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NURS FPX 6030 Assessment 3 Intervention Plan Design Sample

NURS FPX 6030 Assessment 3 Intervention Plan Design

In order to address the critical issue of geriatric falls in the community, I have developed a PICOT question that will guide my investigation of relevant data. Geriatric falls are a major public health hazard, affecting a large fraction of the aged population each year. According to the Centers for Disease Control and Prevention (CDC), falls among older individuals are the largest cause of both fatal and non-fatal injuries, with millions happening each year (CDC, 2021). It is becoming more and more important to reduce the risk of falls in older persons as the population grows. Using the information I collected from my studies and the real-world experience I gained during 20 validated hours of practicum, I have worked to create an intervention plan specifically designed to deal with this pressing issue.

This assessment aims to outline the key components of my intervention plan for reducing geriatric falls while accounting for cultural differences and features of the population it is intended to serve, nursing theory, stakeholder participation, and the moral dilemmas that arise when putting such an intervention strategy into practice.

Part 1-Intervention Plan Components

The primary component of my intervention plan for addressing the need for geriatric fall prevention is to educate older persons on the necessity of changing their lifestyle, with a special emphasis on characteristics that lead to fall risk reduction. While falls in older persons are a major health issue, preventative strategies, such as lifestyle changes, can play an important role in reducing the risk. Unlike several other health disorders, falls do not have a single solution; nonetheless, data shows that lifestyle adjustments can dramatically reduce the probability of falling.

The intervention seeks to address the underlying risk factors linked with falls by instructing older persons about the necessity of lifestyle changes such as regular physical exercise, mental stimulation, social engagement, and dietary improvements. According to research, cardiovascular risk factors such as high blood pressure, diabetes, and obesity are strong predictors of falls in older persons (CDC, 2021). Thus, controlling these risk factors through lifestyle changes can improve overall health outcomes and minimize the occurrence of falls.

NURS FPX 6030 Assessment 3 Intervention Plan Design

Furthermore, research has indicated that physical inactivity accounts for a significant proportion of falls among older persons (Yuan et a., 2022). Regular exercise not only improves physical strength and balance, but it also has a direct neuroprotective effect, lowering the chance of falls and related injuries. Similarly, nutrition has an important role in sustaining cognitive function and lowering the risk of neurodegenerative illnesses. The Mediterranean diet, which includes fruits, vegetables, whole grains, and lean meats, has been linked to a lower incidence of falls and cognitive impairment (Dominguez et al., 2021).

A multidisciplinary team is essential for addressing the need for geriatric fall prevention. Nurses and other healthcare professionals play an important role in educating older persons and their families about fall prevention methods, medication management, and activities of daily living. This collaborative approach provides comprehensive care and improves the safety and well-being of older persons who are at risk of falling (Severance et al., 2022). These components are the best option for addressing the stated need for geriatric fall prevention because they focus on modifiable risk factors and empower older persons to take proactive measures to lower their risk of falling. The intervention approach, which focuses on lifestyle changes and utilizes the knowledge of healthcare experts, seeks to improve health outcomes, improve quality of life, and eventually minimize the burden of falls among older persons.

Impact of Cultural Needs and Characteristics of a Target Population

The cultural needs and characteristics of both the target population and the setting are critical in developing intervention plan components, especially in guaranteeing the intervention’s effectiveness and relevance.

Cultural needs and characteristics of the target population of older individuals at risk of falls include a wide range of components (Fernandes et al., 2021). First, cultural assumptions regarding aging and health can impact older persons’ desire to participate in fall prevention programs. For example, in some cultures, there can be guilt associated with aging or seeking help for health conditions, which can limit participation in fall prevention programs. Furthermore, cultural beliefs and actions regarding nutrition, exercise, and healthcare can affect the acceptability and value of interventions (Worum et al., 2020). Understanding and addressing cultural variations is critical for customizing interventions to the requirements and preferences of the target public.

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NURS FPX 6030 Assessment 3 Intervention Plan Design

Furthermore, the cultural aspects of the environment in which the intervention takes place impact the formulation of intervention plan components. Language limitations, access to healthcare resources, and community norms are among the considerations considered (Argyropoulos et al., 2024). For example, in multicultural environments, instructional materials and instructions must be offered in languages that the varied community understands. Moreover, cultural differences might affect community resources and support networks, demanding coordination with local groups and leaders to properly implement the intervention.

The cultural needs and characteristics of both the target population and the setting influence the formulation of intervention plan components by molding attitudes, beliefs, and actions toward health and wellbeing. Recognizing and adapting these cultural aspects allows intervention strategies to be modified to be more accessible, acceptable, and successful for the different persons and groups they want to assist (Nielsen-Bohlman et al., 2020).

Part 2: Theoretical Foundations

Theoretical Nursing Model 

Theoretical nursing models can help you understand patient behavior and promote self-care behaviors while developing an intervention plan for geriatric fall prevention. The Health Belief Model (HBM) provides insights into people’s beliefs about their own fall risk and the perceived benefits of fall prevention measures (LaMorte, 2022). Nurses can personalize educational programs to older individuals’ unique concerns and incentives for fall prevention by adding HBM capabilities such as perceived severity and perceived obstacles (Ojo & Thiamwong, 2022). Furthermore, Orem’s Self-Care Nursing Theory highlights the significance of empowering patients to engage in self-care activities and devise methods for sustaining their health and independence. Using Orem’s approach, nurses can assess patients’ self-care abilities and give direction and assistance to improve their fall prevention practices (Maruca, 2023).

Weaknesses

While the Health Belief Model (HBM) provides useful insights into people’s views and motives for fall prevention practices, it has drawbacks that may reduce its usefulness. One drawback of the HBM is that it fails to account for things like social influence and environmental context, both of which may have a major impact on behavior change Furthermore, the model may ignore the impact of emotions and cognitive biases on decision-making, limiting its potential to reliably predict health-related behaviors

Similarly, Orem’s Self-Care Nursing Theory emphasizes the value of self-care activities in preserving health and independence. However, the idea may not adequately address older persons’ complex emotional and psychological needs, particularly those suffering from fear or worry about falling. Additionally, Orem’s theory may ignore the importance of social support networks and community resources in encouraging self-care activities among older individuals.

NURS FPX 6030 Assessment 3 Intervention Plan Design

Strategies from other Disciplines

The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet, which draws on evidence-based nutrition practices, appears to be a potential way to reduce the risk of falls in older persons. The MIND diet emphasizes brain-healthy foods including leafy greens, berries, almonds, and fish while minimizing harmful foods that have been linked to cognitive decline (Boston., 2022). Healthcare practitioners can help older persons make dietary modifications that enhance cognitive function and lower the risk of falls by supporting adherence to the MIND diet (Duplantier & Gardner, 2021).

Weaknesses

Although the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet appears to reduce the incidence of cognitive decline and falls in older persons, its effectiveness can be limited by dietary choices and cultural concerns. Older persons from various cultural backgrounds can have difficulty adhering to the MIND diet due to cultural dietary habits and food accessibility concerns. Furthermore, the data supporting the MIND diet’s advantages can be biased and confounded, needing additional studies to validate its efficacy.

Healthcare Technology

Telehealth technology provides unique options for improving fall prevention and remotely monitoring patient development. Telehealth systems enable healthcare practitioners to conduct virtual examinations, provide instructional resources, and remotely monitor patients’ adherence to fall prevention techniques (Mechanic et al., 2021). Nurses can use telehealth technology to overcome hurdles to traditional healthcare delivery, such as geographical distance and restricted vehicle access, boosting the accessibility and efficacy of fall prevention programs (Bulto, 2024).

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Weaknesses

Despite telehealth technologies allowing for remote monitoring and support, they are not without restrictions. One limitation of telehealth is the possibility of technological impediments, such as restricted internet connection or inexperience with digital equipment, especially among older persons. Furthermore, telehealth platforms can’t fully duplicate the interpersonal connections and rapport-building possibilities provided by in-person encounters, thereby affecting patient engagement and satisfaction.

Justification of Major Components

The theoretical nursing models mentioned, especially the Health Belief Model (HBM) and Orem’s Self-Care Nursing Theory, serve as useful frameworks for supporting design decisions regarding intervention plan components for geriatric fall prevention.

The HBM highlights people’s views of their fall risk and the perceived advantages of fall prevention measures (LaMorte, 2022). By incorporating HBM elements into the intervention plan, such as addressing perceived barriers to fall prevention and emphasizing the severity of fall-related injuries, nurses can create educational interventions that resonate with older adults and motivate them to engage in preventive behaviors.

NURS FPX 6030 Assessment 3 Intervention Plan Design

Similarly, Orem’s Self-Care Nursing Theory emphasizes the significance of encouraging patients to actively participate in their health and self-care practices (Maruca, 2023). By adding Orem’s framework into the intervention plan, nurses can assess patients’ self-care abilities and give targeted instruction and assistance to improve their fall prevention practices. This method is consistent with best practices in nursing care, emphasizing patient-centered care and encouraging autonomy and self-efficacy.

In addition, suggestions from other fields, such as nutrition, help to justify intervention plan components for preventing geriatric falls. The MIND diet, for example, has been linked to a lower risk of cognitive decline and can help protect older persons from falls (Boston., 2022; Duplantier & Gardner, 2021). By including the MIND diet in the intervention plan, healthcare practitioners may use evidence-based nutritional practices to improve cognitive health and minimize the risk of falls in older persons.

Furthermore, healthcare technology, particularly telemedicine platforms, plays an important role in justifying intervention plan components for geriatric fall reduction. Telehealth technology offers remote monitoring of patients’ compliance with fall prevention techniques, as well as the supply of educational resources and assistance (Mechanic et al., 2021; Bulto, 2024). Nurses can overcome challenges to traditional healthcare delivery by including telemedicine in their intervention plans, ensuring continuing assistance and advice for older persons at risk of falling.

Theoretical nursing models, strategies from other disciplines, and healthcare technologies all contribute to the rationale for designing intervention plan components for geriatric fall prevention by incorporating evidence-based practices, promoting patient-centered care, and utilizing innovative approaches to improve accessibility and effectiveness.

Part 3-Impact of Stakeholder Needs, Health Care Policy, Regulations, and Governing Bodies

Relevant Stakeholders

In the context of this geriatric falls prevention intervention plan, relevant stakeholders include older adults who are at risk of falling, healthcare providers (particularly nurses and other practitioners involved in fall prevention initiatives), and information technologists in charge of telehealth implementation. Each stakeholder group has unique requirements and views that must be considered during the formulation and implementation of the intervention plan (Montero-Odasso et al., 2022).

Read More Samples: NHS FPX 5004 Assessment 4: Self-Assessment of Leadership, Collaboration, and Ethics

The needs of older persons at risk of falling affect intervention plan components by influencing the content, delivery methods, and accessibility of fall prevention services. Tailoring educational materials to older adults’ concerns and interests, such as giving information in different languages or formats, provides cultural sensitivity and effective engagement of the intended population (Appeadu & Bordoni, 2023). Healthcare practitioners play an important role in implementing and monitoring fall prevention strategies. Meeting their needs entails offering training and tools to help them participate in the intervention, such as guidelines for assessing fall risk and implementing preventative measures. Furthermore, teamwork with healthcare practitioners guarantees coordinated care and adherence to best practices in fall prevention (Virginia Anikwe et al., 2022).

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NURS FPX 6030 Assessment 3 Intervention Plan Design

Information technologists contribute to the intervention strategy by developing and deploying telehealth solutions for remote monitoring and support. Addressing these needs entails making telehealth platforms user-friendly, secure, and consistent with applicable regulations, allowing for seamless integration into clinical workflows and effective communication between patients and providers.

Relevant Health Care Policies and Regulations

Healthcare rules and regulations relevant to the intervention plan include guidelines on fall prevention techniques developed by organizations such as the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO). Adhering to these principles ensures that the intervention plan is consistent with evidence-based practices and recommendations for lowering fall risk among older persons (World Health Organization, 2021).

Furthermore, guidelines established by organizations such as the Alzheimer’s Association and the Alzheimer’s Foundation of America give useful assistance for meeting the requirements of people with cognitive impairment or dementia who are at a higher risk of falling (Alzheimer’s Association, 2020). Incorporating these organizations’ suggestions into the intervention plan promotes complete and effective care for older persons with complicated health issues.

Relevant Governing Bodies

Government agencies like the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) have a considerable impact on healthcare policy and regulation in the United States (Centers for Medicare & Medicaid Services, 2023). Compliance with various regulatory bodies’ rules, such as the Health Insurance Portability and Accountability Act (HIPAA) for preserving patient privacy and telehealth reimbursement requirements, is critical to the intervention plan’s execution.

Furthermore, the stability and continuity of government assistance programs such as Medicare and Medicaid have an influence on access to healthcare services and resources for older persons at risk of falling (Rowland & Lyons, 2020). Ensuring that the intervention plan corresponds with the standards and coverage criteria of these programs allows for more access to fall prevention therapies and promotes fair healthcare delivery.

Part 4-Ethical and Legal Implications

Ethical Implications 

Patient autonomy, informed consent, and healthcare practitioners’ responsibility to promote patient well-being while respecting individual preferences and choices are all relevant ethical problems in the context of geriatric falls prevention. Older persons may struggle to manage their fall risk on their own, and nurses must strike a balance between providing information and assistance and respecting patients’ autonomy to make decisions about their health and lifestyle (Ana Silva Almeida et al., 2024). Ensuring that patients get comprehensive fall prevention information while respecting their liberty to make recommended lifestyle modifications is critical in resolving these ethical concerns.

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Legal Implications – NURS FPX 6030 Assessment 3 Intervention Plan Design

Patient privacy, data security, and compliance with rules such as the Health Insurance Portability and Accountability Act (HIPAA) are also legal factors in the prevention of geriatric falls. Telehealth technology, while useful for remote monitoring and assistance, pose issues regarding patient privacy and security (Haleem et al., 2021). Healthcare professionals must verify that telehealth platforms follow regulatory standards for preserving patient privacy and data security, as well as investigate other fall prevention measures that reduce these risks.

Points of Uncertainties and Knowledge Gaps

The difficulty of tackling multidimensional risk factors, as well as the variety in patient reactions to therapies, can lead to uncertainty and knowledge gaps in geriatric falls prevention. The efficiency of fall prevention techniques may be influenced by individual characteristics such as mobility constraints, cognitive impairment, and contextual variables (Neah Albasha et al., 2023). Furthermore, additional studies and assessment are needed to determine the influence of organizational changes, such as the use of telehealth solutions, on patient outcomes and satisfaction (Kho et al., 2020). Addressing these uncertainties and knowledge gaps via continuous evaluation and research is critical for fine-tuning intervention techniques and enhancing patient care.

Conclusion – NURS FPX 6030 Assessment 3 Intervention Plan Design

The intervention plan for addressing geriatric falls includes evidence-based techniques, cultural sensitivity, stakeholder participation, and adherence to ethical and legal guidelines. The intervention attempts to empower older persons by concentrating on lifestyle changes, using theoretical nursing models, combining tactics from other disciplines, and employing healthcare technology such as telemedicine to minimize their fall risk and enhance their overall well-being. Furthermore, taking into account stakeholder requirements, adhering to healthcare norms and regulations, and paying attention to ethical and legal consequences ensures that the intervention is successful, safe, and ethical. Despite uncertainties and information gaps, continued assessment and research will help to refine the intervention strategy and advance patient care in the prevention of elderly falls.

References

CDC. (2021, August 6). Facts about falls. Www.cdc.gov. https://www.cdc.gov/falls/facts.html

Yuan, Y., Li, J., Fu, P., Jing, Z., Wang, Y., & Zhou, C. (2022). Association between physical activity and falls among older adults in rural China: are there gender and age related differences? BMC Public Health22(1). https://doi.org/10.1186/s12889-022-12773-1

Dominguez, L. J., Di Bella, G., Veronese, N., & Barbagallo, M. (2021). Impact of Mediterranean Diet on Chronic Non-Communicable Diseases and Longevity. Nutrients13(6), 2028. https://doi.org/10.3390/nu13062028

Severance, J. J., Rivera, S., Cho, J., Hartos, J., Khan, A., & Knebl, J. (2022). A Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems Approach. International Journal of Environmental Research and Public Health19(10), 5903. https://doi.org/10.3390/ijerph19105903

Fernandes, J., Fernandes, S., Almeida, A., Vareta, D., & Miller, C. (2021). Older Adults’ Perceived Barriers to Participation in a Falls Prevention Strategy. Journal of Personalized Medicine11(6), 450. https://doi.org/10.3390/jpm11060450

Worum, H., Lillekroken, D., Roaldsen, K. S., Ahlsen, B., & Bergland, A. (2020). Reflections of older people about their experience of fall prevention exercise in the community- a qualitative study exploring evidence-based practice. BMC Public Health20(1). https://doi.org/10.1186/s12889-020-09630-4

Argyropoulos, C. D., Izuchukwu Chukwuma Obasi, Damola Victor Akinwande, & Chika Madu Ile. (2024). The impact of interventions on health, safety, and environment in the process industry. Heliyon10(1), e23604–e23604. https://doi.org/10.1016/j.heliyon.2023.e23604

Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (2020). Culture and Society. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK216037

LaMorte, W. (2022). The Health Belief Model. Boston University School of Public Health. https://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/BehavioralChangeTheories/BehavioralChangeTheories2.html

Ojo, E. O., & Thiamwong, L. (2022). Effects of Nurse-Led Fall Prevention Programs for Older Adults: A Systematic Review. Pacific Rim International Journal of Nursing Research26(3), 417–431. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432804/

Maruca, A. (2023). Empowering Health Journey: Dorothea Orem’s Self-Care Deficit Theory in Patient Empowerment. Research & Reviews: Journal of Nursing and Health Sciences9(4), 1–3. https://www.rroij.com/open-access/empowering-health-journey-dorothea-orems-selfcare-deficit-theory-in-patient-empowerment.php?aid=93402#:~:text=Orem

Boston, 677 H. A., & Ma 02115 +1495‑1000. (2022, July 15). Diet Review: MIND Diet. The Nutrition Source. https://www.hsph.harvard.edu/nutritionsource/healthy-weight/diet-reviews/mind-diet/

Duplantier, S. C., & Gardner, C. D. (2021). A Critical Review of the Study of Neuroprotective Diets to Reduce Cognitive Decline. Nutrients13(7), 2264. https://doi.org/10.3390/nu13072264

Mechanic, O. J., Persaud, Y., & Kimball, A. B. (2021). Telehealth Systems. PubMed; StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/29083614/

Bulto, L. N. (2024). The role of nurse‐led telehealth interventions in bridging healthcare gaps and expanding access. Nursing Open11(1), e2092. https://doi.org/10.1002/nop2.2092

Montero-Odasso, M., van der Velde, N., Martin, F. C., Petrovic, M., Tan, M. P., Ryg, J., Aguilar-Navarro, S., Alexander, N. B., Becker, C., Blain, H., Bourke, R., Cameron, I. D., Camicioli, R., Clemson, L., Close, J., Delbaere, K., Duan, L., Duque, G., Dyer, S. M., & Freiberger, E. (2022). World guidelines for falls prevention and management for older adults: A global initiative. Age and Ageing51(9). https://doi.org/10.1093/ageing/afac205

Appeadu, M. K., & Bordoni, B. (2023, June 4). Falls and Fall Prevention in Older Adults. Ncbi.nlm.nih.gov; StatPearls Publishing. https://ncbi.nlm.nih.gov/books/NBK560761/

Virginia Anikwe, C., Friday Nweke, H., Chukwu Ikegwu, A., Adolphus Egwuonwu, C., Uchenna Onu, F., Rita Alo, U., & Wah Teh, Y. (2022). Mobile and wearable sensors for data-driven health monitoring system: State-of-the-art and future prospect. Expert Systems with Applications202(095741742200714X), 117362. https://doi.org/10.1016/j.eswa.2022.117362

World Health Organization. (2021, April 26). Falls. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/falls

Alzheimer’s Association. (2020). Prevention. Alzheimer’s Disease and Dementia. https://www.alz.org/alzheimers-dementia/research_progress/prevention

Centers for Medicare & Medicaid Services. (2023, July 7). HHS Announces Actions to Protect Consumers and Lower Health Care Costs | CMS. Www.cms.gov. https://www.cms.gov/newsroom/press-releases/hhs-announces-actions-protect-consumers-and-lower-health-care-costs

Rowland, D., & Lyons, B. (2020). Medicare, Medicaid, and the elderly poor. Health Care Financing Review18(2), 61–85. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193634/

Ana Silva Almeida, Paguia, A., & Ana Paula Neves. (2024). Nursing Interventions to Empower Family Caregivers to Manage the Risk of Falling in Older Adults: A Scoping Review. International Journal of Environmental Research and Public Health21(3), 246–246. https://doi.org/10.3390/ijerph21030246

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International2(2), 100117. NCBI. https://doi.org/10.1016/j.sintl.2021.100117

Neah Albasha, McCullagh, R., Cornally, N., & Timmons, S. (2023). Staff knowledge, attitudes, and confidence levels for fall preventions in older person long-term care facilities: a cross-sectional study. BMC Geriatrics23(1). https://doi.org/10.1186/s12877-023-04323-0

Kho, J., Gillespie, N., & Martin-Khan, M. (2020). A systematic scoping review of change management practices used for telemedicine service implementations. BMC Health Services Research20(1). https://doi.org/10.1186/s12913-020-05657-w

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