DNP 805 Week 5 Assignment_Telehealth
Grand Canyon University DNP 805 Week 5 Assignment_Telehealth– Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University DNP 805 Week 5 Assignment_Telehealth assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for DNP 805 Week 5 Assignment_Telehealth
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 550 Benchmark – Evidence-Based Practice Project: Literature Review depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for DNP 805 Week 5 Assignment_Telehealth
The introduction for the Grand Canyon University DNP 805 Week 5 Assignment_Telehealth is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for DNP 805 Week 5 Assignment_Telehealth
After the introduction, move into the main part of the DNP 805 Week 5 Assignment_Telehealth assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for DNP 805 Week 5 Assignment_Telehealth
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for DNP 805 Week 5 Assignment_Telehealth
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for DNP 805 Week 5 Assignment_Telehealth
Telehealth
Among the focus areas of nursing care is safe and efficient patient care at manageable costs. The implication is that there is always a need to undertake strategies that can improve the outcomes while at the same time keeping the costs in check. Over the years, various strategies have been applied to help in achieving the goal. One of such strategies that have widely been applied is telehealth. The use of telehealth has been shown to be effective in helping nurses and healthcare facilities to enhance clinical outcomes, improve patient satisfaction, deal with healthcare disparities, and lower healthcare costs (Gajarawala& Pelkowski, 2021). Therefore, the purpose of this week’s assignment is to explore a telehealth technology that can be applied in the current practice. Therefore, various aspects will be discussed, including the telehealth technology application, a precis of a published paper, and a mind map depicting the application.
Precis
The importance of telehealth in the health care area and its potential beneficial applications have seen it attract a considerable amount of attention in recent years. Therefore, the application of telehealth in managing various patient conditions has been studied, and the results have been published in journals as peer-reviewed journal articles. Telehealth has recently been applied in the prevention, treatment, and management of pressure ulcers. Recently, a relevant article published by Wickström et al. (2018) covered the use of telehealth in the management of pressure ulcers. This article details how the technology can be applied in my area of practice. The researchers did a study with the aim of investigating the healing time and waiting time between in-person and video consultation assessments for a patient with pressure ulcers. A total of two hundred participants were recruited to take part in the study, where the study group had half of the participants diagnosed through video consultation. On the other hand, the control group had individuals who were diagnosed through in-person assessment.
The major telehealth intervention applied is the use of video consultation. The patients were offered an iPad programmed with skype to assist in the video consultations. The results of this study were analyzed through log-rank test and Mann-Whitney U tests. The analysis revealed results that pointed to the importance of using telehealth in the management of pressure ulcers (Wickström et al., 2018). For example, the mean healing time in the study group and control group was found to be fifty-nine and eighty-two, respectively. This implies that the use of telehealth in the management of pressure ulcers was more effective as the waiting time and healing time were found to be significantly shorter among patients who underwent video diagnosis. This article is important to my field of study as it shows the importance of using telehealth to manage pressure ulcers.
Mind Map
The mind map is a key tool in knowledge synthesis and research as it can be used in writing down and arranging vital points by first writing down the major theme and finding out how it relates to other main and new ideas and concepts. Therefore, a mind map has been created and attached in the appendix section. Ideas and concepts regarding pressure ulcers can be noted from the created mind map. Pressure ulcers require adequate care where the care team collaborates with the patients in the management process for better patient outcomes (Mervis & Phillips, 2019). Pressure ulcers lead to various unwanted outcomes if left unattended. For example, pressure ulcers lead to higher or increased healthcare spending as patients have to dig deeper into their pockets to pay for the management and treatment of the pressure ulcers. The condition also leads to longer hospital stays which further exposes patients to other potential infections hence poor health outcomes. When patients get pressure ulcers, they also experience pains that may have to be well managed through the use of effective pain management medications.
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Pressure ulcer management among patients experiencing the problem has various aims which should be achieved. One of them is faster healing. Using various interventions, pressure ulcers can be treated so that patients get healed within a reasonable time. This helps in relieving the pain experienced by these patients. The other aspect is adequate access to appropriate care (Moore & Patton, 2019). When left unattended, pressure ulcers can lead to several undesirable outcomes hence putting the lives of the patients at risk, which can be challenging to the patients. Therefore, the patients should get adequate care to ensure that the condition is better managed. Preventing pressure ulcers is one of the most effective ways or strategies of dealing with the problem. Therefore, it is important for the care team to put a framework in place which can be used to prevent the development of pressure ulcers. Such frameworks can be key in ensuring that the patients are prevented from developing a pressure ulcer.
The management of pressure ulcers can take various forms, one of them is the use of telehealth. For example, the article explored in the precis section focused on the use of telehealth in the management of pressure ulcers (Wickström et al., 2018). Telehealth can take various forms, but the underlying factor is that the patients are managed remotely through the use of online platforms. Telehealth can take the form of video call consultation or voice call consultation. Using various video and image capture assisted applications, there can be communication between the patient and the care teams to better help in the prevention and management of pressure ulcers. Voice calls can also be used in the follow-up process, where the care team makes calls to the patients remotely located to inquire about their progress (Wickström et al., 2018). Onsite patient education has also been used in the management and prevention of pressure ulcers. The care team can instruct the patients on what to do to ensure that they relieve pressure on various parts of the body to prevent the development of pressure ulcers.
The prevention, treatment, and management of pressure ulcers entails effective care. However, there are various barriers to such effective care. One of the barriers is poor nurse communication. Poor communication or lack of communication between the care teams leads to inadequate care, which eventually leads to pressure ulcers related outcomes (Lavallée et al., 2018). Inadequate care is another barrier that comes due to less facility and a lack of enough expertise by the care team. Therefore, the patients get poorly managed, which leads to poor health outcomes. Heavy workload is another hindrance. Heavy workload means that the care team experience divided attention and possible burnout, which leads to poor outcomes.
Conclusion
A pressure ulcer is one of the conditions experienced in today’s care environment and leads to negative impacts. The implication is that it has attracted the attention of stakeholders who have come up with various strategies to manage the condition. Therefore, this assignment has focused on the use of telehealth, especially the use of video calls which have been shown to be effective in the management of the condition. A precis of a recently published literature detailing the use of telehealth in the management of pressure ulcers have also been explored. A mind map that visualizes the relationships between concepts and ideas has also been discussed.
References
Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218-221. https://doi.org/10.1016/j.nurpra.2020.09.013.
Lavallée, J. F., Gray, T. A., Dumville, J., & Cullum, N. (2018). Barriers and facilitators to preventing pressure ulcers in nursing home residents: A qualitative analysis informed by the Theoretical Domains Framework. International Journal of Nursing Studies, 82, 79-89. https://doi.org/10.1016/j.ijnurstu.2017.12.015
Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. Journal of the American Academy of Dermatology, 81(4), 881-890. https://doi.org/10.1016/j.jaad.2018.12.069.
Moore, Z. E., & Patton, D. (2019). Risk assessment tools for the prevention of pressure ulcers. Cochrane Database of Systematic Reviews, (1). https://doi.org/10.1002/14651858.CD006471.pub4
Wickström, H. L., Öien, R. F., Fagerström, C., Anderberg, P., Jakobsson, U., & Midlöv, P. J. (2018). Comparing video consultation with inperson assessment for Swedish patients with hard-to-heal ulcers: registry-based studies of healing time and of waiting time. BMJ open, 8(2), e017623. http://dx.doi.org/10.1136/bmjopen-2017-017623
DNP 805 Case Report Health Care Informatics FINAL
Case Report: Health Care Informatics
The treatment and management of diseases in the care environment have undergone drastic changes and evolution in recent years. While nurses have been at the center stage of managing patients with various conditions, the strategies applied in such a process have changed from time to time, with the major focus on coming up with the best strategies. The implication is that there has been improved patient care, with the patients reportedly experiencing better outcomes. Technology has played a key role in such a process (Nair & Dreyfus, 2018). Various technological applications have found their way into healthcare and therefore have been used in managing conditions such as pressure ulcers. Therefore, the purpose of this problem is to explore a specific disease process and describe a technological element that can be applied in offering care to a patient experiencing the disease as well as patient practice. In addition, the paper will focus on how the technology will help in integrating treatment within the identified care setting.
The Disease Process and the Problem Statement
Pressure ulcers, sometimes called bedsores refer to the injuries to the skin and other underlying tissues which come from sustained pressure on an individual’s skin. They are commonly experienced on the skin parts which cover the body’s bony areas, such as the tailbone, hips, ankles, and the heals, among others (BoykoTatiana et al., 2018). Pressure ulcers can be developed by individuals while in various care settings such as rehabilitation, long-term, and acute care facilities. When individuals develop pressure ulcers, they may have an experience of increased pain and prolonged hospitalization, treatment, and healing times. While the problem is prevalent in the acute and long-term care settings, various interventions have been applied in the past with non-satisfactory results. The implication is that better strategies should be explored to help in managing the conditions better. However, such efforts are dented due to incorrect management of the medical devices and insufficient knowledge regarding pressure ulcer treatment, the risk factors, and the etiology.
The Synthesized Literature Review
The devastating impacts of pressure ulcers in the acute care setting lead to an exploration of literature regarding the existing literature on the conditions. As such, various peer-reviewed article databases were used to obtain relevant articles which have been explored and synthesized in this section. Gaspar et al. (2019) explored the impact of prevention strategies applied in the prevention of hospital-acquired pressure ulcers. This research entailed a review of close to thirty research articles that reported the prevention strategies for pressure ulcers. From the analysis, the researcher found out that the use of system reminders on-screen, preventive skin care, educating the health care professional, and application of dressing in the heals, trochanters, and the sacrum was found to be more effective (Gaspar et al., 2019). In addition, this analysis also found that many of the studies which dealt with the use of multiple intervention programs reported high efficacy in decreasing pressure ulcers. Another highlight of this analysis was that studies which used single interventions such as repositioning and the use of support surfaces were not always impactful in pressure ulcer prevention.
Clay et al. (2018) conducted a study that aimed at determining the incidence and cause of device-associated pressure ulcers and formulate interventions for preventing device-related pressure ulcers. This study focused on exploring two of the most offensive devices, which include the Continuous Positive Pressure and the Bilevel Positive Airway Pressure masks. Before the use of the proposed intervention, the researchers noted that within a period of two years, the pressure injuries connected to the medical devices were as high as 81% of the hospital-acquired pressure ulcers. The intervention applied in this project was adhesive foam dressing on individuals with the Continuous Positive Pressure and the Bilevel Positive Airway Pressure masks and before orthopedic spinal surgery. The intervention targeted the prevention of operating room and device positioning pressure ulcers. The application of the intervention led to a drastic drop in the cases of pressure ulcer development.
Mervis and Phillips (2019) also explored strategies for preventing and managing pressure ulcers. According to this research, prevention is the major focus of pressure ulcer research, and even though efforts have been made toward preventing the problem, pressure ulcers are still prevalent in hospitals and community settings. This source explored various strategies that can be applied to prevent the condition. One of them is repositioning. This strategy seeks to avoid extended periods of locally sustained pressure. Even though there have been suggestions of repositioning after every two hours, several studies have disputed this since studies done by using repositioning every two hours produced non-significant results.
The next intervention explored in this study is the use of support surfaces. This entails using specialized surfaces such as overlays and mattresses that have been made to minimize shear and lower pressure. There are also alternating pressure and constant low-pressure supports that have been used towards reducing pressure ulcers. These surfaces have been shown to be more effective in comparison to standard mattresses (Mervis & Phillips, 2019). The next intervention that has been applied is nutrition. This intervention has been used as guided by the fact that nutritional deficiencies can lead to skin breakdown. Therefore, as part of the strategy, a nutritional assessment is performed on the patients to help prevent pressure ulcers. During such assessments, mineral, vitamin, calorie, and protein deficiencies are checked, and necessary steps are taken to ensure that the patient is not deficient in any of them for better pressure ulcer prevention.
These researchers also explored the use of dressings such as prophylactic dressings that are key in reducing the impacts of shear and friction. Dressing such as foams, hydrocolloids, and films are used to minimize the impacts of shear or friction on all the at-risk body parts. Besides, topical agents such as fatty acid creams have also been applied to help in the reduction of pressure ulcer incidences (Mervis & Phillips, 2019). These fatty acid creams include ointments, lotions, and other creams.
The Description of the condition
As earlier pointed out, pressure ulcers are common in care settings and entail injuries to the skin and underlying tissues as caused by sustained pressure on the skin. Even though considerable attention has been given to the condition, it still remains a substantial source of mortality and morbidity (Mervis & Phillips, 2019). The implication is that pressure ulcers still lead to a considerable burn for the healthcare system and the patients who are impacted negatively in several ways by the condition. Even though pressure ulcers come as a result of overall poor health or due to other medical conditions, most cases of this condition can be avoided or prevented. As such, various preventive measures have been applied in recent times, which focus on improving the care outcomes at affordable costs. However, in the cases where a patient has already developed pressure ulcers, then surgical management, non-operative strategies, and appropriate wound care are indicated. These treatment and management strategies can be integrated with the preventive measures for better outcomes.
Pressure ulcers can make the patients to have various problems. One of the problems resulting from pressure ulcers is pain. In some cases, pressure ulcers can lead to wounds that can be painful, making the patients experience negative outcomes. The other impact is longer hospital stays. When patients are admitted to the hospital due to other conditions, the development of pressure ulcers would mean that they may have to spend extra days in the hospital since the condition still has to be managed (BoykoTatiana et al., 2018). The implication is that these patients can be exposed to other hospital-acquired infections, which can further adversely impact the patient’s condition. Various barriers to care exist. The major barriers include incorrect management of the medical devices, insufficient knowledge regarding pressure ulcer treatment, the risk factors, and the etiology.
The case entails a 50-year-old patient who was admitted to the acute care setting for a bad general condition. The patient was completely immobile and had a history of sclerosis, having experienced multiple cases. The patient had pressure ulcers in the legs and arms. Even though the patient had been offered some care, it is a great challenge to position the patient since the patient experiences severe pain and also has physical limitations. However, the patient is fully oriented and mentally active.
Description of A technology that can be used as a Solution
Technology and technological applications have been at the forefront of a revolution in healthcare as the treatment and management of various patient conditions these days are becoming more and more technology-based. One of the technologies that be used as a solution to the patient situation presented in the previous sections is alternating pressure mattresses. The alternating pressure mattresses have air-filled compartments capable of inflating and deflating in a synchronized way to vary pressure across a patient’s body parts continuously (Shi et al., 2021). Even though the studies regarding the use of alternative pressure surfaces are heterogeneous, specifically on the air cell cycling times and specifications, the use of this technology has been shown to be far more effective in comparison to the standard mattresses used in hospitals.
The Use of Alternating Pressure Mattress
Even though other technological solutions can be applied in the case study discussed in the previous section, alternating pressure mattresses can best fit the patient. The patient feels a lot of pain and also has physical complications and challenges. As such, strategies such as repositioning may be harmful to the patient. Therefore, alternating pressure mattresses will be helpful as the air-filled surfaces will help in relieving pressure on the area susceptible to the development of pressure ulcers as well as better management of the parts already impacted with the pressure ulcers (Shi et al., 2021). The use of this technology is key in relieving and redistributing pressure through a dynamic lying surface. While the inflated air cells offer pressure to support the patient, the deflated cells offer relief for the skin above.
The Summary of the Case Integrating Proposed Solution
Pressure ulcers are detrimental to the health of the patients hence a need to control, treat and manage them. As discussed in the literature review section, various strategies have been used in the prevention and treatment of pressure ulcers. Even though various interventions can be used, not all strategies can be effective for particular cases. For example, the patient explored in this case report experiences a lot of pain and has physical complications, thus making repositioning a non-suitable option. As such, the use of an alternating pressure mattress has been proposed for this patient (Shi et al., 2021). It is hoped that the alternating pressure mattress will help the patient to recover and prevent further development of pressure ulcers.
Conclusion
Technology and technological applications have been at the center of operations in healthcare and the improvement of healthcare services offered to patients experiencing various conditions. Therefore, this case report has explored the prevention and management of pressure ulcers using alternating pressure mattresses as a technology. In addition, a real-life situation of a patient experiencing pressure ulcers has been explored and discussed.
References
BoykoTatiana, V., LongakerMichael, T., & YangGeorge, P. (2018). Review of the current management of pressure ulcers. Advances in Wound Care. https://doi.org/10.1089/wound.2016.0697
Clay, P., Cruz, C., Ayotte, K., Jones, J., & Fowler, S. B. (2018). Device-related pressure ulcers pre and post identification and intervention. Journal of Pediatric Nursing, 41, 77-79. https://doi.org/10.1016/j.pedn.2018.01.018
Gaspar, S., Peralta, M., Marques, A., Budri, A., & Gaspar de Matos, M. (2019). Effectiveness on hospital‐acquired pressure ulcer prevention: a systematic review. International Wound Journal, 16(5), 1087-1102. https://doi.org/10.1111/iwj.13147.
Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Prevention and management. Journal of the American Academy of Dermatology, 81(4), 893-902. https://doi.org/10.1016/j.jaad.2018.12.068.
Nair, A., & Dreyfus, D. (2018). Technology alignment in the presence of regulatory changes: The case of meaningful use of information technology in healthcare. International Journal of Medical Informatics, 110, 42-51. https://doi.org/10.1016/j.ijmedinf.2017.11.012
Shi, C., Dumville, J. C., Cullum, N., Rhodes, S., Jammali-Blasi, A., & McInnes, E. (2021). Alternating pressure (active) air surfaces for preventing pressure ulcers. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD013620.pub2
Appendix: Mind Map