Capella 6614 Assessment 1

NURS FPX 6614 Assessment 1: Defining a Gap in Practice: Executive Summary

Student Name

Capella University

School of Nursing and Health Sciences, Capella University

NURS FPX 6614 Assessment 1:

Structure and Process in Care Coordination

Prof. Name:

Date

Defining a Gap in Practice: Executive Summary

This executive summary focuses on identifying a gap in medical approaches for patients with heart diseases and proposes a PICOT question to address the practice gap. The goal is to employ evidence-based methods to assess the effectiveness of care planning initiatives and available facilities, primarily emphasizing the patient’s diagnosis. The summary explores the distinction between the effectiveness of treatment and lifestyle changes versus drugs in managing heart disease over four months. Clinical priorities, information gaps, alternative scenarios, potential services and resources for care coordination, barriers, and the most suitable type of care coordination intervention are discussed. Capella 6614 Assessment 1.

Clinical Priorities for a Specific Population

Cardiovascular diseases arise from heart or blood vessel dysfunction, resulting in circulation issues. A coordinated care plan is essential to address the multiple health problems that can worsen a patient’s condition. This includes pharmacological approaches, which can have side effects, and lifestyle interventions, like exercise and a healthy diet, which offer alternative strategies to manage heart diseases.

Identifying Information Gaps and Alternative Scenarios

Pharmacological interventions are effective but can lead to adverse effects, necessitating a careful balance. Knowledge gaps exist in informing patients about medication side effects and proper dosages. Lifestyle changes and interventions, such as a healthy diet and exercise, offer an alternative to medication and can effectively manage cardiovascular disorders.

PICOT Question to Address the Gap in Practice

For people with cardiac issues (P), do lifestyle interventions (I) compared to drugs (C) lead to improved cardiac health (O) within a four-month timeframe (T)?

Explanation of Gap in Practice

Lifestyle interventions are superior to medications for cardiovascular disorders due to their effectiveness and minimal side effects. Lifestyle changes like dietary adjustments and stress management can mitigate health concerns and lead to a healthier life.

Potential Services and Resources for Care Coordination

Collaboration through social media, pamphlets, seminars, and technology can educate heart patients about lifestyle interventions. Multidisciplinary care teams involving various healthcare professionals can help patients adopt healthier habits. Telehealth can also play a role in monitoring patients’ progress.Capella 6614 Assessment 1. 

Barriers

Barriers to effective care coordination include patient mistrust, lack of confidence in healthcare providers, patient competence in self-management, and challenges with medical technology adoption. Adequate funding and addressing misconceptions and motivation issues are crucial. NURS FPX 6614 Assessment 1: Defining a Gap in Practice: Executive Summary.

Type of Care Coordination Intervention That Would Be Best Fit

The Chronic Care Model, centered on individual patients and utilizing healthcare information technology, supports coordinated care. Team-based collaboration among healthcare professionals and stakeholders and regular communication ensure the effective implementation of evidence-based care plans.

Conclusion

Lifestyle interventions are highlighted as a superior approach to managing heart diseases compared to pharmacological treatments with potential side effects. The emphasis on collaborative care, involving various healthcare professionals and stakeholders, ensures that patients receive holistic support for adopting healthier lifestyles. By prioritizing lifestyle changes over medications, patients can significantly improve their cardiovascular health and overall quality of life.

References

Cowie, A., Buckley, J., Doherty, P., Furze, G., Hayward, J., Hinton, S., Jones, J., Speck, L., Dalal, H., & Mills, J. (2019). Standards and core components for cardiovascular disease prevention and rehabilitation. Heart, 105(7), 510–515. https://doi.org/10.1136/heartjnl-2018-314206 

Criqui, M. H., Matsushita, K., Aboyans, V., Hess, C. N., Hicks, C. W., Kwan, T. W., McDermott, M. M., Misra, S., & Ujueta, F. (2021). Lower extremity peripheral artery disease: contemporary epidemiology, management gaps, and future directions: A scientific statement from the American heart association. Circulation, 144(9). https://doi.org/10.1161/cir.0000000000001005 

Gaudel, P., Neupane, S., Koivisto, A., Kaunonen, M., & Rantanen, A. (2022). Effects of intervention on lifestyle changes among coronary artery disease patients: A 6‐month follow‐up study. Nursing Open. https://doi.org/10.1002/nop2.1212 

Capella 6614 Assessment 1

Habbal, A. B., White, C. T., Shamim, H., Shouli, R. A., & Mohammed, L. (2022). Posttraumatic Stress Disorder (PTSD) and Instigation of Cardiovascular Events: Ischemic Heart Disease (IHD) and Atrial Fibrillation (AF). Cureus, 14(10). https://doi.org/10.7759/cureus.30583 

NURS FPX 6614 Assessment 1: Defining a Gap in Practice

Jagannathan, R., Patel, S. A., Ali, M. K., & Narayan, K. M. V. (2019). Global updates on cardiovascular disease mortality trends and attribution of traditional risk factors. Current Diabetes Reports, 19(7). https://doi.org/10.1007/s11892-019-1161-2 

Jiang, X., Ming, W.-K., & You, J. H. (2019). The cost-effectiveness of digital health interventions on the management of cardiovascular diseases: Systematic review. Journal of Medical Internet Research, 21(6), e13166. https://doi.org/10.2196/13166 

Capella 6614 Assessment 1

James, Y. (2019, November 2). Lifestyle changes to lower heart disease risk. Harvard Health Blog. https://www.health.harvard.edu/blog/lifestyle-changes-to-lower-heart-disease-risk-2019110218125#:~:text=Nearly%20half%20of%20all%20premature

NURS FPX 6614 Assessment 1: Defining a Gap in Practice: Executive Summary.

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

Roth, G. A., Mensah, G. A., & Fuster, V. (2020). The global burden of cardiovascular diseases and risks. Journal of the American College of Cardiology, 76(25), 2980–2981. https://doi.org/10.1016/j.jacc.2020.11.021 

Schultz, B. G., Tilton, J., Jun, J., Scott-Horton, T., Quach, D., & Touchette, D. R. (2021). Cost-effectiveness analysis of a pharmacist-led medication therapy management program: Hypertension management. Value in Health, 24(4), 522–529. https://doi.org/10.1016/j.jval.2020.10.008 

Su, J. J., & Yu, D. S. F. (2019). Effectiveness of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: A randomized controlled trial protocol. BMC Cardiovascular Disorders, 19(1). https://doi.org/10.1186/s12872-019-1262-5 

Tang, V., Siu, P. K. Y., Choy, K. L., Lam, H. Y., Ho, G. T. S., Lee, C. K. M., & Tsang, Y. P. (2019). An adaptive clinical decision support system for serving the elderly with chronic diseases in healthcare industry. Expert Systems, 36(2), e12369. https://doi.org/10.1111/exsy.12369