary Disease, 9(1), 315–330. Reed, J. E., & Card, A. J. (2015). The problem with Plan-Do-Study-Act cycles. BMJ Quality & Safety, 25(3), 147–52. • • • If the data received from the check phase is misinterpreted, people may arrive at inaccurate conclusions, leading to incorrect actions (Reed & Card, 2015). In research conducted by Coury et al. (2017), it was found that when the PDCA Cycle is applied before a clinical intervention is fully implemented, the focus of the improvement process is likely to shift. In the same research by Coury et al. (2017), it was observed that several clinicians commonly found it challenging to measure the success of the PDCA cycle using the electronic medical record tools available. The cycle also focuses on observing and rectifying errors. It does not predict errors. Change Strategy Foundation • Evidence Supporting QI Methods The change strategy proposed here would involve teams of physicians, nurses, and mental health professionals. These three teams would work together to coordinate the patient’s treatment. This would require consistent communication and cooperation between the teams. Through an interprofessional collaboration, the teams would identify gaps in patient safety and improve coordination in implementing change strategies (Amalakuhan & Adams, 2015). • • • Patients who suffer from COPD are often comorbid with anxiety and depression. These conditions are likely to impede their recovery (Pooler & Beech, 2014). For instance, shortness of breath is a symptom that is common to both COPD and anxiety and can be distressing for the patient. A COPD patient who also presents with anxiety might interpret shortness of breath in an exaggerated manner, associating it with an inability to breathe or imminent death (Heslop et al., 2013). If a COPD patient’s anxiety or depression is left untreated, it can significantly impact his or her compliance with COPD treatment. Anxiety and depression can affect a patient’s cognitive functioning and his or her ability to self-manage the condition (Pooler & Beech, 2014). According to research conducted by Howard and Dupont (2014), COPD patients who received treatment for anxiety and depression coped with physical and mental conditions much better than patients who do not receive treatment. Potential Challenges • • COPD patients require access to therapists trained in CBT. It might be difficult to conduct one-on-one sessions for every patient; therefore, organizations could train their nurses in CBT or hire nurses who are trained in CBT. Helping COPD patients achieve sustainable improvement in quality of life, functioning, and general physical condition can be challenging. Group therapy sessions can help patients talk about and cope with both physical and psychological issues. Providing COPD patients with access to CBT along with their regular treatments is likely to improve their quality of life and capacity to self-manage their condition (Pietrzak & Paliszkiewicz, 2015; Pooler & Beech, 2014). 1 Change Strategy and Implementation Qimat Sindy Capella University NURS-FPX6021 Jessica Garner 03/03/2022 2 Change Strategy and Implementation The adoption of scientific proof methods in the healthcare setting necessitates transformation. When it comes to achieving scientific proof practices in a fast-changing technological surrounding, comprehending healthcare providers' change reactions could get crucial towards supporting adoption. Individuals in care settings should have the ability to look into physicians' responses to administrative and working modifications that have impacted the work environment (Nilsen et al., 2019). Nearly 15 million women were affected with Polycystic Ovaries, an incurable condition that might get fatal. Although PCOS manifests itself in women of reproductive age, there is no solution, and the situation may lengthen consequences. A thyroid problem among females occurs when their ovaries and endocrine systems create extra androgens than usual. As a result, tumours develop on the ovary. In my current clinical area of practice, there is currently no treatment for this condition. The healthcare facilities got medication which may help avoid more consequences of this condition. Hyperglycemia, metabolic disorders, cardiovascular disease, and hypertension are all protracted repercussions of the situation. Obese women in the populace or those with hospitalized relatives might have POCS. Heavy and irregular periods, impotence, acne, excess weight are significant signs of this condition. PCOS does not have a particular therapy; nevertheless, an intervention gets developed in response to the disease manifestations. Nutrition, medicines, and exercises might be effective in alleviating the complaints. Contraception tablets are frequently provided to women to have regular periods, reduce male levels of hormones, and improve complexion. Medications, surgeries, and assisted reproduction are all options for treating sterility. Similarly, a thorough assessment of the underlying aetiology of PCOS should allow the detection of females who are at higher risk of developing the condition earlier in life (Witchel, Oberfield & Peña, 3 2019). When customized program enables are implemented in adolescent years, they will substantially improve treatment for PCOS, reduce related diseases, and enhance overall health. Women who are confirmed to have POCS got at risk of developing more significant complications, particularly when they have plumpness The emergence of diabetes and cardiovascular disease remains one of the most severe issues. Individuals with POCS who have extreme chances in their genes with diabetes or cardiovascular disease have a higher risk of developing complications. Additionally, psychotherapy of POCS should include recommendations for leading a better life, including increased physical and food management. According to studies, the sexual maturity period, infrequent menstruation history, and lack of child are substantially different among PCOS patients than controls. For most girls born, the regularity of pregnancies and stillbirth rate were more significant in PCOS instances. Moreover, substantial disparities got identified in the diverse spheres of a Subscale among women with PCOS and women with regular participants in several categories, including age, weight, educational background, and relationship status (Tabassum et al., 2021). Overall, Mass body index, menstruation abnormalities, educational experience, and family status all have a significant influence in affecting wellness quality of life in PCOS patients POCS and Diabetes Studies implicate that over half of all people (women) with POCS would acquire type 2 diabetes in older years. Individuals having POCS with excess weight get a higher chance of developing hyperglycemia at an earlier age than women who do not have these combined health conditions. Among the main factors of diabetes, the prevalence of obesity and rising hyperglycemia are the most significant. Diabetic is perhaps most prevalent in patients even 4 before considering all the lifestyle factors in conjunction. Diabetes disease got characterized whenever the system fails to produce insulin or cannot utilize insulin adequately, resulting in glucose intolerance. It is possible that hyperglycemia may continue unchecked and will create severe additional harm and problems, including renal impairment or eyesight problems POCS and Heart Disease Most healthcare practitioners, doctors, and clinical physicians understand that PCOS women have high blood pressure, elevated insulin response, and hyperglycemia. The listed health complications feature the determinants associated with a heart ailment. Conversely, Weight gain, insulin sensitivity, and high blood pressure are risk factors for cardiovascular conditions, diabetes, and PCOS. Cardiovascular disorders ultimately claim the overall lives of around 33 percent of women in the U.S, making it the top reason for mortality in the nation, exceeding even cancers (Galan, 2019). PCOS and Obesity Being overweight is indicated to have associated with aberrant hypothalamicpituitary-ovarian axis functioning, which may result in the production of PCOS. Increased development of adiposity leads to hyperglycemia that worsens both cholesterol numbers and ketoacidosis among PCOS clients. Obesity plumpness increases androgen synthesis via increasing Luteinizing hormone and androgen excess due to this stimulation. Studies implicated that insulin, an adipocyte that regulates hunger, directly affects the hormonal and ovarian functioning among women with obese PCOS (Bulsara et al., 2021). Moreover, hyperleptinemia might impair the overall development of the dominant follicle. The impairment reduces fat deposits, which would help regulate hunger, blood sugar, and lipid metabolism, which would help regulate testosterone activity in the ovaries. 5 Change strategies used and Interprofessional Considerations Females identified to have PCOS get a higher chance of getting cardiovascular complications than other women. Interprofessional consideration has a role in ensuring female patients get protected from PCOS. Healthcare providers, physicians, and therapists have a critical role in enhancing changes to individuals' life to reduce the potential hazard. The patients require therapists and care physicians to provide guidelines on workout programs. Client education on weight and participation in an organized workout program shall lower the risk of developing cardiovascular ailment and hypertension in the long term. However, the nurses, nutritionists, and individual counseling programs will help the clients diagnosed with the condition to make changes in dietary habits to prevent the emergence of adulthood diabetes type two. The facility can also encourage effective implementation of cardiovascular and physical exercise in health and wellness centres to prevent Diabetes Mellitus and circulatory complaint prophylaxis related to Polycystic Ovary. Clients need to engage in interval training 2-three days per week and a practical approach for weight reduction, all of which might get accomplished via good nutrition. Furthermore, Dieticians and other caregivers in clinical and home-based care should encourage diet consumption that reduces animal fats and sodium consumption. Nurses will make clinical interventions that feature dietary fat sources, including red meat and butter, among other products. It is preferable to substitute dietary fat with polyunsaturated supplies of fat, including almond oil (Galan, 2019). The interprofessional collaboration healthcare team members shall encourage patients to use open communication after hospitalization. The proper dietary, medication, and physical exercises can get monitored through telehealth communication. The communication will help monitor clients' progress by collaborating with nurses, physicians, dieticians, and counselors, especially in remote areas. Healthcare providers should enhance interprofessional collaboration in care settings to prevent 6 complications of polycystic Ovaries and improve patients' quality outcomes. Since telehealth employs a system that enables visual, voice, or internet, healthcare practitioners may examine and prescribe medications that will not need a checkup (Jones, 2021). Data table Current Outcome Change Strategy Expected Outcomes Healthcare consumers • • Healthcare providers The nutritionists and the and individuals with POCS should ensure education fitness & well-being get a greater chance of on maintaining a healthy facilities will be readily developing a cardiovascular lifestyle ensure that available to people and metabolic illness. They patients get appropriate suffering from POCS. are less likely to receive the treatment. • Reduced risk variables treatment they require to • Women suffering from for high cholesterol may avoid future issues. POCS require nutritional be achieved by diet • Women advice. management, a healthy suffering from PCOS have a • Fitness and relationship, and lifestyle chance of developing type 2 exercise workshops factors and medicines diabetes before attaining the should get conducted at the when necessary. Patients age of 40 years. organization once a week. having PCOS would be • Blood pressure, at lower risk for heart cholesterol, and glucose disease since their blood tracking and reporting, as pressure, glucose levels, well as the administration of and insulin response are medicines when required under management. 7 • Metformin has no particular FDAapproved prescription for the treatment of PCOS. • The drug reduces androgen production and improves ovary treatment in patients with the condition (Pfieffer, 2019). • Metformin may also assist in delaying the progression of diabetes through lowering blood glucose levels, lowering cholesterol and reduced cholesterol levels, and decreasing insulin resistance 8 References Bulsara, J., Patel, P., Soni, A., & Acharya, S. (2021). A review: Brief insight into Polycystic Ovarian syndrome. Endocrine and Metabolic Science, 3, 100085. https://doi.org/10.1016/j.endmts.2021.100085 Galan, N. (2019). The Connection between PCOS and Heart Problems. https://www.verywellhealth.com/pcos-and-heart-disease-2616320 Jones, H. (2021). What to know about telehealth for polycystic ovary syndrome (PCOS). https://www.verywellhealth.com/telehealth-pcos-5114599 Nilsen, P., Schildmeijer, K., Ericsson, C., Seing, I., & Birken, S. (2019). Implementation of change in health care in Sweden: a qualitative study of professionals' change responses. Implementation Science, 14(1), 1-11. https://doi.org/10.1186/s13012-0190902-6 Pfieffer, M. L. (2019). Polycystic ovary syndrome: An update. Nursing2020, 49(8), 34-40. DOI: 10.1097/01.NURSE.0000569748.65796.d1 Tabassum, F., Jyoti, C., Sinha, H. H., Dhar, K., & Akhtar, M. S. (2021). Impact of polycystic ovary syndrome on quality of life of women in correlation to age, basal metabolic index, education, and marriage. PloS one, 16(3), e0247486. https://doi.org/10.1371/journal.pone.0247486 Witchel, S. F., Oberfield, S. E., & Peña, A. S. (2019). Polycystic ovary syndrome: pathophysiology, presentation, and treatment with emphasis on adolescent girls. Journal of the Endocrine Society, 3(8), 1545-1573. https://doi.org/10.1210/js.2019-00078 1 Glucose Regulation Concept Map Qimat Sindy Capella University NURS-FPX6021 Jessica Garner February 17, 2022 1 2 Concept Map Nursing Diagnosis 2: Risk for electrolyte imbalance Most Urgent Nursing Diagnosis: Risk for unstable blood glucose level related to impaired glucose metabolism Subjective evidence: Polyphagia, weight loss, fatigue, inadequate blood glucose monitoring. Name: Mr. T.M Vital signs: T: 36.60C, P: 78, RR: 16, BP: 170/98 Gender: Male Medical history: hypertension, asthma, pancreatitis, congestive heart failure Treatment Treatment Rationale: Increased blood glucose increases osmotic pressure leading to thirst, hunger and polyuria. Blood glucose should be monitored before and after meals to determine the need of treating hyperglycemia. Assessing HbA1c after three months shows how well blood glucose has been controlled. Objective evidence: Hyponatremia (Sodium=128 mg/dl) Chief complaint: Fatigue, weight loss, blurred vision, increased thirst, increased bladder voiding especially at night, eating frequently. Age: 85 years Objective evidence: HbA1c-11.5, fasting blood glucose137mg/dL, glycosuria Independent: Assess signs of hyperglycemia, blood glucose before and after meals and monitor HbA1c every 3 months Subjective evidence: Increased thirst, increased water intake and increased urination Patient Info: Independent: Educate the patient about the dietary sources of sodium and the factors that may cause hyponatremia Nursing Diagnosis 3: imbalanced nutrietion, more than body requirement Subjective evidence: Food intake exceeding body needs Objective evidence: Body mass index (BMI) of 38 kg/m2 Rationale: Educating the patient about the causes of hyponatremia and sources of sodium can help the patient collaborate in the care by setting collective goals. Independent: Assess mental status, monitor electrolytes, serum osmolality, and daily weight Rationale: Hyponatremia can cause neurological symptoms, reduce serum osmolality and fluid retention which can cause weight gain. Collaborative: Administer basal and prandial insulin Collaborative: Administer normal saline to replace the sodium gap Rationale: Synthetic insulin is used to treat people with inability to produce insulin. The insulin helps in blood glucose regulation. Rationale: Normal saline has sodium as the main electrolyte Treatment Independent: Discuss and formulate an eating and exercise plan with the patient Rationale: Reduced caloric intake and increase of caloric expenditure results in weight loss Collaborative: Administration of oral orlistat Outcome: • Patient has a fasting blood glucose less than 125 mg/dL • The patient will have HbA1c
Purchase answer to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Explanation & Answer

View attached explanation and answer. Let me know if you have any questions.

Quality Improvement Presentation Poster
Learner’s Name
Capella University
Professor
Date

Polycystic Ovary Syndrome and Control
Measures

Abstract


Approximately 15 million women
remained affected with
Polycystic Ovaries, an incurable
condition that might get fatal.
Though PCOS manifests itself in
women of reproductive age,
there is no solution, and the
situation may lengthen
consequences. A thyroid
problem among females occurs
when their ovaries and
endocrine systems create extra
androgens than usual. As a
result, tumours develop on the
ovary. In various clinical settings,
no treatment for PCOS found.
Obese women in the populace or
those with hospitalized relatives
might have POCS. Medications,
surgeries, and assisted
reproduction are all options for
treating sterility. Care providers
need to condu...


Anonymous
Super useful! Studypool never disappoints.

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4

Similar Content

Related Tags