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NURS FPX 6021 Assessment 2 Change Strategy and Implementation

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  • NURS FPX 6021 Assessment 2 Change Strategy and Implementation.

Assessment 2: Change Strategy and Implementation

Capella University

NURS-FPX6021

Instructor Name

Due Date

Change Strategy and Implementation

Alternate methods and Implementation have been defined owing to the truth of the technique of looking for and executing enhancements in modifying the treatment of patients with a specific scenario. For type two diabetes and kidney failure, the exchange method and Implementation can also involve searching for and implementing upgrades and changes in the care currently provided to kidney failure patients and sorting out two people living with diabetes.

Healthcare exchange strategies must be implemented using a scientific method related to planning, Implementation, and evaluation. To ensure that the change techniques implemented are appropriate for the needs of the affected population and are sustained over time, stakeholders, including sufferers, health workers, and exclusive stakeholders, must be engaged in the technique (Powell et al., 2019).

Diabetes Type 2 and Renal Failure

Continuous type two diabetes is characterized by the body’s inability to make adequate insulin or use insulin correctly, and as a result, blood glucose builds up. Among its effects, if overlooked or controlled, is diabetic nephropathy or kidney failure. A cumulative accumulation of excessively high blood sugar over three hundred and sixty-five days can harm tiny capillaries in the kidneys and kill the kidneys, ultimately leading to kidney failure. Expanded blood pressure, genetics, and smoking furthermore increase the risk of diabetic kidney disease. Diabetic kidney contamination can be averted or stopped on time by controlling blood glucose levels through drugs, dietary restrictions, and exercise. Early detection and treatment of kidney illness is also crucial, with regular monitoring of kidney characteristics through blood and urine assessments (Bakris et al., 2020).

Case Study

Mrs. Smith is a fifty-two-year-old type 2 diabetic affected person and has developed renal complications that have an effect on her life in a horrific way. She lives with her daughter, has a lousy eating regimen, and lives by myself. Her blood glucose ranges were growing, 100, 120+, or as high as 300mg/dl after meals. It was suggested that she take proper care of herself and hold requirements in searching after her circumstances. Appropriate and effective treatment of Mrs. Smith’s problems needs to be attained. The system calls for the right coordination of stakeholders and interprofessional organizations to accumulate proper and powerful answers for her. In this context, a dietician, nephrologist, and endocrinologist will meet and supply advice to address her trouble with a powerful technique (Powell et al., 2019).

Data Table

Records/Findings Modern-Day Strategies Expected Effects
Mrs. Smith has imbalanced blood sugar levels: 126 mg/dl and 145 mg/dl (Type 2 Diabetes). Insulin therapy, proper diet, and regular exercise are also necessary (Ericsson & Fridhammar, 2019). Achieve a target blood sugar level of 99 mg/dl.
Type 2 diabetes has led to renal issues, difficulty urinating, and leg pain. Prescribed medications: Metformin, Semaglutide, Dulaglutide. Healthy diet, exercise, and hydration (Ericsson & Fridhammar, 2019). Enhanced lifestyle and reduced leg swelling.
Uncertainty around insulin dosage, lack of patient knowledge, weight gain from diabetes, and renal issues. An interdisciplinary care approach involving multiple healthcare providers (Hu et al., 2019). Optimized insulin dosing and comprehensive management of all conditions.
There is a need for better nurse-patient interaction. Use of digital solutions like telehealth (Hu et al., 2019). Improved communication and timely care delivery.
Limited nursing staff and a need for consistent home visits. Scheduled home visits by nursing staff (Hu et al., 2019). Better health outcomes for the patient and increased job satisfaction among nurses.

Clinical Results

With the dietitian’s approval, a proper and adequate remedy graph for Mrs. Smith can be combined with the right weight loss plan. This would ensure that her sugar diploma and urine discharge are regular. She was also taught the electricity of thought techniques to address her situation more effectively (Ericsson & Fridhammar, 2019). In addition, it is a magnificent organization that consists of a dietician, an ENT professional, a nephrologist, and an endocrinologist. This institution ensured that everything was considered before recommending any intervention. In addition, telehealth was once quickly endorsed to provide effective and properly timed collaboration between nurses and affected persons (Hu et al., 2019).

Areas of Uncertainty

The whole plan is based on the trust that it will bring about better fitness results for the affected person, but there are various uncertainties. To start with, there may be a lack of motivation from Mrs. Smith’s facet that may cause problems in planning achievement. Further, the shortage of personnel within the business enterprise is a further hassle. In the end, the affected character is worried about her loneliness, which can cause anxiety issues. So, several of those troubles must be handled efficiently to preserve higher effects (Ericsson & Fridhammar, 2019).

Projected Change Strategy for the Outcomes

New tips, practices, and eras should be followed to improve affected character results, reduce fees, and simplify the standard of care. Change techniques are quintessential within the healthcare organization. Healthcare agencies adopt exchange techniques to beautify affected men’s or women’s results. Those techniques can encompass imposing evidence-based, totally absolute practices (Ju, 2020). The following change techniques are probably being devised and encouraged for Mrs. Smith

  • Patient Education

The affected person can be educated on managing her diabetes and renal health. This would include addressing out-of-control blood sugar ranges, regular check-ups, and treatment adherence. This would be done through pamphlets, motion pictures, one-on-one lessons with a diabetes educator, and group instructions (Ju, 2020).

  • Caregiver Education

The affected character’s daughter is probably knowledgeable about managing her mother’s diabetes and renal health, including monitoring her blood sugar levels, administering drug remedies, and getting organized healthy food. This will be done in one-on-one sessions with a diabetes educator, institutional instructions, and online sources. A power-of-will approach is likewise necessary, bringing better effects for her and their circle of relatives (Misra & Bloomgarden, 2020).

Medication Management and Telehealth

The affected character may be placed on suitable medicinal drugs to manage her diabetes and renal health. The drugs are probably adjusted based on her blood sugar levels and renal characteristics. Observing appointments with a healthcare organization will ensure that medication works efficiently. A telehealth approach may also provide effective communication among employees and sufferers (Michaud et al., 2021).

  • Lifestyle Modification

The affected person should make massive adjustments to govern her diabetes and renal function. This includes controlling pressure, retaining a nutritious weight-cut charge diagram, exercising regularly, quitting smoking, and ingesting no alcohol. The nurses will implement direct and indirect interventions to beautify Mrs. Smith’s lifestyle (Misra & Bloomgarden, 2020). Nurses may also use several exchange models, like Lewin’s change model. This model includes three ranges: unfreezing, converting, and refreezing. Unfreezing includes breaking down the cutting-edge concept set and attitudes within the course of diabetes and renal fitness, changing consists of implementing new behaviors, and refreezing includes making the new behaviors an addiction. Furthermore, nurses can also use the eight-step exchange model courses. This model includecontainsling an experience of urgency, assembling a coalition, forging a strategic imaginative and prescient, talking the vision, allowing human beings to behave on the imaginaticreativecient, task short wins, consolidating successes and bringing approximately extra trade, and enshrining new ideas in the organizational lifestyle (Harrison et al., 2021).

Potential Difficulties

The affected person and her daughter can also make the necessary adjustments to control their diabetes and renal function. The affected person and her daughter might not have gotten admission to the integral property, which incorporates a diabetes educator or healthy meal preferences. The healthcare device might not assist the affected person and her daughter enough, including a lack of access to healthcare agencies or ineffective drug remedies.

  • Meeting Challenges

Robust conversations with the affected man or woman and her daughter can help deal with resistance to change and make sure they understand the importance of coping with her diabetes and renal fitness. Figuring out and offering resources that incorporate diabetes education, getting the righto access healthful meal alternatives, and healthcare organizations can help address the dearth of property—taking elements with the healthcare tool to make sure that the affected individual and her daughter acquire sufficient guidance and care to address the inadequacies of the healthcare device (Ataguba & Ataguba, 2020).

Justification of the Change Approaches Used to Attain the Desired Outcomes

The whole design and change techniques are beneficial for the affected person. Numerous studies have highlighted the significance of the method. The network Preventive Offerings Mission Strain (CPSTF) advises using network health experts in interventions to assist humans in managing their diabetes. The methods were tested to decrease the use of healthcare for affected men and women while enhancing glycemic and lipid control. The sports activities are fee-effective and regular, and they have monetary information. Interventions concerning network medical experts handling diabetes can also improve fitness, reduce health inequities, and increase health equality because they are frequently completed in impoverished areas (Ju, 2020).

The equal is proper of the Diabetes Power of Will schooling and manual (DSMES) programs, which equip clients with the capabilities and appreciation integral to managing their diabetes and associated illnesses. The DSMES is based on evidence-supported necessities and custom-designed to meet your desires, goals, and needs. Furthermore, they advise you on how to control the emotional consequences of getting diabetes, eat healthily, exercise, monitor your blood sugar levels, take medication, resolve problems, lessen your chance of contracting specific diseases, and typically enhance your health and quality of life. A diabetes educator, alongside a licensed nurse, dietitian, or pharmacist, oversees DSMES (CDC, 2018).

NURS FPX 6021 Assessment 2 Change Strategy and Implementation

In addition, an expected 415 million people worldwide have diabetes. It has debts for approximately 9% of the arena’s population. Steady with estimates, there might be 642 million human beings worldwide by 2040. In modern times, seventy percent of humans with diabetes reside in center- or lower-income families, which cost nearly $550 billion yearly. Telemedicine is indispensable in the fight against this contamination, especially in the battle against COVID-19. It could assist with complex adult diabetes care, tracking the development of the state of affairs, and early detection. In contrast to conventional hospital therapy, studies have demonstrated that telemedicine drastically lowers the HbA1c levels of the general public of sufferers. Five specific investigations determined that patients under the care of telemedicine professionals had a lower frequency of hypoglycemia (Josh, 2021).

Assumption

The layout and strategies are primarily based on the idea that this can deliver better health results for the affected individual. Those interventions will ensure that Mrs. Smith has better control of her sugar level. Her kidneys will work better, and they are probably more aware of strength-of-mind procedures (Harrison et al., 2021).

  • Change Plans Leading to Quality Improvement Regarding Safety and Care

Enforcing alternate techniques for Mrs. Smith will result in significant development concerning safety and equitable care. The affected man or woman and caregiver training will assist them in understanding the circumstance and discovering ways to manage it successfully. This might bring about higher health consequences and decreased complications. The drug control and telehealth technique will help Mrs. Smith enter her remedy and care from the comfort of her home. This may reduce the need for sanatorium visits and help her manipulate her scenario better. Mayo Sanatorium has effectively carried out this approach, enhancing its remedy management tool using era, resulting in higher affected character outcomes (Munday et al., 2019). Get unfastened NURS FPX 6021 evaluation, two alternate approaches, and Implementation

The lifestyle change method will assist Mrs. Smith in making fundamental changes to her weight-loss plan and exercise. This may assist in helping her scenario and decrease the risk of complications. Cleveland Sanatorium has effectively completed this method, launching a “healthy way of life training software to assist sufferers in making essential modifications (Piao et al., 2019).

Lewin’s exchange and Kotter’s 8-step exchange versions can be used to implement the alternate strategies efficaciously. Lewin’s exchange model focuses on three steps to implement trade: unfreezing, converting, and refreezing. Kotter’s 8-step model consists of 8 steps. It consists of instilling a feeling of urgency, assembling a powerful group, growing an imaginative and prescient exchange, speaking that vision, empowering others to perform that imaginative and prescient, achieving quick victories, building on those successes to bring about the extra exchange, and ingraining new thoughts into the economic organization agency’s method (Misra & Bloomgarden, 2020).

Assumptions

This rationalization’s assumptions encompass that affected individual protection and equitable care are vital goals for healthcare agencies. Change techniques can efficiently enhance the quality of care. In addition, healthcare businesses and patients may be engaged and triggered to participate in significant improvement duties (Munday et al., 2019).

  • Change Approaches Utilized in Interprofessional Considerations

Interprofessional issues are vital for correctly implementing alternative strategies for Mrs. Smith’s case. The change strategies must be a collaborative technique of incredible healthcare specialists, medical doctors, nurses, dieticians, and social workers to protect each aspect of the affected individual’s care (McHugh et al., 2020). Interprofessional institutions can collaborate to educate patients on managing diabetes and renal problems.

The institution can include a diabetes educator, a nurse, a dietician, and a pharmacist who can provide Mrs. Smith with statistics about her tablets, lifestyle modifications, and weight-discount design modifications. This would assist Mrs. Smith in understanding the significance of coping with her diabetes and renal issues and the steps she desires to take to improve her fitness.

Mrs. Smith’s family members and caregivers need to be further informed about handling her diabetes and renal troubles. The interprofessional organization can educate caregivers on tracking Mrs. Smith’s blood sugar levels, administering treatment, and dealing with her healthy diet and weight-reduction plan. This may assist in making sure that Mrs. Smith receives everyday care and valuable aid from her family and caregivers (Sy et al., 2020).

NURS FPX 6021 Assessment 2 Change Strategy and Implementation

The interprofessional employer can use telehealth to manage Mrs. Smith’s medical conditions and monitor her health. The group can encompass a pharmacist, a nurse, and a health practitioner who can work collectively to ensure that Mrs. Smith is taking her drug remedies effectively and that her health is being monitored. Telehealth can display Mrs. Smith’s blood sugar levels and renal characteristics.

This fact may be shared with the interprofessional organization so that informed decisions about her care can be made. The interprofessional company can work together to provide Mrs. Smith with lifestyle change strategies to improve her fitness. The group can include a dietician, a physical therapist, and an occupational therapist who can provide Mrs. Smith with records on healthy eating and exercise habits and techniques to govern her everyday sports. This can help Mrs. Smith make lifestyle changes to improve her health and magnificent life (Sy et al., 2020).

Assumptions

It is primarily based on the concept that robust Implementation of exchange techniques requires the involvement of a multidisciplinary organization. The affected person’s care must be considered holistically, encompassing scientific, social, and mental elements. Trade techniques should be tailored to satisfy every affected character’s particular wishes and must be proof-based. The achievement of exchange techniques is primarily based on effective communication and collaboration among healthcare professionals (Munday et al., 2019).

Conclusion

In conclusion, enforcing those trade strategies will enhance Mrs. Smitperfectgood’s existence and ensure greater control of her type two diabetes and renal issues. Enforcing those alternate techniques calls for a collaborative effort from the healthcare organization, Mrs. Smith, and her caregivers. It is critical to ensure ongoing monitoring, help hold the adjustments, and save you from functionality headaches.

References

  1. https://doi.org/10.1080/16549716.2020.1788263
  2. https://doi.org/10.1056/NEJMoa2025845
  3. https://www.cdc.gov/learnmorefeelbetter/programs/diabetes.htm#:~:text=Participating%20in%20a%20self%2Dmanagement
  4. https://doi.org/10.1080/13696998.2019.1614009
  5. https://doi.org/10.2147/jhl.s289176

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