NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Name

Capella university

NURS-FPX 4900 Capstone project for Nursing

Prof. Name

Date

Intervention Presentation and Capstone Video Reflection

Hi, I am______, a baccalaureate nurse. In this tutorial, I will be sharing my capstone project experience, which revolves around a prevalent health issue, obesity, and specifically a 42-year-old patient named Liam. Accumulation of excessive body fat is known as obesity and is measured through Body Mass Index (BMI). A BMI range equal to or above 30, which shows the person is suffering from obesity. Elevated BMI is the reason for other health issues like diabetes, heart-related problems, and musculoskeletal disorders, which impact the quality of life and life expectancy significantly (Lin & Li, 2021). There are several reasons for a person to become obese, including an unhealthy diet (high-calorie, low-nutrient food like sugary food, fast food, and beverages), lack of physical activity, genetics, medical, psychological, and socioeconomic factors (NIH, 2021; NHLBI, 2022).

Liam (42-year-old male) is the focus of this capstone project. By utilizing a care-coordinated personalized plan for Liam, healthcare professionals aim to improve Liam’s quality of life and enhance satisfaction. With transformational leadership and technological integration in treating Liam’s complex condition, the plan provided enhanced outcomes. This tutorial describes Liam’s feedback on achieving better health outcomes with intervention and specific policies. Lastly, I will share my personal and professional experience that added value after this capstone project. 

Intervention Effects on Patient Satisfaction and their Life-Quality

Liam had been suffering from obesity and its related issues. For instance, his physical health declined (cardiovascular concerns), impacted his social relationships (with family and friends), and was facing difficulty in attaining employment stability. The risk factors of chronic heart conditions with obesity negatively impact a patient’s life quality and life expectancy. His condition has caused an economic burden, workspace challenges, and social stigma and ultimately affected his mental health massively (Ufholz & Bhargava, 2021).

The proposed intervention of educating Liam was based on a personalized care plan by collaboration among various healthcare professionals through effective and open communication to improve quality and enhance patient safety. It was educational and social support through telehealth services which equipped patients with practical strategies to manage obesity, facilitating a comprehensive approach (Selfridge & Dennis, 2021). 

Lewin’s Change Model was utilized for a long-term solution as it involves three stages of change (Unfreezing et al.). As per Liam’s response, this model, in connection with collaboration and technological integration, has allowed his unhealthy behavior to be unfreezed. It included factors like quitting processed food consumption and limiting screen time through consultation and educational support for enhanced life quality.

It then helped him bring change through a balanced diet and increased physical activity (Talumaa et al., 2022). Lastly, technological integration such as Electronic Health Records (EHR), Telemedicine, and telehealth allowed for freezing healthy behavior and atmosphere, contributing to positive social relations and improved workplace attitudes. It determines patient satisfaction and improves life quality (Selfridge & Dennis, 2021). Liam mentioned that educational intervention regarding obesity management that it significantly improved his satisfaction by providing him with a better understanding of nutrition, fitness and stress management.

Using Peer-Reviewed Literature and Evidence for Planning and Implementation  

Liam was introduced to a care-coordinated plan, a group of healthcare providers like physicians, nurses, and dietitians who participated in educating and guiding people about obesity management strategies. In the planning phase, Liam communicated evidence-based and peer-reviewed literature related to obesity issues. The reliability of the literature and evidence-based practices was ensured through the CRAAP test. It allowed me to check five elements of the test (Currency, Reliability, Accuracy, Authority, and Purpose). The literature searched through reputable databases like PubMed and organizations like CDC made the research effective for Liam’s treatment and obesity management. The articles were not more than five years old, with authors in expert fields, and the purpose was to address obesity from multiple aspects, such as mental, socio-economical, and physical (Nakayama et al., 2022). 

The transformational form of care plan was devised for Liam, based on research to bring long-term solutions. In the planning phase, it was decided that BMI and circumference measurement would be utilized to track weight loss. Regarding these tools, Liam showed a satisfactory response to an easy method of tracking and understanding the journey through reliable tools. Education regarding healthy eating habits, physical activity, and social support have been proven effective through evidence-based research, which involved The Transtheoretical Model of Change (TTM) and the Behavioral Change Theory (BCT) (Rahimi et al., 2019).

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

These models helped address Liam’s physical, psychological, and economic factors to bring about change. For instance, Liam says he was able to incorporate a Mediterranean diet through an educational approach, which focused on the consumption of vegetables and lean protein along with increased physical activities. He said it helped him feel fuller and energetic, making him consistent with the plan (Ferré & Willett, 2021).

 To help him with psychological concerns due to social stigma and strained relations with his family, rehabilitation therapy was incorporated into educational intervention. Liam confirms that he felt compassion and had open communication while coordinating with healthcare professionals (Sombra & Anastasopoulou, 2024). Further, technology integration for Liam has been utilized to develop cost-effective and valued interventions. It allowed for remote monitoring and consultation, making it possible for healthcare professionals to consistently track and reform care plans according to Liam’s needs and preferences. Community resources such as the Obesity Medicine Association (OMA) and the Obesity Society (TOS) played their part in the educational and support intervention phase significantly (Clayton et al., 2023; Fitch & Bays, 2022). Liam acknowledged these by saying that he feels less isolated and lost while being more in control of his well-being. 

To Improve Outcomes Degree to Leveraged Healthcare Technology

Technology in healthcare has proved immensely helpful for Liam’s obesity treatment. EHR helped improve outcomes by keeping a record of Liam’s health condition and treatment plan, as well as tracking progress. It allowed us to make informed decisions regarding Liam’s health among various healthcare providers (Hinchliffe et al., 2022). The exchange of information and tracking enabled timely educational learning sessions and reduced medication errors due to lack of information and miscommunication. Further, telehealth and Telemedicine have improved the outcome of Liam’s obesity treatment and management. Telehealth allows video conferencing, reducing travel time and in-person visits costs (López et al., 2022). As Liam was concerned and inconsistent with in-person visits due to socioeconomic concerns, he could stick to follow-ups with various healthcare professionals.

Moreover, learning sessions regarding telemedicine greatly influenced Liam’s treatment and leveraged outcomes through remote monitoring of factors like physical activity, sleep cycle, and his cardiovascular condition. He could track his nutritional plan and medication adherence utilizing mobile apps and features for instant tracking and recording of his pulse, heart rate, and steps in a day (Selfridge & Dennis, 2021). Liam said that he could use his mobile for better purposes, and it also motivated him to communicate his emotional response toward his goals through open communication with the nutrition and fitness trainer after educational sessions.  

Capstone Project Planning and Implementation Influenced by Health Policy

Health policies have a pivotal role in shaping actions in the healthcare system. It allows for addressing different aspects of the healthcare system, such as physical, mental, social, and economic aspects that impact health outcomes. Liam’s case is also supported by various healthcare policies that guide nurses and other healthcare professionals in providing support in all required areas to improve Liam’s quality of life and enhance his satisfaction regarding the treatment plan. Firstly, the American Nursing Association (ANA) Code of Ethics guides healthcare professionals, including nurses, to demonstrate compassion towards patients (like Liam) by providing personalized care, education on healthy lifestyle choices, and social support (Ernstmeyer & Christman, 2022).

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) supports research and education on obesity, guiding healthcare professionals. It provides resources for evidence-based information and treatment strategies to help Liam manage his obesity and reduce associated health risks. Further, the Affordable Care Act (ACA) improves accessibility to healthcare services, including preventive care and obesity treatment (Rdesinski et al., 2023). Liam benefited from ACA provisions that cover obesity screening, counseling, and interventions, reducing financial barriers to healthcare and supporting his weight management journey. 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

There are multiple programs by the Obesity Medicine Association (OMA) that provide continuous support and medical guidance for individuals like Liam. The Obesity Society (TOS) also provides education and support like OMA through resources for healthcare professionals, improving Liam’s health outcomes and well-being (Clayton et al., 2023). Obesity Action Coalition (OAC) telehealth initiatives are another important policy focusing on telehealth services, enabling Liam to access motivation, support, and guidance remotely (Rubino et al., 2020). Centers for Disease Control and Prevention (CDC) guidelines emphasize inclusive weight management strategies and promote healthy behaviors and awareness.

It assists healthcare professionals in guiding Liam’s treatment plan, encourages sustainable lifestyle changes, and empowers them to make healthier choices (CDC, 2022b). Lastly, the Health Insurance Portability and Accountability Act (HIPAA) ensures patient privacy and confidentiality, allowing Liam to share personal health information securely with healthcare providers. This protection fosters trust and communication between Liam and various healthcare providers, facilitating effective obesity management and treatment (CDC, 2022a). 

Role of Nurses in Implementation

Nurses play a central engagement in carrying out the interventions and utilize several healthcare policies to benefit patients like Liam, ensuring a holistic plan is provided. Firstly, they utilize ANA to provide compassionate, personalized care, ensuring Liam feels supported and empowered throughout his journey. Nurses leverage their expertise to educate Liam about health conscious behavior, including balanced eating, physical fitness, and stress coping techniques, aligning with guidelines from NIDDK and CDC (Coutts, 2021).

Moreover, nurses advocate for Liam’s access to healthcare services, utilizing provisions from the ACA to facilitate obesity screening, counseling, and treatment. They collaborate with interdisciplinary teams to leverage resources from organizations like the OMA and TOS to develop comprehensive care plans tailored to Liam’s needs. Additionally, nurses ensure HIPAA compliance to maintain Liam’s privacy and build a trusting relationship, which is crucial for effective communication and engagement in telehealth initiatives promoted by OAC. In a nutshell, nurses catalyze positive change, supporting Liam in overcoming obesity-related challenges and improving his health outcomes (Barrea et al., 2021). 

Outcomes of Project

Liam reported significant improvements in his quality of life, including better physical health, improved social relationships, and increased job stability. Through personalized care plans and education, Liam adopted healthier eating habits, engaged in regular physical activity, and received support for mental well-being, leading to sustainable lifestyle changes. Liam experiences reduced social stigma, improved self-esteem, and better coping mechanisms for stress and psychological challenges associated with obesity.

The integration of healthcare technology, including EHR and telehealth services, facilitated remote monitoring, timely interventions, and improved satisfaction due to enhanced communication between healthcare providers and Liam. Liam expressed satisfaction with the care received, highlighting the effectiveness of collaborative care approaches, evidence-based interventions, and adherence to healthcare policies such as HIPAA and ACA (CDC, 2022a; CDC, 2022b). The outcomes of the projects were gathered through feedback from Liam regarding his quality of life and observations of his BMI and circumference measurement results. 

The outcomes of the capstone project were as anticipated, confirming the success of the intervention in improving Liam’s health outcomes, enhancing his satisfaction, and demonstrating best practices in obesity management. We had concerns regarding the patient’s attitude towards the personalized plan and adherence to the plan. However, it surpassed our expectations. We acknowledged his needs and preferences, ensuring no gaps due to cultural values or other beliefs created gaps within the devised plan (Marshall et al., 2021). It allowed me to follow the plan and consistently update you on progress. The interventions have proven to be generalized for millions of other patients suffering from obesity and related health issues such as chronic diseases. The best practices, including the Mediterranean diet, physical activities suitable to obese people, and various technological features, have the potential to change people’s behavior for improved life quality (NHLBI, 2022).

Practicum Hours Spent

I have spent nine practicum hours on this project for obesity management in the documentation, implementation, and evaluation of the intervention with Liam. My direct interaction with Liam let me have detailed conversations about all aspects. Health concerns, psychological impact, and financial constraints. Addressing social determinants with Liam and healthcare providers developed personalized care and evaluated it through technological and theoretical means of assessment like mobile apps and circumference measurement (Ufholz & Bhargava, 2021). 

Professional and Personal Growth

I have experienced substantial personal and professional growth throughout the capstone project and the RN-to-BSN program. Professionally, I have gained skills in data-driven practice, Interprofessional collaboration, and individual-centered care. Collaborating with healthcare professionals and utilizing healthcare policies like HIPAA and ACA improved my understanding of ethical and legal considerations in nursing practice. The capstone project enhanced my critical thinking and problem-solving abilities.

This journey has boosted my confidence in advocating for patients’ needs, ensuring holistic care, and promoting positive health outcomes. The experience of working with diverse patient populations, such as Liam dealing with obesity, has deepened my empathy, cultural competence, and communication skills. Reflecting on my overall performance, I am proud of the comprehensive care plans developed, the positive impact on patient satisfaction, and the successful integration of technology to enhance healthcare delivery. It has been transformative, equipping me with the knowledge, skills, and mindset needed to excel in the dynamic nursing field. 

Conclusion

The capstone project focusing on obesity management and Liam’s case has been a profound learning experience. It showcases the effectiveness of evidence-based interventions, interdisciplinary collaboration, and healthcare policies. The outcomes exceeded expectations, demonstrating the potential for generalized best practices in improving health outcomes and patient satisfaction. This journey has contributed significantly to my personal and professional improvement, empowering me with the proficiencies and mindset required to thrive in nursing practice and advocate for patients’ holistic well-being.

References

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CDC. (2022b, September 27). Overweight & obesity. Centers for Disease Control and Prevention. https://www.cdc.gov/obesity/index.html 

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Coutts, A. (2021). The nurse’s role in providing strategies and advice on weight management. British Journal of Nursing, 30(21), S20–S27. https://doi.org/10.12968/bjon.2021.30.21.S20 

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NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

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López, A., Escobar, M. F., Urbano, A., Alarcón, J., Peña, L. L., Martinez-Ruiz, D. M., & Casas, L. Á. (2022). Experience with obese patients followed via telemedicine in a Latin American tertiary care medical center. International Journal of Environmental Research and Public Health, 19(19), 12406. https://doi.org/10.3390/ijerph191912406 

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NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

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NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

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