•
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