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NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Student Name

Capella University

NURS-FPX 4030 Making Evidence-Based Decisions

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Date

Remote Collaboration and Evidence-Based Care

Welcome all, I am —–, and in this presentation, I will propose an evidence-based care plan for a particular patient with Chronic Obstructive Pulmonary Disease (COPD). The patient is based in rural areas with limited access to specialized pulmonary care. As the patient is 70 years old, it is difficult for the patient to travel continuously to manage his chronic condition of COPD. For this purpose, a virtual or remote collaboration with an interprofessional team approach can effectively manage his condition.

Evidence-Based Care Plan

In the Vila Health patient scenario, a 70-year-old male is suffering from COPD with symptoms of shortness of breath, chronic cough, and frequent respiratory infections. Considering his geographical area and limited access to proper healthcare, it is imperative to create an evidence-based care plan that delivers patient-centered care and improves his quality of life with chronic conditions.

The evidence-based care plan for this patient involves medication management as recommended by the pulmonologists to enhance lung function and reduce symptoms. For this purpose, educating patients about medication adherence and inhaler technique is crucial to ensure effective outcomes. Moreover, the patient will be guided about potential side effects and drug interactions to prevent the loss of effectiveness of drugs. The pharmacist will play a vital role in patient education on medication management in COPD (Li et al., 2021).

Additionally, the patient’s care plan will include regular remote pulmonary rehabilitation sessions led by respiratory therapists to ameliorate further the patient’s exercise capacity and quality of life. For this purpose, telemonitoring tools will be incorporated to track vital signs, symptoms, and activity levels between sessions (Metting et al., 2021). These data will provide valuable insights into the patient’s progress and help tailor the rehabilitation program accordingly. Furthermore, the patient will be educated on COPD management, including lifestyle management, symptom recognition, and exacerbation prevention strategies.

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Nurses will offer resources in the form of educational materials tailored to rural populations to address patient’s limited access to care issues. Moreover, the patient will be educated about online support groups that overcome geographical barriers to social interaction with fellow patients of COPD (Siltanen et al., 2020). The consultations will be provided in regular virtual follow-up visits with an interprofessional team to monitor the patient’s progress remotely. For this purpose, telehealth technologies or remote monitoring of pulmonary function tests and oxygen saturation levels will be implemented. This real-time data can facilitate early intervention and prevent exacerbations (Cooper et al., 2020).

Further information is required in a detailed assessment of the patient’s current functional status, such as dyspnea severity, exacerbation history, and how he is experiencing exercise tolerance. It is also uncertain whether the patient’s home environment can trigger COPD symptoms due to smoking exposure. Additionally, the patient’s financial condition is unknown, requiring further information to plan the treatment accordingly.

Ways to Use and Apply Evidence-Based Practice Model

Evidence-based practice models help create effective care plans that are substantially correct. In designing an evidence-based care plan for COPD patients, I used the Iowa model, a systematic approach to integrate the best available evidence for tailoring a patient-centered care plan (Cullen et al., 2022). This model requires formulating a clinical question, which in the present case is effective management of COPD for patients in rural areas. Multiple research questions, such as optimal medication management, remote monitoring technologies, and pulmonary rehabilitation, guided the research.

The next stage of the model is searching for evidence in which the possible questions and key terms were searched using reputable databases. The evidence was critically appraised in the Iowa model’s third stage. In this step, the evidence obtained was thoroughly criticized, and potential biases were considered to determine the strength of the evidence. The next stage involved integrating evidence obtained from research with clinical expertise. This phase helped me discuss with interprofessional team members and share the evidence to curate an evidence-based and clinically relevant plan for patients with COPD.

The positive benefits to patient outcomes resulting from the care plan can be evaluated by measuring telemonitoring data or patient-reported outcomes such as daily symptom diaries and exacerbation histories (Afroz et al., 2020). Moreover, patient satisfaction scores can be obtained by seeking qualitative feedback. High patient satisfaction rates will indicate the practical results of the evidence-based care plan.

Evaluation of Relevancy and Usefulness of Evidence for Making Care Plan

The resource by Cooper et al. (2020) provides the most relevant and valuable evidence for making wise decisions for care plans for patients with COPD in rural areas. This resource describes the remote monitoring technology and its use to identify the exacerbations among COPD patients. By using remote monitoring services, the nurse will be able to analyze the exacerbation trends and detect any exacerbation episodes in the patient. This will lead to prompt management of exacerbations and timely improvement of COPD symptoms.

This intervention will enhance the quality of life as exacerbations impact patient safety among COPD patients. This article also overcomes the difficulty in traveling faced by the patient due to being a resident of a rural area. Therefore, this resource by Cooper et al. (2020) highlights the significance of remote monitoring of patients with COPD who experience geographical barriers to specialized care for COPD management. This resource is evaluated by using CRAAP criteria where currency, relevance, authority, accuracy, and purpose of resources are checked. The article is current as it was published in 2020.

The relevance of the resource is checked by the subject discussed in the article, which is remote monitoring for managing exacerbations among COPD patients. This is relevant to our patient scenario and issue. Moreover, the authors are experts in this field and show accurate results. This resource aims to improve the quality of life for rural patients with COPD. 

Benefits and Strategies to Diminish Challenges of Interdisciplinary Collaboration

Interdisciplinary collaboration in remote teams has many benefits, such as delivering comprehensive and holistic care plans and addressing all aspects of a patient’s condition. Collaboration also fosters a sense of shared accountability among team members. In a remote context, with clear communication and shared goals, each team member can coordinate care and address possible barriers. Moreover, interprofessional collaboration enhances knowledge and skill sharing among team members by sharing insights (Winship et al., 2020).

For instance, a pulmonologist can provide insights into disease progression and medication management, and a respiratory therapist can offer expertise in pulmonary rehabilitation and breathing exercises. The strategies to mitigate challenges in remote interprofessional collaboration include establishing clear communication channels, such as using secure messaging platforms and shared electronic health records. Additionally, regular virtual meetings will provide opportunities to discuss problems and challenges remotely coordinating care. Lastly, healthcare professionals can be trained to enhance interprofessional collaboration skills and promote a shared understanding of COPD management (Winship et al., 2020). 

Interdisciplinary collaboration can be better leveraged to improve outcomes in future care situations by implementing quality improvement initiatives (Dulay et al., 2020). This is possible when data on current performance is collected, and loopholes are identified. These loopholes can be hospital readmission rates, exacerbation frequency, or patient satisfaction rates, thoroughly studied to develop effective interventions to improve quality improvement efforts. This will impact collaborative interventions and drive continuous quality improvement efforts. By leveraging this concept, chronic conditions can be better managed collaboratively. 

Conclusion

I will conclude this presentation by quickly going through the key points. A remote collaborative approach manages the patient case of a 70-year-old male with COPD. An evidence-care plan developed for the patient is based on medication management, patient education, and respiratory exercises performed remotely with the interdisciplinary team. Moreover, the Iowa model creates a tailored, evidence-based care plan. The best evidence is evaluated, showing relevancy to the subject matter. Lastly, remote interdisciplinary collaboration is discussed, including its benefits and ways to improve it. Thank you.

References

Afroz, N., Gutzwiller, F. S., Mackay, A. J., Naujoks, C., Patalano, F., & Kostikas, K. (2020). Patient-Reported Outcomes (PROS) in COPD clinical trials: Trends and gaps. International Journal of Chronic Obstructive Pulmonary Disease15, 1789–1800. https://doi.org/10.2147/COPD.S235845 

Cooper, C. B., Sirichana, W., Arnold, M. T., Neufeld, E. V., Taylor, M., Wang, X., & Dolezal, B. A. (2020). Remote patient monitoring for the detection of COPD exacerbations. International Journal of Chronic Obstructive Pulmonary Disease, 15, 2005–2013. https://doi.org/10.2147/copd.s256907 

Cullen, L., Hanrahan, K., Farrington, M., Tucker, S., & Edmonds, S. (2022). Evidence-based practice in action: Comprehensive strategies, tools, and tips from University of Iowa Hospitals & Clinics, second edition. In Google Books. Sigma Theta Tau. https://books.google.com/books?hl=en&lr=&id=QU5-EAAAQBAJ&oi=fnd&pg=PP1&dq=iowa+model&ots=LWBHdcetbx&sig=0fa7vvSx-BGYrxfDKHcu9wpRWyY 

Dulay, M., Saxe, J. M., Odden, K., Strewler, A., Lau, A., O’Brien, B., & Shunk, R. (2020). Promoting quality improvement in primary care through a longitudinal, project-based, interprofessional curriculum. MedEdPORTAL16(1), 10932. https://doi.org/10.15766/mep_2374-8265.10932 

NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care

Li, L.-C., Han, Y.-Y., Zhang, Z.-H., Zhou, W.-C., Fang, H.-M., Qu, J., & Kan, L.-D. (2021). Chronic obstructive pulmonary disease treatment and pharmacist-led medication management. Drug Design, Development and Therapy15, 111–124. https://doi.org/10.2147/DDDT.S286315 

Metting, E., Dassen, L., Aardoom, J., Versluis, A., & Chavannes, N. (2021). Effectiveness of telemonitoring for respiratory and systemic symptoms of Asthma and COPD: A narrative review. Life11(11), 1215. https://doi.org/10.3390/life11111215 

Siltanen, H., Aine, T., Huhtala, H., Kaunonen, M., Vasankari, T., & Paavilainen, E. (2020). Psychosocial issues need more attention in COPD self-management education. Scandinavian Journal of Primary Health Care38(1), 47–55. https://doi.org/10.1080/02813432.2020.1717087 

Winship, J. M., Falls, K., Gregory, M., Peron, E. P., Donohoe, K. L., Sargent, L., Slattum, P. W., Chung, J., Tyler, C. M., Diallo, A., Battle, K., & Parsons, P. (2020). A case study in rapid adaptation of interprofessional education and remote visits during COVID-19. Journal of Interprofessional Care, 1–4. https://doi.org/10.1080/13561820.2020.1807921 

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