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Capella 4900 Assessment 3

Capella 4900 Assessment 3  Technology, Care Coordination, and Community Resources Considerations

Student Name

Capella University

NURS-FPX 4900 Capstone Project for Nursing

Prof. Name

Date

Introduction

 This assessment is based on the use of technology, coordination of care, and community resources to address diabetes in Michael’s case. As healthcare technologies play a vital role in advancing healthcare provided to patients, certain technologies that can improve diabetes will be explored in the subsequent section. Moreover, the practice of coordination of care in the healthcare system and its impact on diabetes will be found. Lastly, the community resources that Michael can use to treat and manage his diabetes will be discussed in this assessment.

Impact of Healthcare Technology on Diabetes

Various healthcare technologies have emerged to create a transformative impact on diabetes. One of these healthcare technologies is continuous glucose monitoring which impacts profoundly on diabetes management. Continuous glucose monitoring (CGM) technology allows diabetes patients to keep ongoing track of their blood glucose levels all the time. This is done by using a device that requires to be inserted or implanted into the skin and the sensor present in this device measures glucose levels from the interstitial fluid surrounded by body cells.

This technology helps manage diabetes effectively as it provides comprehensive data about blood glucose fluctuations and one can control blood glucose levels timely reducing the harmful risks threatened by hyperglycemia and hypoglycemia (Lee et al., 2021). Another healthcare technology impacting diabetes is remote monitoring which enables healthcare professionals to track patients’ care treatment and medication adherence. The patient can log in their medication intake data to devices that can be synced in with healthcare clinics so nurses can monitor it at healthcare setups. This improves the quality of care as nurses can guide and educate on medication and lifestyle modifications (Ramesh et al., 2021).  

Advantages & Disadvantages of CGM and Remote Monitoring in Diabetes

CGM provides patients with continuous monitoring of blood glucose levels and shows effective diabetes management as compared to traditional fingerstick blood glucose testing kits. As CGM provides hyperglycemia and hypoglycemia alerts, it can help patients take prompt action to prevent any diabetes-related complications. Additionally, CGM reduces the need for using a fingerstick blood glucose level kit which is an inconvenient and invasive method for patients.

Moreover, the blood glucose level data provided by CGM is wider and presents a comprehensive picture of glucose level variations in blood as compared to traditional testing kits (Karakuş et al., 2021). The disadvantages of this technology include the heavy cost of initial purchasing of CGM devices which makes them inaccessible to many patients. Furthermore, insertion of sensors can be inconvenient for some individuals and their regular maintenance is uncomfortable for patients as the sensors need to be changed every few days. The technical errors shown by sensors are another disadvantage of this technique which makes it doubtful for many patients and healthcare staff (Karakuş et al., 2021).

Capella 4900 Assessment 3

Remote monitoring of diabetes management in terms of medication and healthy lifestyle adherence promotes the transmission of patient health and medication data to healthcare providers in real-time. Healthcare providers are notified about medication adherence and compliance to healthy lifestyles and monitor the current status at their clinics remotely. Moreover, it benefits patients in staying consistent with diabetes management and healthcare providers in adjusting treatment according to the data provided by patients remotely.

Remote monitoring facilitates patient-centered care and reduces the expenses of traveling to the hospital for clinical visits as healthcare providers can consult with patients through smartphone applications where patient data sharing and remote monitoring are observed (Andrès et al., 2019). The disadvantages related to this technology include technical issues such as unavailability of the internet and cost issues i.e. lack of expenses to afford it. Furthermore, lack of contextual information such as side effects to medicines, reasons for missed doses, and requirement for change in plan is a major issue in remote monitoring for medication adherence as only patient medication compliance is tracked in this technology.

Additionally, patient information security is an issue in sharing patient medical and health data electronically. This requires the implementation of privacy regulations and policies to protect patient confidentiality.  Face-to-face clinical sessions are exempted from utilizing this technology which provides better communication and improves the interaction between patient and healthcare provider (Walker et al., 2019).

Current Professional Practice

The evidence provided for these technologies used in healthcare setups is consistent with what I see in my current nursing practice. The use of remote monitoring in diabetes for medication adherence in current practice poses these benefits and drawbacks to patients and healthcare providers. The identified potential barriers to utilizing remote patient monitoring in terms of medication adherence are technological barriers (lack of internet or presence of glitches), affordability barriers (lack of resources), and security concerns (lack of trust in technology). The costs for remote monitoring include expenditures on procuring resources like mobile phones, internet facilities, and training on using these platforms for proper transmission of medication administration data. 

Utilization of Care Coordination and Community Resources to Address Diabetes

Care coordination and community resources can be used to manage diabetes. Through care coordination, patient-centered care is possible and can improve patient conditions in diabetes. Community resources can act as guiding resources and tools for patients and healthcare professionals to treat and manage diabetes effectively. They can be used in providing DSMES programs to patients and patients can be active participants in diabetes-related community groups to stay motivated in self-care behaviors to manage their condition.

Benefits of Care Coordination and Community Resources Utilization

Care coordination is required in treating and managing chronic conditions like diabetes. Since, a multidisciplinary team is involved in managing diabetes; therefore, it requires effective collaboration and coordination in providing care treatment to diabetic patients. Care coordination practice promotes seamless communication and every healthcare professional related to a diabetes patient acquires the patient’s medical and health needs and works accordingly which results in fewer medical and health errors and improves patient safety (Karam et al., 2021).

Moreover, the use of community resources such as community organizations established for diabetes like The American Diabetes Association and community groups for diabetes is effective in diabetes management. The guidelines provided by these community resources such as ADA act as benchmark measures to compare your clinical and nursing practice in diabetes. Nurses can use them to provide authentic and correct care treatment to diabetes patients.

The community groups such as online or physical support groups for diabetes can be motivating for diabetics to improve their self-management of diabetes and can learn from people who have survived diabetes with healthy lifestyles and medication adherence (Sauchelli, 2020).

Current Professional Practice

In my current nursing practice, care coordination, and community resources are maximally utilized as evident through literature to provide patients with effective and authentic care treatment. The potential barriers to implementing care coordination in a healthcare setup can be poor communication among healthcare providers and lack of interoperable devices such as electronic health records which facilitate care coordination.

Moreover, engaging patients in care treatment and promoting their compliance with medication and care plans is another potential barrier to care coordination. The potential barriers to utilizing community resources can be a lack of awareness and knowledge about community organizations and support groups for diabetes and distrust of these organizations and their work.

State Board Nursing Practice Standards and/or Government/ Organizational Policies on Health Technology, Care Coordination, and Community Resources

The American Nursing Association (ANA) supports the use of healthcare technologies like EHR, remote monitoring, and telehealth to improve the quality of care for patients. The ANA collaboration with Healthcare Information and Management Systems Society (HIMSS) has been implicated in Nursing Informatics Standard practices that address the use of health information technology in nursing practices. The ANA also provides nursing practice standards for nurses which include the use of care coordination to provide coordinated and collaborative care treatment to patients with any disease.

This coordination of care will promote patient-centered care as all health professionals communicate with each other to provide effective therapy to patients. The ANA policy of care coordination makes healthcare workers aware of implementing it and promotes the effective provision of care treatment. The ANA also advocates the use of community resources for patients and encourages nurses to collaborate with community partners such as community health centers and non-profit organizations such as ADA in case of diabetes.

Capella 4900 Assessment 3

This enhances patients’ access to community resources that can improve their knowledge of diabetes and promotes self-management of diabetes. Furthermore, ANA guides nurses to educate patients about community resources that they can take benefit from and alleviate their symptoms and complications through the services provided by particular community organizations and groups (Brunt & Russell, 2022).

Food and Drug Administration (FDA) established an enforcement policy that promoted the use of non-invasive remote monitoring devices to enable patient monitoring when COVID-19 emerged. In this enforcement policy, FDA expanded the use of remote monitoring devices and enhanced their availability to reduce the threats from emerging infectious agents like coronavirus (FDA, 2020). This opened up a way for healthcare systems to advance the use of this policy as digital health and remote monitoring is promoted ever since COVID-19 emerged.

Implication for Ethical Professional Practice in Nursing                                                                             

The implementation of ANA standards and HITECH policy of adopting health information technologies has various implications for ethical professional practice in nursing that include respecting patient autonomy and obtaining informed consent, adhering to the principles of privacy and confidentiality of patient’s protected health information, and engaging in collaborative and interprofessional communication to provide coordinated care treatment and using health information technologies in equitably way to reduce health disparities among patients.

Documentation of Practicum Hours

I spent two practicum hours with Michael and his family in discussing these aspects of healthcare technology suited for his condition, implementing care coordination and making the best use of community resources to manage his condition. The details of my experience with Michael and his family in those two hours have been documented in CORE ELMS Volunteer Experience Form.

Conclusion

Healthcare technologies are necessary to provide effective treatment to patients. In diabetes, continuous glucose monitoring and remote monitoring of medication, and healthy lifestyle adherence are novel health technologies that help manage diabetes effectively. These health information technologies improve the quality of care, enhance patient safety and quality of life. They also prevent future risks associated with diabetes as timely detection of hyperglycemia suggests prompt treatment.

Furthermore, care coordination and community resources like ADA and support groups for diabetes can promote quality of care and reduce diabetes-related complications. The ANA provided nursing practice standards and FDA’s enforcement policy promotes the use of healthcare technology, care coordination, and community resources to treat and manage diabetes efficiently. These health policies and practice standards are helpful in guiding nurses to develop an intervention for patients like Michael using healthcare technology and community resources.

References

Andrès, E., Meyer, L., Zulfiqar, A.-A., Hajjam, M., Talha, S., Bahougne, T., Ervé, S., Hajjam, J., Doucet, J., Jeandidier, N., & Hajjam El Hassani, A. (2019). Telemonitoring in diabetes: Evolution of concepts and technologies, with a focus on results of the more recent studies. Journal of Medicine and Life, 12(3), 203–214. https://doi.org/10.25122/jml-2019-0006 

Brunt, B. A., & Russell, J. (2022, September 20). Nursing professional development (NPD) standards. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK534784/ 

FDA. (2020, March 31). Enforcement policy for non-invasive remote monitoring devices used to support patient monitoring during the coronavirus disease-2019 (COVID-19) public health emergency. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/enforcement-policy-non-invasive-remote-monitoring-devices-used-support-patient-monitoring-during 

Capella 4900 Assessment 3

Karakuş, K. E., Sakarya, S., Yeşiltepe Mutlu, G., Berkkan, M., Muradoğlu, S., Can, E., Gökçe, T., Eviz, E., & Hatun, Ş. (2021). Benefits and drawbacks of continuous glucose monitoring (CGM) use in young children with type 1 diabetes: A qualitative study from a country where the CGM is not reimbursed. Journal of Patient Experience, 8, 237437352110565. https://doi.org/10.1177/23743735211056523 

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1). https://doi.org/10.5334/ijic.5518 

Lee, I., Probst, D., Klonoff, D., & Sode, K. (2021). Continuous glucose monitoring systems – current status and future perspectives of the flagship technologies in biosensor research -. Biosensors and Bioelectronics, 181, 113054. https://doi.org/10.1016/j.bios.2021.113054 

Ramesh, J., Aburukba, R., & Sagahyroon, A. (2021). A remote healthcare monitoring framework for diabetes prediction using machine learning. Healthcare Technology Letters. https://doi.org/10.1049/htl2.12010 

Sauchelli, S. (2020). Digitalising diabetes support groups in response to the coronavirus COVID ‐19 outbreak: A collaborative initiative. Practical Diabetes, 37(6), 208. https://doi.org/10.1002/pdi.2306 

Walker, R. C., Tong, A., Howard, K., & Palmer, S. C. (2019). Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies. International Journal of Medical Informatics, 124(124), 78–85. https://doi.org/10.1016/j.ijmedinf.2019.01.013 

Capella 4900 Assessment 3