Propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote

Create a 5-10 minute video of yourself, as a presenter, in
which you will propose an evidence-based plan to improve the outcomes for the
Vila Health patient and examine how remote collaboration provided benefits or
challenges to designing and delivering the care.

INRODUCTION:

As technologies and the health care industry continue to
evolve, remote care, diagnosis, and collaboration are becoming increasingly
more regular methods by which nurses are expected to work. Learning the ways in
which evidence-based models and care can help remote work produce better
outcomes will become critical for success. Additionally, understanding how to
leverage EBP principles in collaboration will be important in the success of

PROFFESIONAL CONTEXT:

Remote care and diagnosis is a continuing and increasingly
important method for nurses to help deliver care to patients to promote safety
and enhance health outcomes. Understanding best EBPs and building competence in
delivering nursing care to remote patients is a key competency for all nurses.
Additionally, in some scenarios, while you may be delivering care in person you
may be collaborating with a physician or other team members who are remote.
Understanding the benefits and challenges of interdisciplinary collaboration is
vital to developing

SCENERO:

The Vila Health: Remote Collaboration on Evidence-Based Care
simulation provide the context for this assessment.

INSTRUCTIONS:

Before beginning this assessment, make sure you have worked
through the following media:

·       Vila Health: Remote Collaboration on Evidence-Based Care.

You may wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help
explain the various evidence-based nursing models.

For this assessment, you are a presenter! You will create a
5-10-minute video using Kaltura or similar software. In the video:

·       Propose your
evidence-based care plan that you believe will improve the safety and outcomes
of the patient in the Vila Health Remote Collaboration on Evidence-Based Care
media scenario. Add your thoughts on what more could be done for the client and
what more information may have been needed.

·       Discuss the ways in which
an EBP model and relevant evidence helped you to develop and make decisions
about the plan you proposed

·       Wrap up your video by
identifying the benefits of the remote collaboration in the scenario, as well
as discuss strategies you found in the literature or best practices that could
help mitigate or overcome one or more of the collaboration challenges you
observed in the scenario.

Be sure you mention any articles, authors, and other relevant
sources of evidence that helped inform your video. Discuss why these sources of
evidence are credible and relevant. Important: You are required to
submit an APA-formatted reference list of the sources you cited specifically in
your video or used to inform your presentation. You are required to submit a
narrative of all your video content to this assessment and to SafeAssign.

The following media is an example learner submission in which
the speaker successfully addresses all competencies in the assessment.

·       Exemplar Kaltura Reflection.

o   Please note that the
scenario that the speaker discusses in the exemplar is different from the Vila
Health scenario you should be addressing in your video. So, the type of
communication expected is being model, but the details related to the scenario
in your submission will be different.

Make sure that your video addresses the following grading
criteria:

·       Propose your own
evidence-based care plan to improve the safety and outcomes for a patient based
on the Vila Health Remote Collaboration on Evidence-Care media scenario.

·       Explain the ways in which
you used an EBP model to help develop your plan of care for the client.

·       Reflect on which evidence
you found in your search that was most relevant and useful when making
decisions regarding your care plan.

·       Identify benefits and
strategies to mitigate the challenges of interdisciplinary collaboration to
plan care within the context of a remote team.

·       Communicate in a
professional manner that is easily audible and uses proper grammar, including a
reference list formatted in current APA style.

Refer to Using Kaltura as needed to record and upload
your video.

Note: If you require the use of assistive technology or
alternative communication methods to participate in this activity, please
contact [email protected] to request
accommodations. If, for some reason, you are unable to record a video, please
contact your faculty member as soon as possible to explore options for
completing the assessment.

ADDITIONAL REQUIRMENTS:

Your assessment should meet the following requirements:

·       Length of video: 5-10
minutes.

·       References: Cite at least three
professional or scholarly sources of evidence to support the assertions you
make in your video. Include additional properly cited references as necessary
to support your statements.

·       APA reference page: Submit a correctly
formatted APA reference page that shows all the sources you used to create and
deliver your video. Be sure to format the reference page according to current
APA style. Submit a narrative of all of your video content.

COMPENTENCIES MEASURED:

By successfully completing this assessment, you will demonstrate
your proficiency in the following course competencies and scoring guide
criteria:

·       Competency 2: Analyze the
relevance and potential effectiveness of evidence when making a decision.

o   Reflect on which evidence
you collected that was most relevant and useful when making decisions regarding
the care plan.

·       Competency 3: Apply an
evidence-based practice model to address a practice issue.

o   Explain the ways in which
you used the specific evidence-based practice model to help develop the care
plan identifying what interventions would be necessary. This requires a
particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or
other.

·       Competency 4: Plan care
based on the best available evidence.

o   Propose your
evidence-based care plan to improve the safety and outcomes for the Vila Health
patient with a discussion of new content for the care plan.

·       Competency 5: Apply
professional, scholarly communication strategies to lead practice changes

TRANSCRIBED EXAMPLE:

Hello. My name is Mike Smith. This recording will focus on Making
Evidence-Based Decisions. According to Barret (who published on this topic in
2017), caring for individuals who live in remote areas of the country is a
challenging proposition and as a result, policymakers, and health care
organizations along with health care professionals are searching for resources,
such as telehealth services, to promote health and wellness as well as
independent self-care for patients. Issues including primary care and
specialist access, availability of ancillary services and transportation to and
from each appointment continue to be roadblocks that could affect patient
outcomes. In this video, I will discuss one such patient, Patrick Lake, and
attempt to provide an evidence-based care plan to outline a safe, realistic
outcome.

Let me share some information with you about Mr.
Lake

Mr. Lake is a 64 -year old
veteran who has had a left above the knee amputation after a service related
injury over 35 years ago. He presented one week ago to the clinic after he had
chest pain and trouble breathing. These symptoms began one week prior to his
appointment. He stated that he did not have a ride to come to the clinic and
had little choices about emergency care due to inability to pay the co-pay. He
was admitted and diagnosed with congestive heart failure. He was discharged
with a plan of care to improve his safety and wellness outcomes by arranging
for home health visits which will include physical therapy and nursing care.
Mr. Lake lives at home with his wife Gloria who is concerned with this new
diagnosis. He is unable to return for frequent follow up appointments and lives
at least 50 miles away from the nearest rehabilitation facility. Gloria relates
that this is a concern for her as it is a “long drive” to the hospital if
anything should go wrong. Prior to discharge, Mr. Lake asked if there is “any
other way that he could complete my follow up appointments other than coming in
to the clinic?” He mentioned that he has reliable internet as well as a telephone
landline and cell phone. Mr. Lake will be discharged to home with an electronic
home blood pressure cuff and also with a Holter monitor. The event monitor will
be worn for one week and data can be uploaded to a central cardiology
department for analysis.

Now, I will explain the ways in which an
evidence-based practice model was used to help develop the care plan for Mr.
Lake

An interesting publication
from 2017, written by Barret, describes that telehealth and telemedicine have
been an evolving evidence-based practice (EBP) since the 1970’s. This allows
primary care providers to contact their patients through a phone call or online
and discuss any concerns and monitor progression of recovery and wellness,
according to a developed plan of care. The modalities for Mr. Lake may include
home blood pressure readings, heart monitors and medication reconciliation.
Daily blood pressure readings are extremely important as Mr. Lake was placed on
two new blood pressure medications after his recent hospitalization. Without
close follow up, the potential for significant blood pressure changes could
impact his overall health. For example, measuring hemodynamics allows providers
to correctly titrate blood pressure medications in an attempt to maximize
cardiac output. This is key in patients diagnosed with CHF and leads to more
energy and better quality of life. Cardiac monitors provide caregivers with
information about electrical activity of the heart during any given situation.
Event monitors allow individuals to mark incidents where they experience
palpitations, pain or other symptoms by pressing a button on the device. These
devices allow for avoidance of any other cardiac event.

Next, I will reflect on which evidence was most
relevant and useful when making decisions regarding the care plan

The decision to implement a
telehealth program for Mr. Lake is based out of necessity. His lack of
transportation and long commute to the clinic would most likely cause missed
appointments and possibly delay sufficient recovery. The 2017 reference to
Barret supports my point that telehealth and telemedicine offer an innovative
and exciting method to deliver care and maximize patient outcomes.

Lastly, I would like to identify benefits and
strategies to mitigate the challenges of interdisciplinary collaboration to
care plan within the context of a remote team.

Mr. Lake initially
suggested alternatives to traditional follow up appointments due to limited
transportation and his location. This demonstrated motivation on his part to
initiate and maintain health and wellness. The benefits of the
interdisciplinary collaboration were that the patient could receive on-going
and consistent care by the caregivers, RN’s and physicians without having to
travel a great distance. A couple of strategies to mitigate the challenges of
interdisciplinary collaboration efforts include the use of an electronic health
record system which all health care members can access and accurately monitor
the patient findings and frequent communication with one another with the use
of technology for the purposes of corresponding with one another such as via
telephone, Skype, FaceTime, etc. The overall result with such collaboration of
a remote team leads to better patient outcomes.

In conclusion,
evidence-based practice models provide frameworks to apply EBP across a variety
of settings. It’s known that EBP models assist the baccalaureate prepared nurse
with developing tailored plans of care by incorporating the most current and
relevant research when making vital decisions about care. In addition, having
the most current evidence along with the collaboration of an interdisciplinary
team who communicate effectively leads to positive patient outcomes.

ATTACHED ARE 6 MINI VIDEOS THAT ARE TO BE LISTEN TO ; IT IS THE VILLA HEALTH