Name

Capella University

NURS-FPX 4900

Professor’s Name

December 2023

Patient, Family, or Population Health Problem Solution

Cardiovascular disease (CVD) happens when the heart and blood vessels face problems. One major issue is atherosclerosis, where arteries get narrow and hard due to the buildup of plaque made of cholesterol and fats. This can lead to less blood flow to the heart, causing chest pain or, in severe cases, a heart attack. The heart, responsible for pumping blood, may weaken over time in conditions like heart failure, affecting its ability to work properly. CVD can also lead to blood clots that increase the risk of strokes. Because of cardiovascular disease, the normal functions of the heart and blood vessels get disturbed. The heart has a harder time pumping blood, impacting the delivery of oxygen and nutrients to the body. This affects organs and tissues, causing problems (Fuchs & Whelton, 2019). The blood vessels also undergo changes, making it difficult for blood to flow smoothly. Conditions like high blood pressure add more stress to the heart and blood vessels. In simple terms, cardiovascular disease messes up the usual workings of the heart and blood vessels, making it harder for the body to get the essential things it needs.

In this study, I will explore the two practicum hours dedicated to my interaction with Mr. Johnson, a 65-year-old male patient diagnosed with cardiovascular disease. Mr. Johnson has been grappling with various health issues arising from cardiovascular disease including conditions such as coronary artery disease, heart failure, and stroke. In coronary artery disease, the accumulation of plaque in the arteries restricts blood flow to the heart, leading to chest pain or heart attacks. Heart failure occurs when the heart is unable to pump blood effectively, causing fatigue and shortness of breath. Additionally, cardiovascular disease can contribute to the formation of blood clots, increasing the risk of strokes. These health issues collectively impact the cardiovascular system, disrupting the normal functioning of the heart and blood vessels and posing risks to overall health (Ma et al., 2020). Consequently, this research will delve into the nursing staff’s potential contribution to improving the care quality for individuals with this disease. It will specifically focus on the role nurses play in ensuring patient safety and addressing medication costs associated with cardiovascular disease.

Role of Leadership, Change Management, and Nursing Ethics in Cardiovascular Disease

Leadership plays a crucial role in addressing the complex needs of patients with cardiovascular disease, exemplified in the case of Mr. Johnson. A visionary and empathetic leader is essential for guiding healthcare teams, fostering a patient-centered approach, and driving innovation in cardiovascular care. Effective leadership involves strategic decision-making to optimize resources, establish clear communication channels, and promote collaboration among healthcare professionals (Kavita et al., 2020). In Mr. Johnson’s case, strong leadership is pivotal in navigating the challenges posed by cardiovascular disease, ensuring that interventions are evidence-based, ethical, and aligned with the overarching goals of improving patient outcomes.

Change Management Strategies in Intervention Development

Change management is integral to the successful implementation of interventions for patients like Mr. Johnson with cardiovascular disease. The dynamic nature of healthcare necessitates adaptability and a systematic approach to change. Change management strategies involve assessing the readiness for change, engaging stakeholders, and implementing interventions in a phased manner. In the context of Mr. Johnson, a change management approach would consider the introduction of new cardiovascular care protocols, the integration of technological solutions, and the establishment of interdisciplinary collaborations (Osokpo & Riegel, 2019) . By addressing potential resistance, fostering a culture of continuous improvement, and aligning interventions with the overarching healthcare goals, change management strategies contribute to the effective implementation of cardiovascular care interventions.

Influence of Nursing Ethics on Intervention Development

Nursing ethics are fundamental in shaping the development and implementation of interventions for patients like Mr. Johnson. Ethical considerations guide decision-making, ensuring that interventions prioritize patient well-being, autonomy, and confidentiality. Nurses, as advocates for patients, adhere to ethical principles such as beneficence, non-maleficence, and justice in designing interventions (Krist et al., 2020) . In Mr. Johnson’s case, nursing ethics played a pivotal role in tailoring the intervention to his specific needs, respecting his values and preferences, and ensuring that the proposed strategies align with evidence-based and ethical practices. The influence of nursing ethics is reflected in the comprehensive, patient-centered nature of the intervention, promoting the highest standards of care and ethical conduct.

Professional Product: Cardiovascular Care Intervention for Mr. Johnson

As part of the intervention, a comprehensive cardiovascular care plan was developed for Mr. Johnson. This plan includes personalized dietary and exercise recommendations, regular monitoring of vital signs using telehealth technology, and ongoing patient education to enhance self-management. Interdisciplinary collaboration is emphasized, involving collaboration with a nutritionist, exercise physiologist, and pharmacist to provide holistic care. Technological solutions, such as a mobile health application for medication reminders and progress tracking, were integrated to enhance patient engagement. This professional product reflects the culmination of leadership, change management, and nursing ethics in creating a tailored intervention aimed at optimizing Mr. Johnson’s cardiovascular health outcomes.

Best-Practice Strategies for Communicating and Collaborating with Patients

In the realm of cardiovascular care, obtaining input from patients, exemplified by the case of Mr. Johnson, holds substantial benefits. Patient input is instrumental in understanding individual preferences, values, and concerns, thereby fostering a collaborative and patient-centered approach to care. Research consistently emphasizes the positive correlation between patient involvement and improved treatment adherence, patient satisfaction, and overall health outcomes (Hawkins et al., 2020). By actively engaging Mr. Johnson in decision-making processes, healthcare providers gain valuable insights into his unique experiences, allowing for a more tailored and effective cardiovascular care plan. This patient-centric approach not only enhances the quality of care but also empowers individuals like Mr. Johnson to actively participate in managing their cardiovascular health. By integrating best-practice strategies into the communication and collaboration processes with Mr. Johnson, healthcare providers can enhance the patient experience, optimize treatment outcomes, and strengthen the partnership between the patient and the healthcare team in managing cardiovascular health.

Patient-Centered Communication

Adopting patient-centered communication involves actively listening to Mr. Johnson’s concerns, preferences, and goals. Open-ended questions and empathetic communication foster a collaborative dialogue, ensuring that his voice is heard and respected in the decision-making process (Lindman et al., 2020).

Educational Empowerment

Providing Mr. Johnson with clear and accessible information about his cardiovascular condition and the proposed interventions is crucial. Educational materials, discussions, and resources tailored to his individual needs enhance his understanding, empowering him to make informed decisions about his health.

Shared Decision-Making

Implementing shared decision-making principles allows Mr. Johnson to actively participate in determining his cardiovascular care plan. This collaborative model involves discussing treatment options, risks, and benefits, ensuring that decisions align with his values and preferences (Backman et al., 2019).

Regular Feedback and Check-ins

Establishing regular communication channels, such as periodic check-ins and feedback sessions, creates opportunities for Mr. Johnson to express any evolving needs or concerns. This ongoing dialogue facilitates adjustments to the cardiovascular care plan, reflecting a dynamic and responsive approach to his healthcare.

Nursing Practice Standards and Organizational or Governmental Policies

State board nursing practice standards in the United States provide a foundational framework for the development of a proposed intervention, ensuring that nursing care aligns with ethical and professional expectations. Adherence to these standards is integral to guaranteeing safe, competent, and patient-centered healthcare delivery. Specifically, standards related to assessment, planning, implementation, and evaluation shape the proposed intervention for cardiovascular care. For example, guidelines on patient education, communication, and documentation guide nurses in developing comprehensive care plans tailored to individual patient needs. By integrating these standards, the proposed intervention aims to uphold the highest professional benchmarks, fostering a commitment to excellence in nursing practice.

American Nurses Association (ANA)

Policies from the American Nurses Association (ANA) play a pivotal role in guiding the proposed intervention. The ANA’s Code of Ethics for Nurses sets forth principles that emphasize patient advocacy, autonomy, and the ethical use of technology. These principles influence the intervention by ensuring that patient rights and values are respected, and technological solutions are implemented ethically (Dyrbye et al., 2020). Credible research demonstrates that interventions grounded in ethical principles, as outlined by the ANA, contribute to improved patient satisfaction, trust in healthcare providers, and overall positive health outcomes. By aligning with ANA policies, the proposed intervention seeks to not only meet ethical standards but also enhance the patient experience and well-being.

Centers for Medicare & Medicaid Services (CMS)

Centers for Medicare & Medicaid Services (CMS) significantly impact the development of the proposed intervention, particularly in terms of reimbursement, quality metrics, and broader healthcare goals. CMS policies incentivize interventions that demonstrate effectiveness, adherence to evidence-based practices, and improvements in patient outcomes (Fouayzi et al., 2020). The proposed cardiovascular intervention aligns with CMS policies to ensure that it meets regulatory requirements while contributing to the overarching national healthcare objectives. Research supports the effectiveness of interventions designed in accordance with CMS policies, showing positive impacts on care coordination, patient safety, and overall healthcare quality. By incorporating CMS policies, the proposed intervention aims to enhance cardiovascular care outcomes and contribute to the continuous improvement of healthcare practices on a broader scale.

Effectiveness of Adhering to Standards and Policies

Credible research consistently underscores the effectiveness of adhering to state board nursing practice standards, ANA policies, and CMS policies in improving patient outcomes. Interventions developed within the framework of these standards and policies lead to enhanced patient safety, improved quality of care, and better adherence to evidence-based practices. The integration of ethical principles from the ANA and the regulatory framework provided by CMS has been associated with positive impacts on healthcare delivery. By grounding the proposed intervention in specific state board standards, ANA policies, and CMS guidelines, healthcare providers can leverage evidence-based practices and contribute to the continual enhancement of cardiovascular care practices, ultimately leading to improved patient outcomes.

Interventions to Address Cardiovascular Disease

The proposed intervention for Mr. Johnson aims to enhance the quality of cardiovascular care by adopting a personalized and patient-centered approach. Leveraging evidence-based practices and guided by state board nursing practice standards, the intervention tailors cardiovascular management to Mr. Johnson’s unique health needs and preferences. This personalized care plan encompasses targeted dietary and exercise recommendations, regular monitoring of vital signs utilizing telehealth technology, and ongoing patient education. By addressing Mr. Johnson’s specific health concerns and preferences, the intervention seeks to optimize the effectiveness of care, contributing to improved health outcomes and an overall elevation in the quality of cardiovascular care provided.

Ensuring Patient Safety through Comprehensive Monitoring and Communication

Patient safety is a paramount consideration in the proposed intervention. The integration of telehealth technology facilitates regular monitoring of Mr. Johnson’s vital signs and health metrics remotely. This proactive monitoring allows healthcare providers to identify potential issues promptly, ensuring timely intervention and reducing the risk of adverse events (Curigliano et al., 2020). Additionally, the intervention emphasizes clear and open communication channels, adhering to state board nursing practice standards. Regular check-ins and feedback sessions provide Mr. Johnson with the opportunity to express concerns, enabling healthcare providers to address any safety-related issues promptly. Through these measures, the proposed intervention endeavors to create a safer healthcare environment for Mr. Johnson, minimizing risks and enhancing overall patient safety. The proposed intervention for Mr. Johnson encompasses a personalized and patient-centered approach, emphasizing quality of care, patient safety, and cost-effectiveness.

Cost-Effective Measures for Individuals and the Healthcare System

The proposed intervention is designed with a dual focus on reducing costs to both the individual and the healthcare system. By incorporating telehealth technology for remote monitoring and education, the intervention promotes cost-effective healthcare delivery. Telehealth interventions have demonstrated effectiveness in minimizing unnecessary hospital visits and associated costs. Furthermore, the personalized care plan aims to optimize medication management, reducing unnecessary expenses related to medication waste or adverse events. This cost-effective approach aligns with organizational and governmental policies, such as those from the Centers for Medicare & Medicaid Services (CMS), encouraging interventions that demonstrate efficiency and positive economic impact. Through these measures, the proposed intervention seeks to alleviate financial burdens on both the individual patient and the broader healthcare system, promoting sustainability and resource optimization. By aligning with state board nursing practice standards, leveraging telehealth technology, and incorporating evidence-based practices, the intervention strives to achieve comprehensive improvements in cardiovascular care outcomes.

Technology, Care Coordination, and the Utilization of Community Resources

Technology plays a pivotal role in addressing Mr. Johnson’s cardiovascular health problem by enhancing monitoring, communication, and education. Telehealth technology enables remote monitoring of vital signs, allowing healthcare providers to track Mr. Johnson’s cardiovascular metrics regularly. This real-time data facilitates early detection of any abnormalities, enabling timely interventions and preventing potential complications (Li et al., 2020). Additionally, the integration of mobile health applications provides Mr. Johnson with tools for medication reminders, progress tracking, and educational resources. By leveraging technology, the intervention aims to empower Mr. Johnson in managing his cardiovascular health more actively and fosters a continuous and efficient flow of information between him and the healthcare team.

Promoting Care Coordination for Holistic Healthcare

Effective care coordination is fundamental in addressing Mr. Johnson’s cardiovascular health comprehensively. The proposed intervention emphasizes interdisciplinary collaboration among healthcare professionals, including nurses, nutritionists, exercise physiologists, and pharmacists. Regular communication and coordination meetings ensure that each aspect of Mr. Johnson’s care plan is seamlessly integrated. Shared electronic health records further facilitate the exchange of information, fostering a holistic understanding of his health status. This collaborative approach ensures that cardiovascular management addresses not only medical aspects but also incorporates lifestyle factors, promoting a well-rounded and patient-centered care experience. Care coordination is essential for optimizing the efficiency and effectiveness of the intervention, ensuring that all elements align with evidence-based practices and state board nursing practice standards.

Utilizing Community Resources for Enhanced Support

The intervention for Mr. Johnson extends beyond traditional healthcare settings by actively incorporating community resources. Community organizations, support groups, and educational programs related to cardiovascular health become integral components of the intervention. By tapping into these resources, Mr. Johnson gains additional support, educational opportunities, and a sense of community engagement. Community-based interventions have demonstrated effectiveness in promoting lifestyle modifications and sustaining long-term health improvements. This utilization of community resources aligns with the broader societal and organizational goals of promoting preventive healthcare and improving overall well-being. By fostering connections with community entities, the intervention aims to create a supportive ecosystem that complements clinical care, ultimately contributing to sustained cardiovascular health improvements for Mr. Johnson.

The incorporation of technology, care coordination, and community resources in addressing Mr. Johnson’s cardiovascular health problem reflects a comprehensive and patient-centered approach. Leveraging technological tools enhances monitoring and patient engagement, care coordination ensures a seamless and interdisciplinary care experience, and community resources provide extended support beyond the clinical setting. Together, these elements create a multifaceted intervention aimed at optimizing Mr. Johnson’s cardiovascular health outcomes.

Conclusion

In conclusion, the proposed intervention for Mr. Johnson’s cardiovascular health problem integrates technology, care coordination, and community resources to create a comprehensive and patient-centered approach. Leveraging telehealth technology ensures real-time monitoring and empowers Mr. Johnson in actively managing his cardiovascular health. Interdisciplinary care coordination fosters collaboration among healthcare professionals, optimizing the efficiency and effectiveness of the intervention. Additionally, the utilization of community resources extends the support network, promoting sustained lifestyle changes and overall well-being. By combining these elements, the intervention strives to enhance the quality of care, ensure patient safety, and reduce costs to both the individual and the healthcare system. This multifaceted approach aligns with evidence-based practices, state board nursing practice standards, and organizational policies, presenting a holistic strategy to address Mr. Johnson’s cardiovascular health while contributing to the broader goals of healthcare optimization.

References

Backman, D., Levine, A., Wenger, K., & Harold, G. (2019). Shared decision‐making for older adults with cardiovascular disease. Clinical Cardiology, 43(2), 196–204. https://doi.org/10.1002/clc.23267

Curigliano, G., Lenihan, D., Fradley, M., Ganatra, S., Barac, A., Blaes, A., Herrmann, J., Porter, C., Lyon, R., Lancellotti, P., Patel, A., DeCara, J., Mitchell, J., Harrison, E., Moslehi, J., Witteles, R., Calabro, G., Orecchia, R., de, E., & Zamorano, L. (2020). Management of cardiac disease in cancer patients throughout oncological treatment: ESMO consensus recommendations. Annals of Oncology, 31(2), 171–190. https://doi.org/10.1016/j.annonc.2019.10.023

Dyrbye, L., West, C., Johnson, P., Cipriano, P., Peterson, C., Beatty, D., Major, B., & Shanafelt, T. (2020). Original research. AJN, American Journal of Nursing, 120(4), 24–33. https://doi.org/10.1097/01.naj.0000660020.17156.ae

Fouayzi, H., Ash, S., & Rosen, K. (2020). A cardiovascular disease risk prediction algorithm for use with the Medicare current beneficiary survey. Health Services Research, 55(4), 568–577. https://doi.org/10.1111/1475-6773.13290

Fuchs, D., & Whelton, K. (2019). High blood pressure and cardiovascular disease. Hypertension, 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240

Hawkins, A., Bhuiya, R., Shantharam, S., Chapel, M., Taylor, N., Thigpen, S., Decker, A., Moeti, R., Bernard, S., Jones, D., & Schooley, M. (2020). A replicable approach to promoting best practices. Journal of Public Health Management and Practice, 1. https://doi.org/10.1097/phh.0000000000001095

Krist, H., Davidson, W., Mangione, M., Barry, J., Cabana, M., Caughey, B., Donahue, K., Doubeni, A., Epling, W., Kubik, M., Landefeld, S., Ogedegbe, G., Pbert, L., Silverstein, M., Simon, A., Tseng, W., & Wong, B. (2020). Behavioral counseling interventions to promote a healthy diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors. JAMA, 324(20), 2069. https://doi.org/10.1001/jama.2020.21749

‌Kavita, S., Vijayvergiya, R., & Ghai, S. (2020). Task shifting of cardiovascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India. BMC Health Services Research, 20. https://doi.org/10.1186/s12913-019-4864-9

Li, X., Krumholz, M., Yip, W., Cheng, K., De Maeseneer, J., Meng, Q., Mossialos, E., Li, C., Lu, J., Su, M., Zhang, Q., Xu, R., Li, L., Normand, T., Peto, R., Li, J., Wang, Z., Yan, H., Gao, R., & Chunharas, S. (2020). Quality of primary health care in China: Challenges and recommendations. The Lancet, 395(10239), 1802–1812. https://doi.org/10.1016/s0140-6736(20)30122-7

Lindman, R., Arnold, V., Bagur, R., Clarke, L., Coylewright, M., Evans, F., Hung, J., Lauck, S. B., Peschin, S., Sachdev, V., Tate, M., Wasfy, H., & Otto, M. (2020). Priorities for patient‐centered research in valvular heart disease: A report from the national heart, lung, and blood institute working group. Journal of the American Heart Association, 9(9). https://doi.org/10.1161/jaha.119.015975

Ma, Y., Chen, W., Gao, L., Liu, S., Zhu, L., Wang, J., Wu, S., Li, J., Gu, F., Yang, J., Zheng, Z., & Hu, S. (2020). China cardiovascular diseases report 2018: An updated summary. Journal of Geriatric Cardiology : JGC, 17(1), 1–8. https://doi.org/10.11909/j.issn.1671-5411.2020.01.001

‌Osokpo, O., & Riegel, B. (2019). Cultural factors influencing self-care by persons with cardiovascular disease: An integrative review. International Journal of Nursing Studies, 116, 103383. https://doi.org/10.1016/j.ijnurstu.2019.06.014

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    NURS FPX 6610 Assessment 4

    Name Capella University FPX6610: Introduction

    NURS FPX 6610 Assessment 3

    Name Capella University FPX6610: Introduction

    NURS FPX 6610 Assessment 2

    Patient Care Plan NURS FPX

    NURS FPX 6610 Assessment 1

    NURS FPX 6610 Assessment 1

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