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NURS FPX 4905 Assessment 2 Define and Analyze Your Healthcare Process Problem or Issue of Concern

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Capella University

NURS-FPX4905 Capstone Project for Nursing

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Define and Analyze Your Healthcare Process Problem or Issue of Concern

The practicum experience at The Longevity Center provides a unique opportunity to engage with integrative and regenerative medicine practices. The focus of this experience is on patient-centered care and natural treatment modalities. During the practicum, the primary goal is to enhance understanding of novel therapies for chronic conditions by participating in clinical decision-making and practical learning activities. This assessment examines the practicum setting, clinical and operational decisions, and a key process problem that affects diagnosis and patient outcomes in regenerative medicine.

Practicum Setting Overview

The practicum is conducted at The Longevity Center, an integrated medical clinic that merges traditional medical practices with modern alternative therapies. The center is dedicated to delivering patient-centric services, promoting wellness, and using regenerative medicine techniques. Its patient population is diverse, ranging from individuals seeking preventive or anti-aging treatments to patients with chronic conditions seeking regenerative solutions. This diversity allows the practicum participant to gain exposure to a wide spectrum of health conditions and treatment strategies (The Longevity Center, 2024a).

The clinical team at the center consists of three full-time healthcare professionals who collaborate closely. Decisions regarding patient care are based on individualized treatment plans, response monitoring, and long-term management strategies. As a practicum participant, active involvement in clinical and operational decision-making provides an opportunity to contribute meaningfully to patient care and process improvement. The center also emphasizes continuous learning through educational resources such as podcasts, literature, and hands-on clinical experience, fostering critical thinking, professional growth, and comprehensive care (The Longevity Center, 2024a).

Clinical and Operational Decision-Making at The Longevity Center

Clinical and operational decisions at The Longevity Center are essential to patient outcomes.

Clinical Decision-Making

Key clinical decisions include:

  • Selecting the appropriate regenerative therapy (e.g., Platelet-Rich Plasma [PRP] vs. stem cell injections)
  • Determining treatment timing and dosage
  • Evaluating patient eligibility through thorough diagnostics, including the Longevity blood panel (The Longevity Center, 2024b)

Clinical decisions often require troubleshooting patient responses, such as inflammation or delayed healing, to optimize therapy outcomes (Majewska et al., 2025).

Operational Decision-Making

Operational decisions focus on:

  • Efficient scheduling of procedures
  • Managing patient flow
  • Ensuring accurate documentation of clinical actions
  • Maintaining inventory of medical supplies and biological materials

Observation of these decisions allows practicum participants to learn how operational efficiency affects patient care outcomes.

Outcomes Table: Clinical and Operational Decisions

Decision TypeKey ActionsObserved Outcomes
ClinicalChoice of therapy (PRP or stem cell), treatment timing, dosageReduced inflammation, faster tissue repair, improved joint/muscle function, enhanced quality of life
OperationalScheduling, documentation, resource managementSmooth clinic workflow, efficient patient management, minimized procedural delays

Follow-up evaluations including pain scoring, range-of-motion testing, and patient satisfaction surveys are used to monitor the effectiveness of these decisions (The Longevity Center, 2024a).

A significant process problem at The Longevity Center involves slow diagnostic procedures and inconsistent identification of complex conditions, particularly chronic pain, autoimmune disorders, and fatigue syndromes. Unlike conventional clinics with structured diagnostic workflows, patients at The Longevity Center often arrive after multiple unsuccessful consultations elsewhere, presenting without a clear diagnosis.

Conventional medical models typically focus on symptom management rather than identifying underlying causes, which can lead to patient frustration and ineffective long-term solutions (Dutra et al., 2025). For example, patients with chronic joint pain may receive medication or surgery recommendations without being offered regenerative therapies such as PRP injections, which can restore tissue function with minimal invasiveness.

Process Problem Table: Diagnostic Challenges

Problem AreaDescriptionImplications
Diagnostic delaysIncomplete or slow evaluation of complex chronic conditionsDelayed treatment initiation, prolonged suffering, functional decline
Patient history gapsPatients arrive after multiple failed consultationsRedundant testing, increased costs, frustration
Lack of standardized intakeNo structured diagnostic protocolInconsistent care, reduced patient trust

Delays in accurate diagnosis can extend patient suffering, increase psychological burden, and reduce confidence in healthcare systems. Misdiagnosis and delayed treatment are also costly; OECD nations report that diagnostic errors contribute to approximately 17.5% of healthcare expenditures, with potential savings of up to 8% if errors are reduced (Slawomirski et al., 2025).

Impact Analysis of Diagnostic Delays on Quality, Safety, and Cost

Diagnostic inefficiencies affect patient care quality, safety, and cost.

Quality: Delays can prevent timely initiation of regenerative therapies, which may reduce treatment efficacy. Accurate diagnosis is essential to tailor treatments like PRP or stem cell injections to individual patient needs (Popescu et al., 2021).

Safety: Late or incorrect diagnoses can exacerbate chronic inflammation, autoimmune dysfunction, and soft tissue damage, potentially leading to irreversible complications. Patients who have undergone previous treatments or medications may also face additional side effects (Kvarnström et al., 2021).

Cost: Diagnostic delays increase both clinic and patient expenses. Reassessment, detailed history reviews, and extended treatment periods demand extra resources. For example, PRP injections range from \$175–\$4,973, and BMA/BMC treatments from \$3,688–\$4,379 (Charnoff et al., 2022). Frequent and costly procedures can discourage patients from pursuing further care. Approximately 70% of patients at the center report dissatisfaction with prior conventional diagnostic approaches (The Longevity Center, 2024a).

Impact Table: Diagnostic Delays

DomainEffectExamples
QualityDelayed treatment initiation, reduced therapy efficacyIneffective PRP or stem cell treatment due to late diagnosis
SafetyIncreased risk of chronic inflammation or irreversible damagePatients with prior failed treatments at risk of side effects
CostHigher financial burden on patients and clinicMultiple tests, longer care duration, expensive regenerative procedures

Streamlining intake and diagnostic processes is essential to improve outcomes, enhance patient safety, and reduce overall costs.

Conclusion

The practicum at The Longevity Center offers valuable insight into regenerative healthcare practices. While the center excels in personalized and non-invasive treatments, diagnostic delays represent a critical process problem. Addressing this issue by standardizing intake and improving diagnostic efficiency can enhance patient outcomes, reduce operational costs, and strengthen the clinic’s mission of promoting long-term wellness through advanced natural interventions.

References

Charnoff, J., Rothman, R., Andres Bergos, J., Rodeo, S., Casey, E., & Cheng, J. (2022). Variability in patient-incurred costs and protocols of regenerative medicine procedures for musculoskeletal conditions in the United States. HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery, 19(1), 77–84. https://doi.org/10.1177/15563316221105880

Dutra, S., Reigado, G. R., Santos, M., Sardinha, D., Hernandes, S., Marchi, B. L., Zhivov, E., Chambergo, F. S., & Nunes, V. A. (2025). Advances in regenerative medicine-based approaches for skin regeneration and rejuvenation. Frontiers in Bioengineering and Biotechnology, 13. https://doi.org/10.3389/fbioe.2025.1527854

NURS FPX 4905 Assessment 2 Define and Analyze Your Healthcare Process Problem or Issue of Concern

Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors contributing to medication adherence in patients with a chronic condition: A scoping review of qualitative research. Pharmaceutics, 13(7), 1100. https://doi.org/10.3390/pharmaceutics13071100

Majewska, L., Kijowski, J., & Dorosz, K. (2025). Effect of patient age on Platelet-Rich Plasma (PRP) and fibrin treatments for skin density and thickness: A single-center ultrasound study. Life, 15(2), 308–308. https://doi.org/10.3390/life15020308

Popescu, M. N., Iliescu, M. G., Beiu, C., Popa, L. G., Mihai, M. M., Berteanu, & Ionescu, A. M. (2021). Autologous platelet-rich plasma efficacy in the field of regenerative medicine: Product and quality control. BioMed Research International, 2021, 1–6. https://doi.org/10.1155/2021/4672959

Slawomirski, L., Kelly, D., de Bienassis, K., Kallas, K.-A., & Klazinga, N. (2025). The economics of diagnostic safety. Organisation for Economic Co-operation and Development Health Working Papers. https://doi.org/10.1787/fc61057a-en

NURS FPX 4905 Assessment 2 Define and Analyze Your Healthcare Process Problem or Issue of Concern

The Longevity Center. (2024a). Integrative and regenerative treatments. The Longevity Center FL – Nurturing Health at Its Source. https://www.thelcfl.com/

The Longevity Center. (2024b). PRP Injections. The Longevity Center FL – Nurturing Health at Its Source. https://www.thelcfl.com/our-services/regenerative-therapies/prp-injections/

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