CAPSTONE PART 1
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PAY ATTENTION: You should have a specific setting for the population (USE EDERLY PATIENTS) and your intervention should last 8 weeks. Why is there ‘inadequate heart failure management” for patients.
What does the “heart failure management entail?
Limit the outcomes for your PICOT.
PICOT QUESTION IS ATTACHED
1. Title Page
2. Introduction to your proposed problem:
– Significance of the Practice Problem: Discuss the identified Practice Problem.
-Introduce the topic of the paper.
-Describe the health problem. Don’t type “Introduction.”
-Using data and statistics, support your claim that your selected issue is a problem.
– Include your purpose statement and what specifically you will address in your proposed program.
-Be sure your proposed outcome is realistic and measurable.
3. PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).
The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe
4. Describe the vulnerable population
-Discuss the impact of social determinants on health for your selected population.
-What are the risk factors that make this a vulnerable population?
-Use evidence to support the risk factors you have identified.
5. Research should be from scholarly journals of evidence-based interventions that address the problem.
-Peer-reviewed research articles not older than five years (all articles must be used in your paper)
6. Proposal
-Propose addressing the selected health problem using an evidence-based intervention in your literature search to address the problem in the selected population/setting.
-Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role.
-Be sure to include a timeline for the intervention proposed.
7. Theoretical Framework/Nursing Theory- This section should include the theoretical framework which supports your project. Describe a theory or model to serve as the foundation for your project.
– Overall, you should be able to introduce the problem and why this is significant to the healthcare system. For example: What impact does it have on the patient, community, cost of care, quality of life, readmissions and so forth
-Use appropriate APA 7th Ed. format along with Syllabus outline
-Scholarly, peer-reviewed, and research articles cited should be within the last five years.
-This section should be 3 pages long (not including the title and reference page).
-Use proper in-text citations with a properly formatted reference list.
-All papers must be written in the 3rd person.
NO MORE THAN 10% PLAGIARISM
USE 3-4 REFERENCES NO OLDER THAN 5 YEARS
THIS COUNT 25 % OF CLASS GO STEP BY STEP CAREFULLY
DUE DATE SEPTEMBER 7, 2023
Transforming Heart Failure Care
Name:
Institution:
Course:
Date:
Transforming Heart Failure Care
PICOT Question: In heart failure patients (P), does implementing a
comprehensive disease management program (I) compared to standard
care (C) lead to improved clinical outcomes, reduced hospital
readmissions, and enhanced quality of life (O) within a 12-month follow-
up period (T)?
The healthcare problem I propose to change is inadequate management in heart failure
patients, as outlined in the PICOT question. Inadequate management of heart failure is a
significant healthcare problem with far-reaching implications. Chronic heart failure, as described
by Dumitru in 2023, can be seen as a persistent challenge where the heart struggles to perform its
crucial role of pumping blood efficiently, resulting in distressing experiences like shortness of
breath, weariness, and the unwelcome retention of fluids. Without proper management, heart
failure patients often experience frequent hospitalizations, reduced quality of life, and increased
healthcare costs.
The impact of inadequate heart failure management on patients is profound. Patients with
poorly managed heart failure experience reduced functional capacity, frequent symptom
exacerbations, and a diminished quality of life. They often face emotional distress and anxiety
due to the unpredictability of their condition (AlHabeeb, 2022). Inadequate management also
results in a higher risk of hospital readmissions, contributing to the overall burden on the
healthcare system.
The community is also affected by this problem as heart failure patients often rely on
social support systems, including family members and caregivers, to manage their condition
(Dumitru, 2023). When patients experience frequent hospitalizations, it places additional stress
on their caregivers and disrupts their daily lives.
From a cost perspective, inadequate heart failure management is a significant driver of
healthcare expenditures. Hospitalizations and emergency department visits are costly, and the
recurrent nature of these events amplifies the financial burden on healthcare systems and payers
(Dumitru, 2023). Implementing a comprehensive disease management program may initially
require an investment, but it has the potential to reduce overall healthcare costs by preventing
costly hospitalizations and readmissions.
Improving heart failure management can also enhance the quality of life for both patients
and their communities (AlHabeeb, 2022). By implementing evidence-based interventions,
educating patients, and closely monitoring their condition, we can help patients better manage
their symptoms and improve their overall well-being.
The setting for addressing this healthcare problem could be a hospital or outpatient clinic
specializing in heart failure care. A multidisciplinary team comprising cardiologists, nurses,
dietitians, social workers, and pharmacists can collaborate to implement the comprehensive
disease management program, ensuring that patients receive holistic and coordinated care
(AlHabeeb, 2022). Additionally, community resources and support groups can be leveraged to
provide ongoing assistance and education to patients and their caregivers, further enhancing the
impact of the intervention.
Reference
AlHabeeb, W. (2022). Heart failure disease management program: A review. Medicine, 101(31),
e29805. https://doi.org/10.1097/MD.0000000000029805
Dumitru, I. (2023). Heart Failure Treatment & Management: Approach Considerations,
Nonpharmacologic Therapy, Pharmacologic Therapy. EMedicine. https://
emedicine.medscape.com/article/163062-
treatment#:~:text=Treatment%20of%20acute%20HF%20is
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