Traumatic Brain Injury Care Report.

 

Write a 4-6 page evidence-based patient-centered care report on the patient scenario presented in the Evidence-Based Health Evaluation and Application media piece. Base your report on the information provided by the traumatic brain injury expert from the population health improvement initiative (PHII) described in the media activity and your own evidence-based research on this population health issue. In this assessment, you will apply evidence-based practice in patient-centered care and population health improvement contexts.Traumatic Brain Injury Care Report. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach for a personalized patient care plan, and determine which aspects of the approach could be applied to similar situations and patients.

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Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: •Competency 1: Apply evidence-based practice to plan patient-centered care. ◦Evaluate the outcomes of a population health improvement initiative. ◦Develop a personalized patient care plan that incorporates lessons learned from a population health improvement initiative. •Competency 2: Apply evidence-based practice to design interventions to improve population health. ◦Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence. •Competency 3: Evaluate outcomes of evidence-based interventions. ◦Propose an evaluation strategy for the outcomes of personalized patient care plan and determine what aspects of the approach could be applied to similar situations and patients.Traumatic Brain Injury Care Report. •Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. ◦Identify the level of evidence and describe the value and relevance it brings to personalized care for your patient. •Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. ◦Write clearly and logically, with correct grammar and mechanics. ◦Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Scenario The charge nurse in your clinic has contacted you to assume primary care for a patient and develop a plan for follow-up care. The plan should be personalized for him based on evidence-based research provided by a community expert as well as your own research on the condition. You will also be challenged to determine which aspects of the traumatic brain injury (TBI) approach could be applied to similar situations and patients. Your Role You are a nurse who has been requested to provide primary patient care, including a follow-up care plan. You will revisit the interview with the community TBI expert and prepare a personalized health plan for the patient.Traumatic Brain Injury Care Report. Instructions •Review the Assessment Case Study: Traumatic Brain Injury Care Report media activity. •Review relevant evidence-based research from 3–5 additional scholarly or professional sources about traumatic head injuries to support your evaluation, recommendations, and plans. •The following requirements correspond to the grading criteria in the scoring guide, so be sure to address each point: ◦Evaluate the expected outcomes of the population health improvement initiative (PHII) that the community expert reported based on data. ◦Describe the outcomes that were achieved, their positive effects on the community\'s health, and any variance across demographic groups. ◦Describe the outcomes that were not achieved, the extent to which they fell short of expectations and any variance across demographic groups. ◦Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls. •Propose a strategy for improving the outcomes of the PHII for traumatic head injuries. ◦Describe the corrective measures you would take in the PHII to address the factors that may have contributed to achievement shortfalls. ◦Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing. ◦Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted.Traumatic Brain Injury Care Report. •Develop a personalized patient care plan for the patient from the scenario that incorporates lessons learned from the PHII outcomes. ◦Identify a personalized care approach that addresses the patient\'s: ◦Individual health needs. ◦Economic and environmental realities. ◦Culture and family. ◦Explain how the lessons learned from the PHII informed the decisions you made in your personalized care plan for the patient. ◦Incorporate references to the best available evidence from the population health improvement initiative and other relevant sources. •Identify the level of evidence and describe the value it brings to personalize care for your patient. ◦Identify the level of evidence for each resource you referenced. ◦Explain why each piece of evidence is valuable and appropriate for the community health issue you are trying to address and for the unique situation of your patient and his family. •Propose an evaluation strategy to assess the outcomes of your personalized care approach. ◦Identify measurable criteria that are relevant to your desired outcomes. ◦Explain why the criteria are appropriate and useful measures of success. ◦Determine the specific aspects of your approach that are most likely to be transferable to other individual cases. Additional Requirements •Organization: Use the following headings for your Traumatic Brain Injury Care Report: ◦Evaluation of Population Health Improvement Initiative (PHII) Outcomes. ◦Strategies for Improving PHII Outcomes. ◦Personalized Evidence-Based Patient Care Plan. ◦Analysis of Evidence. ◦Evaluation Strategy for Personalized Care Approach Outcomes. ◦Application for Other Cases.Traumatic Brain Injury Care Report.

Patient-Centered Care Report

The Centers for Disease Control and Prevention (CDC) aims to boost public health and cut down healthcare costs incurred by the consumers, communities, and providers. Consequently, CDC has embraced Population health improvement initiatives (PHII), which was initially designed to improve the health status of large population groups. PHIIs offer critical information, which is used in the delivery of patient-centered care to members of different patient populations such as the critically-ill, elderly, and expectant mothers. Traumatic Brain Injury Care Report.Therefore, medical practitioners view the outcomes of PHII asevidence for care plans that address the care needs of individual patients. This paper will focus on the provision of patient-centered care to Mr. Nowak. The client sustained a traumatic brain injury (TBI) following an incident of a fall. The fall is attributed to the lack of balance that he has been suffering from lately. Thus, a practitioner decides to provide him with evidence care that was based on PHIIs.Traumatic Brain Injury Care Report.

The Evaluation of PHII’s Outcomes

The data of Safe Headspace PHII reveals substantial improvement in the health outcomes in older patients who were diagnosed with PTSD associated with head trauma. Various therapies, including mediation and exercise, were utilized in this plan to enhance the treatment of mental health issues. However, exercise was recognized as the most successful intervention measure for PHII. Consequently, individuals aged between 45 and 80 years engaged in physical exercises regularly. Significant improvement in muscle control was reported in about 15% of the participants. Additionally, advances in mood and memories were reported in about 22% and 61%, respectively (Capella University, n.d.).Traumatic Brain Injury Care Report.

A team of therapists also assessed the progress of individuals who were on medication therapy. Approximately 40% and 9% of the participants were taking antidepressants and antipsychotics, respectively. Improvement in mood and memories were reported in 26% and 6% of the participants in six months. Finally, a dramatic improvement in mood and memories was reported in 70% of individuals who participated in medication therapy. Additionally, better muscle control was reported in approximately 32% of the participants. (Capella University, n.d.).Traumatic Brain Injury Care Report.

Despite the effectiveness of PHII in improving symptoms of individuals diagnosed with TBI and PTSD, the tool has some shortcomings. First, PHII fails to provide treatment measures for clients diagnosed with either PSTD or TBI. Therefore, the tool might not be effective in the case of Mr. Nowak, who has a history of TBI only. Additionally, the tool fails to explain why some patients did not adhere to the provided self-management plans.Traumatic Brain Injury Care Report.

Strategy for Improving the Outcomes

The development of Triple Aim in 2007 focused on improving the overall quality of healthcare(Institute for Healthcare Improvement, n.d.). Particularly, the improved goals of Triple Aim concentrate on enhancing the performance and the effectiveness of the healthcare system. Patient experience, the health status of the community, and healthcare costs were among the mainly targeted aspects of care (American Hospital Association, 2015). This framework has been adopted nationwide to protect the interests of various groups of patients by aligning with multiple policies such as the Patient Protection and Affordable Care Act.Traumatic Brain Injury Care Report.

The Triple Aim stated five elements of improving the overall healthcare status of the community members. Nonetheless, the data provided by Safe Headspace is not in line with these components. The UWC’s care plan attended to clients using evidence gathered from PHII report that lack of key variables of a successful plan. Thus, the quality of data can be improved by incorporating the designed Triple Aim framework. Such data would, in turn, boost the quality of care offered to the individual patients. In another example, theBellin Health utilized the Triple Aim model. This model was incorporated into the care framework that was being used by this organization. Consequently, a great improvement in the quality of care was reported. Additionally, the level of patient satisfaction was improved following the integration of the improved model. The cost of healthcare services offered by the facility was also reduced significantly (Whittington et al., 2015).Traumatic Brain Injury Care Report.

However, some challenges might be experienced from the newly developed elements of healthcare. Specifically, healthcare organizations will experience these changes due to an increase in the diversity of healthcare needs. The burnout of healthcare professionals is another major challenge associated with the Triple Aim. For instance, medical practitioners' needs are overlooked in the primary goals of the phantom limb study. This state of mind is likely to result in a stressful environment. Therefore, addressing these challenges calls for strategies for protecting healthcare professionals. Taking such measures will enable medical professionals to implement the care plan, thus offering individualized care.Traumatic Brain Injury Care Report.

A Plan for Individualized Personal Care

Mr. Nowak can be provided with individualized care, which is based on the outcomes of Safe Headspace. Achieving this goal requires an alignment of the care plan's components with the health needs of the individual patient. The new model that will be utilized should incorporate the primary goals of Triple Aim during diagnosis and treatment processes. The changes need to be included in the primary care office of the client. Thus, care practitioners should implement the new strategies outlined by the Triple Aim in every stage of the treatment process. Doing so will enhance the delivery of care, tailored to meet the needs of an individual patient (Nielsen et al., 2016). Additionally, every healthcare facility should train its employees, equipping them with the skills required to integrate evidence-based practice during care delivery. For instance, practitioners should be educated on how to utilize online health and mobile health platforms during care delivery.Traumatic Brain Injury Care Report.

Analysis of the Evidence

Evidence-based practice should be utilized in various stages of patient care. Specifically, primary care homes should use EBP when providing care services to individual clients. These approaches should be evaluated regularly to ensure that they are in line with the healthcare needs of individual patients. Additionally, the constant evaluation will provide a room for implementing upcoming measures that can serve the care needs of a particular patient population in a better way (Nielsen et al., 2016). For instance, online health is likely to significantly improve the quality of care and lower the cost of services. Online platforms enable practitioners to offer timely services to their clients remotely. Traumatic Brain Injury Care Report.

Evaluation of the Strategy

Evaluation of the framework is key in assessing its effectiveness in care delivery. The assessment is mainly done by collecting and comparing measurable data. The results of the evaluation indicate the efficacy of a particular intervention. Similarly, the assessment of PHII will guide in determining its effectiveness. Thus, the government will use the evaluation results to decide whether it should continue funding the plan.Traumatic Brain Injury Care Report.

Application for Other Cases

PHII can be applied in diagnosing and managing other conditions apart from PSTD and TIB. However, the plan should be tailored to meet the components of a particular physiological or mental health, treated for it to be effective. Failure to do so is likely to compromise the overall outcomes of the plan.Traumatic Brain Injury Care Report.