NURS FPX 6011 Assessment 1 Concept Map

Name

Capella university

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Prof. Name

Date

Evidence-Based Patient-Centered Needs Assessment

 Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting illness in older adults aged 65 and older. Advancements in medical technology offer promising solutions to enhance patient participation and address challenges in COPD management. This paper explores integrating healthcare technologies to optimize older COPD patient participation and improve outcomes, especially in California. It examines the impact of economic, cultural, and health-related factors on older persons. It aims to identify strategies for using data and communication technologies to promote health literacy while ensuring ethical and culturally competent care.

Need for Addressing Patient Engagement in Managing COPD 

COPD restricts airflow to the lungs. It results in breathing difficulties and is a prevalent chronic condition among adults aged 65 and older. According to the Centers for Disease Control and Prevention (CDC), around 16 million adults in the United States (U.S) are affected by COPD. In 2020, COPD led to 165,249 hospital admissions among older aged 65 and above (CDC, 2024). It impairs their physical functioning and mental well-being.

This population faces challenges in managing COPD due to age-related declines in lung function, other coexisting chronic conditions, poor adherence to medical advice, and limited understanding of the disease. Encouraging active patient involvement in their healthcare process is crucial for improving knowledge and adherence to treatment plans. It minimizes COPD’s influence on their quality of life. Collaborating with healthcare staff in a shared, compliant COPD management plan enhances older patients’ self-care skills (Jiang et al., 2022). Patient engagement is vital for managing COPD in the elderly.

It empowers them to take ownership of their treatment, improve medication adherence, monitor symptoms, and enhance self-management. Older adults are more likely to manage symptoms and follow treatments when actively involved in their care. It reduces the need for emergency interventions and hospitalizations. Increased engagement in self-management improves health for older COPD patients and develops self-care autonomy.

Patient Engagement Approaches

Personalized educational interventions for older adults with COPD increase their interest and management of the disease. According to Hei et al. (2021), these interventions include inhaler technique training, smoking cessation support, symptom tracking, medication management, nutritional guidance, pulmonary rehabilitation, breathing exercises and advanced care planning. Pharmacists educate and demonstrate proper inhaler use.

They address drug-related concerns through motivational interviewing, discuss medication adherence and engage in shared decision-making. Such initiatives make the older patient understand their state. It is capable of fostering self-management skills in their health state. It improves these patients’ states by making them believe more confidently about managing COPD.

Digital health applications such as MyCOPD and Propeller Health directly support older adults with COPD in managing their condition. They track symptoms and safeguard medication adherence. These platforms help record symptoms, monitor medication usage and send reminders or alerts for potential triggers. These apps support improved COPD management by offering educational tools and improving health literacy.

It strengthens self-care skills and delivers personalized treatment options for older patients. This empowers people to achieve better health (Machado et al., 2024). Patient engagement in pulmonary rehabilitation programs is vital for older COPD patients. It improves lung function, reduces symptoms and enhances the quality of life. These programs combine exercise, education and support to help patients manage their state. For older adults, pulmonary rehabilitation increases exercise tolerance and reduces the chance of hospitalizations. These programs educate older patients on proper inhaler use and coping strategies. It encourages them to participate in their care (Mosher et al., 2022). 

Information and Communication Technology and Older COPD Patients

Information and Communication Technologies (ICTs) improve healthcare quality. It supports reducing costs, raises awareness for patients and their families, and promotes patient-centered care (Sönnerfors et al., 2021). Technological tools, including mobile apps like MyCOPD and Propeller Health, increase patients’ health literacy by educating them on COPD triggers, proper inhaler techniques and symptom identification.

These apps support symptom self-monitoring and provide medication reminders. It improves adherence and fosters a deeper understanding of the condition. Real-time feedback allows informed decision-making (Bonnevie et al., 2021). Telemedicine platforms enhance health knowledge for older adults with COPD by delivering timely consultations with focused guidance on causes and inhaler usage. These platforms help overcome challenges.

It maintains ongoing care, reminds patients of their treatment plans, and encourages self-management. Such technologies empower older COPD patients to make well-informed choices. It reduces hospital admissions and improves their quality of life through consistent, personalized support tailored to their health conditions. However, several socioeconomic factors impact COPD management and address challenges such as technology accessibility, digital literacy, costs and other potential barriers (Imatz et al., 2022). These environmental factors are crucial for optimizing care and addressing patients’ needs.

Value and Relevance of Technology Modalities

The technological tools, including mobile health applications and telemedicine platforms, are useful and relevant in promoting patient engagement and improving health literacy. It enhances care quality for older individuals with COPD. Mobile applications promote active engagement by providing user-friendly, tailored management COPD resources (Machado et al., 2024). These applications enhance honest communication through timely reporting of symptoms and medication use. Moreover, patient identities remain confidential since the applications have high-security measures like passwords and encryption.

To guarantee accessibility, different languages are supported, and simple language will be used to enhance comprehension (Machado et al., 2024). Integrating health information exchange and interoperability allows these mobile applications to sync with the different platforms. It safeguards continuous updates in the treatment plans and enhances collaboration between teams. Telemedicine boosts patient participation through direct, real-time visits by exerts.

It negates the issues of accessibility and distance. These encourage open dialogue because patients interact with clinicians who can reinforce education and promote treatment adherence (Bonnevie et al., 2021). Interoperability in these platforms enables data exchange among staff. It confirms timely access to patient records, which supports coordinated care and better clinical decision-making. Cultural skill is merged into these platforms. It caters to various patient demographics by including interpreters and simplifying medical jargon for older COPD patients from diverse cultural settings.

Innovative Strategies

The strategies for executing these technologies focus on developing multilingual applications. They utilize (Artificial Intelligence (AI) and machine learning to customize the interface and content based on users’ cultural and linguistic preferences (Gligorea et al., 2023). An innovative approach to telehealth for COPD care includes integrating language interpretation services. Telehealth platforms can potentially improve communication with diverse, multilingual populations by offering real-time interpretation and culturally sensitive messaging (Poureslami et al., 2022).

These services require complete provider training to ensure implementation. Adaptive learning features within mobile apps address varying levels of health literacy among older patients. These features adjust content complexity based on the user’s understanding. It increases engagement and encourages consistent usage (Machado et al., 2024). Integrating community health workers or culturally competent guides within telemedicine platforms fosters trust and strengthens relationships by guiding patients through the care process in a culturally relevant way. These strategies promote inclusive, timely and culturally tailored COPD care.

Mitigating the Risk of Adverse Outcomes

The planned approaches intend to reduce the adverse health outcomes associated with exclusion from people with disabilities. They include cultural and linguistic sensitivity as a component of technological solutions. It safeguards access to diverse populations. They provide educational resources for overcoming technology-related challenges, use adaptive learning and include community health workers. Evidence indicates that such strategies are executed successfully in different healthcare settings. For example, telehealth and mobile health applications for managing COPD were adapted to contain multilingual interfaces and culturally relevant educational content (Poureslami et al., 2022).

Findings have emphasized the benefits of language interpretation services in physician-patient consultations. Adaptive learning techniques are demonstrated to increase the understanding of patients and minimize barriers to their learning. This is imperative because it enhances learning outcomes across different backgrounds for older learners (Sönnerfors et al., 2021). However, disparities remain regarding limited access to technology and data and communication technology proficiency. Many older COPD patients in poor and remote areas have a shortage of internet availability and tools.

Communication challenges lead to misunderstandings of medical instructions and low health literacy can impair COPD management. To address these issues, m-Health apps include offline functionality and customize content based on users’ literacy levels. Telehealth platforms that have language interpretation services safeguard communication. Including culturally competent navigators within these technologies enables patients to engage effectively with their care.

Conclusion

Healthcare innovations, including personalized educational interventions, digital health applications, and telemedicine platforms, have streamlined the management of COPD among older adults. Technologies spark patient engagement, enhance health literacy, and support self-care. They result in better health outcomes and fewer hospitalizations. Though barriers include limited technology accessibility and minimal digital literacy, adaptive learning features and cultural competency seek to eradicate those issues.

References

Bonnevie, T., Smondack, P., Elkins, M., Gouel, B., Medrinal, C., Combret, Y., Muir, J.-F., Cuvelier, A., Prieur, G., & Gravier, F.-E. (2021). Advanced telehealth technology improves home-based exercise therapy for people with stable chronic obstructive pulmonary disease: A systematic review. Journal of Physiotherapy, 67(1), 27–40. https://doi.org/10.1016/j.jphys.2020.12.006

NURS FPX 6011 Assessment 1 Concept Map

CDC. (2024, June 12). COPD. Chronic Disease Indicators. https://www.cdc.gov/cdi/indicator-definitions/chronic-obstructive-pulmonary-disease.html

Gligorea, I., Cioca, M., Oancea, R., Gorski, A.-T., Gorski, H., & Tudorache, P. (2023). Adaptive learning using artificial intelligence in e-learning: A literature review. Education Sciences, 13(12), 1216. https://doi.org/10.3390/educsci13121216 

Hei, S. J., Dierick, B. J. H., Aarts, J. E. P., Kocks, J. W. H., & Boven, J. F. M. (2021). Personalized medication adherence management in asthma and COPD: A review of effective interventions and development of a practical adherence toolkit. The Journal of Allergy and Clinical Immunology: In Practice, 9(11). https://doi.org/10.1016/j.jaip.2021.05.025

Imatz, A., Carrasco, J. de la C., Luque, A., Pastor, J. M., León, M. del R., Cortés, F. J., Buitrago, P., Soto, P. J., & Cané, I. (2022). Nurse-led interventions in chronic obstructive pulmonary disease patients: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(15), 9101. https://doi.org/10.3390/ijerph19159101

Jiang, Y., Sun, P., Chen, Z., Guo, J., Wang, S., Liu, F., & Li, J. (2022). Patients’ and healthcare providers’ perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: A qualitative study. BioMed Central Geriatrics, 22(1). https://doi.org/10.1186/s12877-021-02702-z

Machado, B., Quimbaya, P., Bustos, R.-H., Jaimes, D., Cortes, K., Vargas, D., & Perdomo, L. (2024). Assessment of medication adherence using mobile applications in chronic obstructive pulmonary disease: A scoping review. International Journal of Environmental Research and Public Health, 21(10), 1265–1265. https://doi.org/10.3390/ijerph21101265

NURS FPX 6011 Assessment 1 Concept Map

Mosher, C. L., Nanna, M. G., Jawitz, O. K., Raman, V., Farrow, N. E., Aleem, S., Casaburi, R., MacIntyre, N. R., Palmer, S. M., & Myers, E. R. (2022). Cost-effectiveness of pulmonary rehabilitation among US adults with chronic obstructive pulmonary disease. Journal of the American Medical Association Network Open, 5(6), e2218189. https://doi.org/10.1001/jamanetworkopen.2022.18189

Poureslami, I., FitzGerald, J. M., Tregobov, N., Goldstein, R. S., Lougheed, M. D., & Gupta, S. (2022). Health literacy in asthma and chronic obstructive pulmonary disease (COPD) care: a narrative review and future directions. Respiratory Research, 23(1). https://doi.org/10.1186/s12931-022-02290-5

Sönnerfors, P., Roaldsen, K., Ståhle, A., Wadell, K., & Halvarsson, A. (2021). Access to, use, knowledge, and preferences for information technology and technical equipment among people with chronic obstructive pulmonary disease (COPD) in Sweden. A cross-sectional survey study. BioMed Central Medical Informatics and Decision Making, 21(1). https://doi.org/10.1186/s12911-021-01544-4