Assignment 13.1 Proposed Practice Change
Class Name: Primary Care Acute Conditions Across The Lifespan I Lesson I:
Developing Effective Practice change ASSIGNMENT 13.1: Proposed Practice Change ASSIGNMENT:
Before attempting to complete Assignment 13.1: Proposed Practice Change, please gather and review learning materials from the course that will be applicable to your plan. You can also use outside reliable resources such as peer-reviewed articles.
Introduction By the end of this assignment, you will be able to:
Develop a plan to affect practice change that will contribute to the safe and cost-effective care of adult patients with acute disorders. (CO3, CO4)
Develop a proposed solution to an identified healthcare problem that incorporates advanced concepts, quality care principles, and/or nursing theories. (CO2)
Explain how various healthcare providers would need to collaborate for the proposed practice change to work. (CO5)
Identify professional, legal, and/or ethical standards that would need to be considered for the proposed practice change to occur. (CO9)
Assignment Guidelines Develop a plan for practice change toward an identified healthcare problem that will contribute to safer and/or more cost-effective care of adult patients with acute disorders. The plan should specify roles and responsibilities of various collaborating healthcare providers and identify professional, legal, and/or ethical standards that would need to be considered for the proposed practice change to occur. The development of such a plan provides an opportunity to apply advanced concepts, quality care principles, and/or nursing theories toward a real-life scenario. Please ensure that your plan clearly states: The healthcare problem being targeted.
Background information about the concerns surrounding the healthcare problem that you are targeting. How your plan will make health care for adult patients with an acute disorder safer and/or more cost-effective. The healthcare providers that would need to be involved for the proposed practice change to work How those healthcare providers would need to collaborate for the proposed practice change to work. Professional, legal, and/or ethical standards that would need to be considered for the proposed practice change to occur Be sure to incorporate advanced concepts, quality care principles, and/or nursing theories from your FNP program throughout your plan.
Please adhere to APA writing standards. Be sure to cite sources used to develop your response. Your response should be at least 2 pages. The book used for this class and for this assignment is cited here:
Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). St. Louis, MO: Elsevier Mosby. Dains, J., Baumann, L., & Scheibel, P. (2019). Advanced health assessment & clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. RUBRIC Criteria Expectations Content Follows directions, answers all questions thoroughly and appropriately. Grasp of significance Projects thorough knowledge and critical understanding of the significance of the assignment to professional development as an FNP.
Clarity and Logic All answers are correct with a clear and logical path to reach a solution to the problem presented. Terminology Uses appropriate terminology correctly throughout. References Contains no errors in grammar or spelling. Uses references and cites them properly using APA format.
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Proposed Practice Change: Enhancing Acute Asthma Management in Primary Care
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Introduction
Asthma, a chronic condition characterized by airway inflammation and hyperreactivity, poses significant challenges in acute care settings. Effective management of acute asthma exacerbations is crucial to improving patient outcomes and reducing healthcare costs. This plan aims to propose a practice change that enhances the management of acute asthma in primary care, focusing on safety, cost-effectiveness, and interprofessional collaboration.
Healthcare Problem Being Targeted
The primary healthcare problem addressed in this plan is the management of acute asthma exacerbations in adult patients within a primary care setting. Acute exacerbations can lead to severe symptoms, increased emergency room visits, and hospital admissions if not managed effectively. Despite advancements in treatment, gaps in care persist, including delayed treatment, inconsistent use of evidence-based guidelines, and inadequate follow-up care.
Background Information
Asthma exacerbations can be triggered by various factors such as allergens, respiratory infections, and environmental irritants. In primary care, timely and effective management is essential to prevent complications. However, many primary care providers (PCPs) face challenges in implementing up-to-date guidelines due to time constraints, lack of resources, or insufficient training. Addressing these challenges through a structured practice change can lead to better outcomes and reduced costs.
Proposed Practice Change
- Implementation of an Asthma Management Protocol
A comprehensive asthma management protocol should be developed and implemented. This protocol will include standardized procedures for assessing asthma severity, administering medications, and providing patient education. Key components will be:
- Assessment Tools: Use validated tools such as the Asthma Control Test (ACT) to assess the severity of exacerbations.
- Medication Administration: Establish clear guidelines for the use of bronchodilators and corticosteroids during acute episodes.
- Patient Education: Provide patients with education on asthma triggers, proper inhaler techniques, and action plans for managing symptoms.
- Integration of a Triage System
Develop a triage system to prioritize patients based on the severity of their symptoms. This system will ensure that patients with severe exacerbations receive prompt attention, while those with mild symptoms can be managed with less urgent interventions.
- Enhanced Follow-Up Care
Create a follow-up protocol to ensure that patients receive ongoing care after an acute exacerbation. This may include scheduled visits, remote monitoring through telehealth, and coordination with specialists if needed.
Collaboration of Healthcare Providers
Successful implementation of the proposed practice change will require collaboration among various healthcare providers:
- Primary Care Providers (PCPs): PCPs will play a central role in assessing, treating, and educating patients. They will need to adhere to the new protocol and utilize the triage system effectively.
- Nurses: Nurses will assist in patient education, administering medications, and monitoring patient progress. They will also play a key role in implementing follow-up care.
- Pharmacists: Pharmacists can contribute by ensuring the appropriate use of medications, providing patient counseling, and collaborating with PCPs to manage medication therapies.
- Respiratory Therapists: Respiratory therapists can assist in specialized asthma management, including providing advanced inhaler techniques and monitoring lung function.
Professional, Legal, and Ethical Considerations
Professional Standards: The proposed practice change must align with the standards set forth by professional organizations such as the American Academy of Allergy, Asthma, and Immunology (AAAAI) and the National Heart, Lung, and Blood Institute (NHLBI).
Legal Standards: Compliance with legal requirements for patient privacy, informed consent, and documentation must be ensured. This includes adherence to the Health Insurance Portability and Accountability Act (HIPAA) regulations.
Ethical Standards: The plan must respect patient autonomy and ensure that patients are fully informed about their treatment options. Additionally, equitable access to care must be considered to avoid disparities in treatment.
Conclusion
Implementing a structured asthma management protocol, integrating a triage system, and enhancing follow-up care will contribute to safer and more cost-effective management of acute asthma exacerbations in primary care. Effective collaboration among PCPs, nurses, pharmacists, and respiratory therapists will be essential to the success of this practice change. Adhering to professional, legal, and ethical standards will ensure that the plan is both effective and compliant with current regulations.
References
Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). St. Louis, MO: Elsevier Mosby.
Dains, J., Baumann, L., & Scheibel, P. (2019). Advanced health assessment & clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
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