1 Educating Patient through mhealth App Student Chamberlain University College of Nursing NR361 RN Information Systems in Healthcare Instructor: May 15, 2022 Milestone 1 NR361 updated format DLP 8.2020 2 Educating Patient through mhealth App Patient Scenario It was a busy evening in the hospital when I met a young couple. The adult male was heavily overweight and newly diagnosed with diabetes. The wife was worried about his condition because his blood glucose level record was not good during the last two weeks. He was diagnosed with diabetes type II the previous month, and it was observed that he was not taking any medication since then. They were trying to control the condition by themselves. I examined the patient, and their blood glucose level was 280 mm/dl. It was one of the alarming figures in the fasting condition. According to Healthy People 2030, 30 million Americans have diabetes type II, and the goal is to reduce the number of diabetics and manage diabetes type II. The management of diabetes II is extremely important because it is observed that diabetes should be ultimately treated because there is a risk of cardiovascular disorder and others (Deborah J Wexler, 2020). the overweight condition and being obese are included as the risk factors for diabetes type II. The patients need to be educated about all the risk factors, and diabetes should be managed properly. Patient Education/Teaching Plan The wife was the husband's caretaker, and they were enjoying their honeymoon period when it was diagnosed that the patient had diabetes. She was highly worried because they were trying to conceive as well. I needed to tackle the patient and his wife, and it was necessary to educate them. The first thing that I had to inform was not to panic. I handled the issue calmly because I deal with many people suffering from diabetes, and I knew that the lady was sensitive because she was concerned about the patient's health. The first thing that the couple should understand is that diabetes type II has no cure, but it can only be managed through care. Milestone 1 NR361 updated format DLP 8.2020 3 The management of diabetes type II is essential because it affects genetics and behaviors. If the behaviors and attitudes of patients are not healthy in life, it means that there will be challenging to deal with diabetes. After getting over the nervousness, the patient's first need to understand is lifestyle modification. Diabetes has to go with life, and it can only be managed. Patient education remains incomplete if they are not informed of the risk factors. The risk factors for diabetes type II are cardiovascular arrest, metabolic syndrome, and many others. The patients need to avoid the situation and keep a check on their blood glucose levels. The next important thing is the behavioral change that the patient needs to bring into the lifestyle. The patient was overweight, and it seems to be the root cause of his diabetes. The overweight condition was the most important thing to be minimized. The couple said that the patient had gained enough pounds in the last few months. I educated them to lose weight and ensured that diabetes could easily be controlled through lifestyle changes. The lifestyle modification is easy, but the patients need to be consistent with the routine. The exercise must be part of the routine, and a morning walk for thirty minutes is recommended for the patient. Physical activity is necessary for the diabetes patient because obesity and a sedentary lifestyle are the reasons for diabetes. It is observed that the patient goes to the office, and mostly, he had to work in the office, and the lifestyle was sedentary. So, physical exercise was a necessary change in the lifestyle. The next thing was the change in eating habits, and the couple already knew that the patient had to avoid the sugary food items. I further educated them that sugary items alone are not prevented, but the patient needs to overcome the habit of eating high caloric, fatty, and transfat-based foods. The couple consumed a lot of high-caloric and junk food in the last few months. I recommended that homemade foods should be excessively used. The fruits and vegetables Milestone 1 NR361 updated format DLP 8.2020 4 should be made part of the routine. Fruits and other food items with a high glycemic index should be avoided. The foods rich in nutrients and low in calories should be consumed. Whole cereals and foods with fiber must be included in the daily routine. It was observed that the wife was highly conscious, and she committed to taking proper care of her husband. As far as the medication was concerned, I suggested not inserting the artificial insulin at the start because the condition could be managed easily through lifestyle change. I asked them to record the blood sugar level for a month to observe the change. It will help them to remain consistent throughout the journey. Description of mHealth app DM: Fit™ is a mhealth app that helps people with diabetes to manage their exercise and nutritional program. The patient was overweight, and people with diabetes already needed the proper nutrition to keep their blood glucose levels controlled, so the DM: Fit™ is one of the appropriate applications for the users (DM: Fit, 2022). The intended audience is the diabetics, and it can also be used for the overweight people to keep their nutrition in balance. It is easily available on android mobile phones and can be easily downloaded. The patients can easily download from the play store and get the benefits. There are several benefits of mobile application, and it is appropriate for the current patient. I suggested that the patient install the health app on his mobile and set his targets. The application will help to know the timings and intensity of exercise. It will allow him to set the nutritional goals and help his wife decide on the meals. It is one of the appropriate applications for the patient. The couple was pleased to visit me, and they left with the hope of managing diabetes as early as possible. Milestone 1 NR361 updated format DLP 8.2020 5 References Deborah J Wexler, D. M. (2020). Initial management of hyperglycemia in adults with type 2 diabetes mellitus. Waltham, MA, 11(5). doi:https://www.medilib.ir/uptodate/show/1779 DM: Fit. (2022). Empowering Patients with Type 1 and Type 2 Diabetes. Retrieved from https://mymhealth.com/mydiabetes Comments Close Scenario – Scenario lacks the patient’s readiness to learn. mHealth Application – Missing where to download the app. Writing - Grammatical errors and APA errors noted. A. P. May 18 at 11:50am Milestone 1 NR361 updated format DLP 8.2020 Chamberlain College of Nursing NR361 Course Project Milestone 2 Template Directions: Carefully review Course Project Milestone 2 Guidelines and rubric requirements. Name: __________________________ Define Approved Patient Scenario Identify Teaching Areas related to the mHealth app • Information (Cite mHealth app in APA format here on one of the bullet points) • Safety features/guidelines provided by the mHealth app: • Interpret and act on the information in the mHealth app: (See examples in assignment video) Determine and Evaluate Success (3) • • • mHealth app Reference List the mHealth app as a reference in this section—REMOVE this information/direction prior to submission. See examples on page 340 of the APA Manual, 7th edition. NR361 Course Project Milestone 2 Template.docx 03/20 JMJ: Update DLP 08/20 1 Week 4 Assignment: Course Project Milestone 2 Purpose The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the required assigned topic. You will choose an already developed and reliable mHealth app to use in the education of your patient. Based on your accepted Milestone 1 assignment, use the information to identify three teaching areas to improve patient outcomes. You will also determine three ways to evaluate the success of the patient's use of the mHealth app. You will need to provide the mHealth app reference in APA format. Required Assignment Topic Note: You will use the same scenario you developed and same mHealth app you identified in Week 2. Requirements and Guidelines • Download the required Milestone 2 Template (Links to an external site.). Save it to your computer with the file name: Your Last Name NR361 Milestone 2.docx. • Briefly state the patient scenario from the Milestone 1 assignment. o Include revisions, if required by Milestone 1 faculty feedback. • Identify (3) teaching areas to improve patient outcomes. o Information to be taught to the patient should include information about the mHealth app, safety guidelines, and how to interpret and act on the information that is provided. Remember to cite the mHealth app when appropriate in the Teaching Area (See template). o Use bullet points • Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app. o Use bullet points o mHealth app citation and reference in APA format. See placement of these on the template. • You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the ".docx" format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu • Carefully review the grading rubric criteria for Milestone 2 and type directly on your saved Milestone 2 Template. • Use instructor feedback from Milestone 1 to improve your statements regarding the patient scenario in Milestone 2. Milestone 2 will not be accepted for grading and credit if Milestone 1 is not submitted or not re-submitted per instructor feedback. Milestone projects build on one another and Milestone 1 must be submitted before moving on to submit Milestone 2. NR361 Milestone 2 NR361 Milestone 2 Criteria Learning Outcome Define: Approved Patient Scenario from Milestone 1 Brief statement of the patient scenario from the Milestone 1 assignment, including revisions if required by Milestone 1 faculty feedback. Teach: Identify (3) teaching areas to improve patient outcomes. Information to be taught to patient should include information about the mHealth app, safety guidelines, and how to interpret and act on the information that is provided. Remember to use bullet points. Ratings 30 pts Defines (states) the brief patient scenario approved from Milestone 1 including excellent details in revisions (if required by Milestone 1 instructor feedback). 26 pts Defines (states) the brief patient scenario from Milestone 1 including good details in revisions (if required by Milestone 1 instructor feedback). 24 pts Defines (states) the brief patient scenario approved from Milestone 1 including fair details in revisions (if required by Milestone 1 instructor feedback). 75 pts Identifies 3 teaching areas to improve patient outcomes. Excellent details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points. 66 pts Identifies 3 teaching areas to improve patient outcomes. Good details includes information about the mHealth app, safety guidelines for mHealth application, and how to interpret and act on the information of the mHealth application. Written in bullet points. Pts 12 pts Definition of brief patient scenario is poorly done and/or revisions did not adhere to feedback from instructor on Milestone 1 60 pts Identifies 2 or 3 teaching areas to improve patient outcomes. Fair data includes information about the mHealth app, safety guidelines for mHealth application, and/or how to interpret and act on the information of the mHealth application. Does not use bullet points or information is not clear. 0 pts Does not define (state) the nursing issue. 29 pts Identifies 1-2 teaching areas to improve patient outcomes. Poor data includes information about the mHealth app, safety guidelines for mHealth application, OR how to interpret and act on the information of the mHealth application. Does not use bullet points AND information is not clear. 30 pts 0 pts Did not identify teaching measures to improve patient outcomes. 75 pts NR361 Milestone 2 Criteria Evaluate: Describe 3 ways you would determine and evaluate the success of the patient’s use of the mHealth app. Remember to use bullet points. Ratings Pts 75 pts Describe in excellent detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points. 66 pts Describes in good detail 3 ways to determine and evaluate the success of the patient’s use of the mHealth app. Written in bullet points. 60 pts Describes in fair detail 2-3 ways to determine and evaluate the success of the patient’s use of the mHealth app. May not use bullet points or information is not clear. 29 pts Describes in poor detail 1-2 ways to determine and evaluate the success of the patient’s use of the mHealth app. Does not use bullet points AND information is not clear. 0 pts Did not identify ways to evaluate the success of the patient’s use of the mHealth app. Citations and References: Include citation and reference for the mHealth application in APA format. 30 pts Excellent citation and reference in APA format for the mHealth application. 26 pts Good citation and reference with minor errors in APA format for the mHealth application. 24 pts Citations and references with some errors in APA format for the mHealth application. 12 pts Citation and reference with numerous errors in APA format for the mHealth application. 0 pts Did not cite or reference in APA format. Writing contains no spelling or grammatical errors. Reading level is appropriate for patient described. 15 pts Grammar, punctuation, and spelling are correct; Reading level appropriate for patient. 13 pts Good mechanics considering the elements listed in the first column 12 pts Fair mechanics considering the elements listed in the first column. 6 pts Poor mechanics considering the elements listed in the first column 0 pts Very poor mechanics such that assignment is difficult to read. Correct Topic and correct Template Use 0 pts 0 points deducted Correct topic and correct template used for the assignment 0 pts 22.5 points deducted (10%) Incorrect topic OR incorrect/no template used results in a 22.5-point deduction (10%). 75 pts 30 pts 15 pts 0 pts
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