Patient, Family, or Population Health Problem Solution

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HEALTH PROBLEM SOLUTION

Jeffrey Kalinowski

NURS-FPX4900

Capella University

Tamara Jones

1/7/2022

Summarize the patient problem

The patient safety issues are highly complex and are concerned with the healthcare system's promotion. It is observed that the patients are sensitive creatures, different issues affect the whole family, and sometimes, it is contagious for the whole group. The health problem defined in the previous assessment was metabolic syndrome. The patient was suffering from opioid use disorders. It was strange to know both the disorders appeared as silent symptoms and consequences. Usually, the patient and family know the disorder but the patient is not ready to quit. The patients are usually in unstable and critical situation but the patient in current case was stable and in the care of family.

The rationale to choose the problem

I selected the problem because they are easy to understand the home-based care practices and self-management approaches. There are almost 26 percent of people suffering from opioid use disorders, and they do not get the best results because of the lack of guidance from the nurses and hospital settings. The patients do not care about their problems till they are properly guided. The rationale was to create awareness among the patients and empower them through self-care. It is important to inform them that they can do better with the home-based approaches, and they should follow the instructions of nurses to have a better living (Andrilla, 2019).

Problem relevant professional practice

I am working as a registered nurse, and the problem is related to professional practice because it is observed that hospital settings' costs are increasing because of excessive readmissions and admissions. The hospitals are made for critical patients and cannot care in the homes. The patient was critical at the start, but he was stable after the first aid treatment. He needed continuous monitoring of his OUD level to improve his health. So, I selected the problem to encourage self-management of disorders and minimize the costs. The critical patients are recommended to admit in the hospitals but he was fine.

Role of leadership and change management in addressing the problem

The leadership in the healthcare setting has a positive attitude towards these problems. It is recommended and taught that all the patients should be given the proper awareness of the problem. They should be given proper medication, and if there is a severe issue, they can be admitted. I have learned all it during the experience and assistance of the senior nurses. They have taught me a lot of concepts and management of the patients. It is recommended that the patients be given the remedies to change their lifestyle for the long-term effects (Andrilla, 2020). The strategies of nurses’ leadership to deal with the problem of patients are as follows. The nurses should focus on the excellence and the quality care of patient. The nurse leadership should arrange a communication session with the families and patients to empower them to get rid of OUD. The leadership strategies include setting of targets and to engage the family in the treatment process. The leadership should educate the nurses regarding the patients problem.

Leadership and change management strategies influenced the development proposed intervention.

The leadership strategies were to motivate the patient to care for himself better than others. The aged patients are usually concerned about their well-being than the others, and they are difficult to convince. It was taken care the motivational leadership style should be adopted because it helps to increase the passion of patient to recover. It encourages that the intervention or approach is better for him. Moreover, the motivational leadership style identifies the strengths and weaknesses of patients that what they can do and what they cannot. The motivational leadership styles help me positively influence the intervention (Tung, 2020). If the patients do not get the positive outcomes, the change management strategies should be introduced. The strategies are to look for the readiness of nurses to change. The change management requires the change communication plan if the previous plan does not work. The patients should be encouraged to take the medicines regularly and to work on the well-being.

Nursing ethics informed the development of the proposed intervention.

The plan and the approaches have helped to maintain nursing ethics. The autonomy was maintained, and the patient's permission was acquired before planning. Though he was not fully convinced, his wife asked him to follow for his betterment. The approach of beneficence was also followed to increase the trust of patients in the nurses. No approach was taken that could be harmful to the patients. The patients are the main entities in the healthcare system, and it is recommended that all the patients be satisfied with the approaches being adopted. The patient and family were happy and satisfied with the approach (Boer, 2017).

Copy of the intervention/solution/professional product

· The interventions were the teaching plans for the patient to monitor and record the progress.

· The first approach was to buy the sensors and install M health app. The patients claim that these technologies easily become a part of their life. Similarly, the app monitors and informs the patients whether they are better or need the medication. Adherence to these technologies can help maintain the health status in most patients. The disadvantages are fewer, but patients desire to have the technologies to reduce disorders. For example, there should be a device to manage OUD (Horner, 2019). I am using M health app and sensors, consistent with the literature review. Different authors and studies have claimed that both are good enough to produce better results, and health status is improved through them. They are consistent enough with the cited literature.

· The patient is recommended to use the DASH diet developed especially for hypertension patients that is usually associated with OUD. The amount of salt is limited, and fats are restricted. A moderate protein-based diet enriched with fruits and vegetables is recommended to the patients. It is good to follow it till the next visit.

· Physical activity should be made part of daily routine.

· The patient should not be accessible to the opioid and other substance drugs.

Strategies for communicating patient, family, or group to improve outcomes

The two or three conversations were set in each meet-up where the patient and his family discussed the different strategies and interventions for the patients. The sessions included the questions and queries of both sides.

Identify the patient, family, or group.

The patient was suffering from opioid use disorders. It was strange to know that the family was aware of it but could not control the patient. The family brought the patient to the hospital when he suddenly fainted and paled. The blood glucose level was more than 500 mg/dl, and the hypertension status was 200/90 mmHg. The problem was identified, and the patient's family was asked to cooperate with the nurses. These problems become prominent because of opioid use disorders.

Benefits of gathering their input to improve care associated with the problem

I know the patient’s problem and queries and what he wants to include in the plan. He was aged and was very attached to the family. So, I did not want to make a strict intervention for him. The strict interventions can urge the patient continue using the drugs and there will be no benefit.

Effective communication and collaboration to improve outcomes

If the patients are not communicated, the nurses will never know what they want in their plan and their issues? Effective communication is necessary to make the patients comfortable. It also helps the patient relax and encourages them to speed recovery (Broglio, 2018). The strategies for communication are as follows. The communication is an important tool to collaborate between the patients and nurses. The strategies are to make the patients agree for the communication sessions. The nurses should accept the problem and should allow the patient to explain their point. There should be no restrictions on the patients forcefully but the two-way communication session should be entertained. The nurses should collaborate with the patients by tracking the health record through the sensors. The communication session should empower the patients and should listen to them carefully.

State board nursing practice guided the development of the proposed intervention.

American Nursing Association has recommended quality care to the patients. The ANA introduces some practices and standards for patients with opioid use disorder . OUD level should be monitored at every clinical visit. If the technologies are available at home, the blood pressure should be measured every day, the health status should be checked. Moreover, the nurses should show complete concern for the well-being of patients. The patients can be recovered when they are given the proper guidelines by the nurses (Davis, 2021). The nursing practice guidelines are related to OUD as they are recommended to have a detailed check up of patients at every clinical visit. The autonomy is maintained by involving the patients and families in the care and safety processes. The proposed intervention and nursing guidelines aligned together and they help the patients to get better with the time.

Proposed intervention improves the quality of care, enhances patient safety, and reduces costs to the system and individual.

I have learned that the quality of care can help the patient increase the quality of life. The nurses are appointed to take care of the patients through the policies, standards, and practices, and the nurses need to help the patients to recover. Quality care is always appreciated in hospital settings, and the nurses can also guide home-based approaches. The home-based approaches positively affect patient safety because it protects from hospital-acquired infections and the costs of hospitals. In the end, I have learned that self-management and the quality of care practices help the patients to minimize the costs for the treatment. Undoubtedly, critical care in hospitals is required when the person is not well, but the home-based approaches are also effective (Jackson, 2018). The proposed intervention has been mentioned above and it includes the use of technology and home care management practices. The use of technology including M health app and sensors help the patients to update their health status and to reduce the costs of the systems. The home care management practices also involve the patient and family to promote the health. The quality care is also increased and the patient safety is improved. The communication sessions with the patients also work well to enhance the patient safety.

Addressing technology, care coordination, and the utilization of community resources

The home-based approaches and self-management are important for the patients because it is observed that the patient was in stable condition. Hospital admissions are recommended when the health problem is serious. The technologies, including the M health apps and sensors were recommended to be used, and the family was asked to play an important role in the patient's well-being. Though quitting a sedentary lifestyle and adopting a healthy lifestyle with physical activity are difficult, it is recommended that the patient follow the instructions for well-being in the future. The technology use and care coordination help the patients and families to increase the home management and care practices. The technologies recommended to patients are less costly and have a positive influence on the patient health. Overall, the technology has the positive impact on the empowerment of patients because they can easily operate the technology and can update and monitor their health status. These technologies can also help the patients to coordinate well with the nurses by showing them the previous health records.

References

Andrilla, C. H. A., Jones, K. C., & Patterson, D. G. (2020). Prescribing practices of nurse practitioners and physician assistants waivered to prescribe buprenorphine and the barriers they experience prescribing buprenorphine. The Journal of Rural Health, 36(2), 187-195.

Andrilla, C. H. A., Moore, T. E., & Patterson, D. G. (2019). Overcoming barriers to prescribing buprenorphine for the treatment of opioid use disorder: recommendations from rural physicians. The Journal of Rural Health, 35(1), 113-121.

Davis, C. S., & Samuels, E. A. (2021). Continuing increased access to buprenorphine in the United States via telemedicine after COVID-19. The International journal on drug policy, 93, 102905.

Jackson, H. J., & Lopez, C. M. (2018). Utilization of the nurse practitioner role to combat the opioid crisis. The Journal for Nurse Practitioners, 14(10), e213-e216.

Broglio, K., & Matzo, M. (2018). CE: Acute pain management for people with opioid use disorder. AJN The American Journal of Nursing, 118(10), 30-38.

Horner, G., Daddona, J., Burke, D. J., Cullinane, J., Skeer, M., & Wurcel, A. G. (2019). “You’re kind of at war with yourself as a nurse”: Perspectives of inpatient nurses on treating people who present with a comorbid opioid use disorder. PloS one, 14(10), e0224335.