NURS FPX 4030 Assessment 4  Remote Collaboration and Evidence-Based Care  JJ

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care JJ

Remote Collaboration and Evidence-Based Care

Hello to all of you, my name is Julian Nkem and I am making this video to provide a care plan based on the EBP model which focuses on remote treatment collaboration and patient positive outcomes. This video also emphasizes the correct implementation of the EBP Model and the benefit of a care plan during treatment. It also reduces the risks and challenges associated with remote collaboration in an interdisciplinary approach. COVID-19 has pointed out the failure of regular and classical methods of physical treatment and also showed the inability of healthcare organizations to provide a better and more effective patient outcome as a healthcare professional.

           A lack of an explicitly expressed, distributed, and observable purpose, a lack of exercise in collaborative practice, leadership as well as teamwork uncertainty, a group that may be too small or too big, a team which is not consists of various experts, a lack of an effective framework for quick and efficient information sharing, and a need for focus. are the major causes that prove barriers in the implementation of interscapular collaboration  

We will now see the remote interdisciplinary collaboration situation provided in the Vila health scenario. In the provided scenario, a child has been diagnosed with a severe medical condition that needs specialist treatment. For many professionals, this sort of circumstance might be difficult. Caitlyn, a two-year-old girl, has been diagnosed with cystic fibrosis. It is up to Caitlyn’s healthcare experts to analyse her current and long-term needs to allow her to grow older. In this case, however, familial participation with considerable knowledge and teaching will be required for Caitlyn’s mother Janice to continue her care within the home environment while managing Caitlyn’s newly diagnosed cystic fibrosis due to the worsening situation of COVID-19. 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care JJ

Cailyn was observed and attended by a team of three persons including a doctor, nurse, and a respiratory technician named Dr. Erica, Nurse Virginia, and Rebeca Helgo respectively. She weighs 20.7 lbs. and has scar tissue in her limbs. According to the discussions of the interdisciplinary team and findings from sweat chloride testing results, Caitlyn was confirmed with a disease named Cystic Fibrosis. The team found that her case is very important and complex by assessing the nature of the disease and its complexity. The patient is living in McHenry and is restricted to travel due to her disease and winter season.  

The team recommended an evidence-based care plan based on her condition and  Caitlyn’s case was extremely complicated, according to Dr. Copeland’s team. It is necessary to keep an eye on the condition and develop a treatment strategy. Caitlyn, on the other hand, lives in McHenry, which is more than an hour away from the hospital location. The team advised the parents of patients not to travel such distance with Caitlyn, especially during winter. The doctor prescribed pancreatic enzyme and a protein and calorie-rich diet, as well as huff breath therapy, aerosol therapy, and dornase alfa in addition to paediatrician collaboration 

           She is unable to take puff breaths and is in danger of respiratory discomfort and decreased gas exchange, which might lead to worry and increasing suffering. The nurse and technician were instructed to communicate with the doctor as well as Caitlyn’s parents, despite their hectic schedules. It was agreed to do so in order to educate them on how to manage and control Caitlyn’s health. To interact remotely, it was also proposed that telehealth, Skype sessions, and community health professionals be used.

Now, I will suggest an evidence-based plan of care to increase the safety and outcomes for the patient. The first step in the strategy is to send literature, pamphlets, tapes, or other items on the disease and therapy to both parents through email to enhance their understanding as well as it is useful to arrange a video conference call with parents and physicians in working hours to describe the potential problems, treatment plans for each difficulty, and methods to use telemedicine and telehealth services to monitor the patient. The plan includes the implantation of a patient monitoring system and a telehealth system. A health monitoring system provides a pulse monitor, a pulse oximeter, and other vital signs control that are linked to a monitoring system and telehealth system to monitor and manage the patient on smartphones or the internet, assisting in tracking the breathing patterns and other conditions (Bikash et al., 2021). These types of systems help to reduce the anxiety level of the parents of the patients in case of a tough schedule of the family as well as helps the pediatricians to monitor the situation remotely in an effective way. The same is proved by Cristin et al (2015) in her article.

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care JJ

Telehealth may also improve communication between doctors and patients, allowing both sides to get the information they need when they need it the most. Learn how this technology may give the same level of comfort and familiarity as face-to-face patient contacts. (Lee et al., 2020). Monitoring can be done in real-time if necessary. Furthermore, it aids in communication with social service providers to give support if necessary. Caitlyn had pneumonia twice in the previous six months, and the monitoring system assisted her in keeping excellent health after her recovery since the data collected by the monitoring system assisted in forecasting the need for an emergency or deteriorating health problems. (Papa et al., 2021). 

 The technology as a whole gives a rapid toggle at the patient’s end for any support, real-time tracking, and legit surveillance to minimize bad effects as early diagnosis is feasible. These technologies integrate continuous streams of data from numerous patient monitoring systems with retrospective information from electronic health records (EHRs) to provide a comprehensive picture of a patient’s status. This imagery might show minor trends regarding a patient’s health early on, providing physicians with crucial lead time in situations of potentially harmful diseases. It has been proved by Nittari et al. (2020) that Continuous monitoring is essential because at-risk patients, particularly those who require respiratory assistance or monitoring, may not necessarily meet the description of a severely ill individual. These patients frequently remain unnoticed throughout the treatment continuum, not only in high-acuity regions. 

The goal of effective implementation has been known to be successful in removing excess doctors’ visits. It has also been observed that telehealth systems reduce medical costs because parents of patients do not need to travel to the clinic because nursing staff, pediatricians, and respiratory therapists assist them via video calls.

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care JJ

Now I will describe some methods in which an EBP model could be practiced in creating a care plan as well as I will describe on much related and applicable evidence for decision making with their positive outcomes. To design and implement a care plan, EBP models or frameworks use the ask, attain, appraise, apply, and assess EBP process. The method aided in assessing Caitlyn’s condition and demands. It has been found that the use of telemedicine in the emergency room significantly decreased the average length of stay and wait time. Overcrowding in emergency rooms is a costly and disturbing global issue that jeopardizes the quality and experience of patient treatment. The same goes with the bedside treatment of the patients, which is merely an excessive workload on nurses especially (Portnoy et al., 2020). Furthermore, the model aided in assessing potential issues and problems such as winter transport, and the need for parent education, constant monitoring of the patient to avert any detrimental consequences, analyzing the efficacy of the facts, and trying to apply the implementation strategy to evaluate the result. According to a study on telehealth and remote monitoring conducted by Noah et al. (2020), the method enhanced healthcare quality execution and patients were very satisfied owing to the availability of home care services.

Even after following the treatment plan, it is critical to consider consultations and meetings during and after recovery to maintain the treatment since she has a record of breathing difficulties and bronchitis. The EBP model aided in comprehending the importance of such measures in preventing future health crises. Sullivan et al. (2021) said that telehealth systems improved distance cooperation while lowering healthcare costs. Additional studies by multiple authors found that now the approach decreased costs while also increasing interprofessional collaborations.  

Now I will recognize tactics to lessen the barriers of interdisciplinary remote collaboration. We now know that the plan of care is helpful since it aids in monitoring patients, boosting teamwork, lowering medical costs, decreasing stress because nurses may watch the patient remotely, and preventing other bad occurrences. (Drake et al., 2021). However, there will be some challenges such as Remuneration, Inadequate Linkage, Inadequate Statistics for Care Continuity, Service Comprehension, Patients’ Lack of Technical Expertise, Expensive Technologies, Privacy Issues The barriers can be addressed by employing approaches such as strong and high-bandwidth broadband connections (Portnoy et al., 2021), by use of encoded video and meeting technologies such as Zoom and Microsoft Teams scheduling with Calendar Events with reminders, and complying to licensure rules and regs (Calleja et al., 2019), as well as selecting a dependable telehealth system (Drake et al., 2021). 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence-Based Care JJ

References

Chiauzzi, E., Clayton, A., & Huh-Yoo, J. (2020). Videoconferencing-Based Telemental Health: Important Questions for the COVID-19 Era from Clinical and Patient-Centered Perspectives. JMIR Mental Health7(12), e24021.

Drake, C., Lian, T., Cameron, B., Medynskaya, K., Bosworth, H. B., & Shah, K. (2021). Understanding Telemedicine’s “New Normal”: Variations in Telemedicine Use by Specialty Line and Patient Demographics. Telemedicine and e-Health.

Nittari, G., Khuman, R., Baldoni, S., Pallotta, G., Battineni, G., Sirignano, A., … & Ricci, G. (2020). Telemedicine practice: review of the current ethical and legal challenges. Telemedicine and e-Health26(12), 1427-1437.

Noah, B., Keller, M. S., Mosadeghi, S., Stein, L., Johl, S., Delshad, S., … & Spiegel, B. M. (2018). Impact of remote patient monitoring on clinical outcomes: an updated meta-analysis of randomized controlled trials. NPJ digital medicine1(1), 1-12.

Papa, A., Lopetuso, L. R., & Tursi, A. (2021). Inflammatory Bowel Disease Patients with Coronavirus Disease 2019: The Picture Is Taking Shape. Clinical Gastroenterology and Hepatology19(1), 205-206.

Portnoy, J., Waller, M., & Elliott, T. (2020). Telemedicine in the era of COVID-19. The Journal of Allergy and Clinical Immunology: In Practice8(5), 1489-1491.

Sullivan, A. D., Forehand, R., Acosta, J., Parent, J., Comer, J. S., Loiselle, R., & Jones, D. J. (2021). COVID-19 and the Acceleration of Behavioral Parent Training Telehealth: Current Status and Future Directions. Cognitive and Behavioral Practice.

Leave a Reply

Get Unlimited Access to all Papers

You get full access to all sample papers.