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NURS FPX 6030 Assessment 4 Implementation Plan Design

Student Name

Capella University

NURS-FPX 6030 MSN Practicum and Capstone

Prof. Name

Date

Implementation Plan

This assessment delves deep into the integration of technology within geriatric intervention plans. By evaluating current and emerging technological tools, the potential impact on delivery methods is discerned, their efficacy is identified, and associated challenges are addressed. This comprehensive exploration illuminates the technological intricacies of enhancing geriatric care and the subsequent policy implications. The endeavor is to understand the present landscape and anticipate future shifts, ensuring strategies remain relevant and practical.

Management and Leadership

To successfully implement the intervention plan for geriatric falls, leadership strategies will focus on fostering an environment of trust and open communication. Encouraging interprofessional dialogue is critical. Leaders will facilitate regular interdisciplinary team meetings that consist of nurses, physical therapists, occupational therapists, and pharmacists. These meetings will aim to share knowledge, gather feedback on patient progress, discuss potential barriers, and collaboratively brainstorm solutions. Leaders will also advocate for continuous education, ensuring every professional stays updated with the latest practices and research relevant to the intervention.

A designated project lead will oversee the entire intervention’s implementation. The responsibilities among team members will be delineated, ensuring everyone knows their roles. This structure will ensure clear communication lines and distinct task ownership. Regular reviews will be set up to monitor the implementation process, ensuring that the intervention is being executed per the designed strategy and that any deviations or challenges are promptly addressed (Flaherty & Bartels, 2019).

NURS FPX 6030 Assessment 4 Implementation Plan Design

Nursing practices will play a pivotal role in this intervention. Given that the intervention involves personalized exercise routines, strength training, and balance sessions, nurses will be at the forefront of monitoring the geriatric patients’ health and ensuring that the activities are neither too strenuous nor lenient. They will be trained to provide immediate feedback to physical and occupational therapists, ensuring the activities are tailored to each patient’s health. Furthermore, nurses will also play a crucial role in educating the geriatric population about the importance of these activities, addressing their concerns, and motivating them to adhere to the intervention plan (Flaherty & Bartels, 2019).

During the intervention’s implementation, varied results in geriatric health might lead to contrasting professional views on its efficacy. Regular sessions will analyze data disparities to address this, and open forums will allow interdisciplinary professionals to share concerns and insights. By prioritizing open dialogue and understanding, we aim to holistically cater to the geriatric community’s well-being while addressing conflicting perspectives.

Implications of Change for Proposed Strategies

Introducing leadership strategies, specifically regular interdisciplinary team meetings and continuous education has profound implications. The enhanced interdisciplinary collaboration will foster a more holistic care environment, addressing every facet of a geriatric patient’s health. This approach promises improved patient outcomes and a seamless care journey. Each healthcare professional a patient, interacts with would be informed about their health status and intervention progress. Furthermore, continuous education ensures that professionals remain updated with the most effective and potentially cost-efficient practices.

This continuous learning can lead to optimized resource utilization, promoting the dual benefit of enhanced care quality and controlled costs. Introducing clear management strategies like appointing a project lead and defining roles will undeniably streamline the intervention process. A structured approach ensures that every aspect of the intervention is methodically addressed, pushing the envelope in care delivery standards. For patients, this translates to a smoother experience. They will know exactly whom to approach for specific concerns, reducing ambiguity. Moreover, efficient task management and role clarity can contribute to significant cost savings by curtailing resource wastage (McConville & Hooven, 2020).

NURS FPX 6030 Assessment 4 Implementation Plan Design

Nurses are at the heart of this intervention. Their involvement, characterized by continuous monitoring and feedback, is crucial. Health anomalies can be detected and addressed promptly through their efforts, elevating care outcomes. This continuous involvement also serves to enhance the patient experience. With a consistent point of contact, patients benefit from the familiarity, making them more comfortable discussing their concerns and feedback. Nurses’ proactive approach can lead to substantial savings from a cost perspective. Addressing health concerns at their nascent stage prevents them from becoming severe and potentially more expensive (McConville & Hooven, 2020).

Despite the strategies being anchored in evidence-based practices, individual response variations to the intervention are possible. Recognizing this, the emphasis on continuous monitoring and feedback is non-negotiable. Additionally, unforeseen challenges could emerge, such as potential unknown costs associated with interdisciplinary training or integration hiccups. Instituting regular review mechanisms and fostering a culture of open feedback will be instrumental in navigating these challenges. This approach ensures the intervention remains nimble, adapting to the ever-evolving needs of both the geriatric community and the overarching care setting.

Delivery and Technology

To optimize the implementation of our intervention plan, it is pivotal to choose effective delivery methods that align with the needs and preferences of the geriatric community. Given the unique needs and potential physical limitations of the elderly, conducting on-site training within community settings is crucial. This method ensures that exercises and training are not only accessible but also tailored to the specific requirements of each individual. Having trainers on-site allows for real-time feedback and modifications, ensuring that every elderly individual gets maximum benefit while ensuring safety. It also fosters a sense of community, which is crucial for motivation and adherence.

The advent of technology has revolutionized healthcare delivery. Recognizing that some elderly individuals might be tech-savvy or have caregivers who are, developing an online portal that offers virtual training sessions and guides becomes valuable. This ensures that participants who cannot attend on-site sessions or want to revisit certain routines have a platform. Moreover, the portal can serve as a repository of progress tracking, allowing participants and caregivers to monitor improvements and areas of focus (Herold et al., 2019).

Our delivery methods are based on two main assumptions. First, recognizing the varied physical abilities within the geriatric population, we emphasize the importance of on-site training that can be customized. Second, while a digital platform is introduced, we acknowledge that not every elderly individual might be tech-savvy and may need assistance. A mix of traditional and digital approaches will best cater to the diverse needs of the geriatric community.

Evaluation of Technological Options

Technological advancements have significantly shaped the healthcare domain, particularly in catering to the needs of the geriatric population. Wearable devices, designed explicitly for older adults, have emerged as indispensable tools, aiding in monitoring movement, offering instant posture feedback, and alerting caregivers during potential falls (Vandervelde, 2023). These wearables have substantially contributed to preventive interventions, reducing the risk of severe fall-related injuries. In terms of impact, the wearables, given their direct interaction with the users and immediate feedback mechanism, are currently poised to have the most significant positive effect on fall prevention.

Complementing wearables are interactive applications that bridge professional healthcare advice received during on-site training and the practices the elderly should incorporate at home. These apps, by housing a vast repertoire of exercises and feedback mechanisms, not only bolster the users’ confidence but also ensure consistent health improvements over time (Virginia Anikwe et al., 2022).

NURS FPX 6030 Assessment 4 Implementation Plan Design

Voice-assisted devices and platforms like Virtual Reality (VR) and Augmented Reality (AR) have been earmarked as the future of geriatric care. Voice tools, brilliant speakers, are set to redefine elderly care by simplifying exercise reminders and also serving as life-saving emergency communication tools (Romero-García et al., 2020). Simultaneously, immersive platforms such as VR and AR offer the elderly a unique opportunity to train within safe, controlled environments, mimicking real-world scenarios, thus reducing their propensity to fall. Given the vast potential of these tools, voice-assisted devices are anticipated to have the largest positive impact among emerging technologies due to their dual function of engagement and safety.

However, while the promise of technology is undeniable, it comes with its set of challenges. The uncertainty lies in the willingness and speed at which the geriatric population would adopt advanced platforms like VR and AR are still areas of uncertainty. Data privacy remains a significant concern, especially concerning wearables and health apps. As we inch towards a more digital future, ensuring HIPAA compliance to safeguard the privacy and data of the elderly becomes paramount (Papalia et al., 2020). Ensuring the elderly are comfortable with and trust these technological solutions will be crucial for successfully implementing the intervention. The need of the hour is more in-depth research to address these challenges and uncertainties, ensuring that the interventions delivered are technologically advanced, safe, and effective.

Stakeholders, Policy, and Regulations

The effectiveness of our intervention is deeply intertwined with the active involvement and support of multiple stakeholders. Being at the core of this intervention, the geriatric population significantly influences the outcome. Their perspectives, experiences, and adherence to the proposed strategies determine the intervention’s reach and depth. Families, serving in many instances as primary caregivers, emphasize the need for safety and efficacy in the strategies employed. Their role becomes crucial in bridging the gap between healthcare providers and the elderly, facilitating mutual feedback, and ensuring the elderly remain engaged.

Healthcare providers, particularly nurses, physical therapists, and occupational therapists, are the linchpins in executing and monitoring the intervention’s effectiveness. They need clear guidelines and continuous training to offer the best care (Flaherty & Bartels, 2019). Community administrators can make the process smooth and efficient by providing the necessary infrastructure and logistical support. Policymakers, influencing the broader healthcare landscape, determine the legal and regulatory bounds within the intervention.

NURS FPX 6030 Assessment 4 Implementation Plan Design

Guided by the Older Americans Act principles and the Falls Free National Action Plan, our intervention strongly emphasizes community-centric, evidence-based strategies. These policies are strong pillars, endorsing our strategies and emphasizing their relevance and significance. Financial support mechanisms become especially pivotal when considering preventive services associated with fall prevention. Policies from Medicare and Medicaid can provide the necessary financial scaffolding for such services, ensuring that the elderly receive the best care without being burdened by costs. Furthermore, as we integrate wearable health tech, strict adherence to HIPAA standards is non-negotiable to guarantee data privacy and protection (Marfeo, 2020).

Moving beyond the regulatory landscape, a holistic intervention requires multifaceted support. This encompasses financial backing, community engagement initiatives, and ongoing training for healthcare providers. Continuous training ensures providers are equipped with the latest best practices, making the intervention relevant and effective. The analysis is based on the assumption that a clear demonstration of the intervention’s benefits and alignment with established regulations will make stakeholders more inclined to offer their full support. Additionally, we assume that while our strategies are rooted in empirical evidence and are expected to garner positive reception, adaptability remains a cornerstone. This means that we are committed to adjusting our approach based on feedback, ensuring that the intervention continually meets the dynamic needs of the geriatric community.

Policy Considerations for Intervention Implementation

The role of policy in shaping and enhancing healthcare initiatives must be considered. In geriatric care and fall prevention, specific existing policies are the backbone of our intervention strategies, while prospective ones offer avenues for evolution and improvement. The Older Americans Act is a testament to the emphasis on geriatric care. By focusing on preserving the elderly’s functionality it echoes our aim to prevent falls, making it a foundational pillar for our strategies. Its endorsement provides our interventions with robust credibility and substantial support. Furthermore, the Falls Free National Action Plan complements our approach by prioritizing community-driven strategies in fall prevention.

Its framework offers critical guidance, streamlining our interventions and enhancing their efficacy (Marfeo, 2020). Delving into the financial aspects, Medicare and Medicaid’s preventive service recommendations could be instrumental. Their alignment with our objectives potentially promises financial sustenance and wider adoption, ensuring our intervention’s accessibility and impact across broader geriatric demographics. While these existing policies offer strong support, it is equally crucial to address potential constraints they might pose. For instance, stringent guidelines or resource allocation criteria within the Older Americans Act or the Medicare and Medicaid endorsements could limit our intervention’s scalability or introduce procedural delays.

NURS FPX 6030 Assessment 4 Implementation Plan Design

There is also the possibility that specific policy stipulations may only cater to some unique cultural or local needs of every community, thus challenging universal acceptability. These would negatively result in poor implementation of the intervention plan; thus, requiring evolvment of policies and regulatory framework. One such prospective policy could be the establishment of Community Fall Prevention Centers. Supported by local governmental funding, these centers would offer elderly individuals centralized access to training and preventive measures. Another promising policy direction is the introduction of a specialized certification in fall prevention for community healthcare providers (Koh et al., 2023).

This ensures our interventions are not only practical but are also administered by professionals well-versed in cutting-edge practices. By championing such policies, we can propel geriatric care standards to unprecedented heights while ensuring the interventions remain attuned to changing needs and challenges.

Timeline 

Our intervention will be implemented over ten months. The initial two months will focus on groundwork, including resource allocation and participant outreach. The following four months will see the active rollout of the intervention, with regular training sessions for participants and ongoing feedback collection. The last four months will be dedicated to evaluation, data analysis, and refining our approach based on feedback. The timeline’s success depends on resource availability, participant adherence, and external events. Feedback from both participants and healthcare providers will also significantly influence the pacing and potential modifications to our timeline. Flexibility is paramount; adjustments will be made to address unforeseen challenges and prioritize the geriatric community’s well-being.

References

Flaherty, E., & Bartels, S. J. (2019). Addressing the community‐based geriatric healthcare workforce shortage by leveraging the potential of interprofessional teams. Journal of the American Geriatrics Society67(S2), S400–S408. https://doi.org/10.1111/jgs.15924

Herold, F., Törpel, A., Schega, L., & Müller, N. G. (2019). Functional and/or structural brain changes in response to resistance exercises and resistance training lead to cognitive improvements: A systematic review. European Review of Aging and Physical Activity16(1). https://doi.org/10.1186/s11556-019-0217-2 

Koh, V. J., Matchar, D. B., Chan, A. W.-M., Lee, J. M.-L., Lai, W. X., Rosario, D., George, A., Ho, V., Ismail, N. H., Lien, C. T. C., Merchant, R. A., Tan, S. M., Wong, C. H., & Xu, T. (2023). Reducing falls among community-dwelling older adults from clinicians’ perspectives: A systems modeling approach. Innovation in Aging7(7). https://doi.org/10.1093/geroni/igad077 

Marfeo, E. (2020). The Supporting Older Americans Act of 2020: How policy connects with occupational therapy principles and practice. American Journal of Occupational Therapy74(5), 7405090010p1. https://doi.org/10.5014/ajot.2020.745002 

McConville, A., & Hooven, K. (2020). Factors influencing the implementation of falls prevention practice in primary care. Journal of the American Association of Nurse Practitioners, p. 1. https://doi.org/10.1097/jxx.0000000000000360 

Papalia, G. F., Papalia, R., Diaz Balzani, L. A., Torre, G., Zampogna, B., Vasta, S., Fossati, C., Alifano, A. M., & Denaro, V. (2020). The effects of physical exercise on balance and prevention of falls in older people: A systematic review and meta-analysis. Journal of Clinical Medicine9(8), 2595. https://doi.org/10.3390/jcm9082595 

NURS FPX 6030 Assessment 4 Implementation Plan Design

Romero-García, M., López-Rodríguez, G., Henao-Morán, S., González-Unzaga, M., & Galván, M. (2020). Effect of a multicomponent exercise program (VIVIFRAIL) on functional capacity in elderly ambulatory: A non-randomized clinical trial in Mexican women with dynapenia. The Journal of Nutrition, Health & Aging25(2), 148–154. https://doi.org/10.1007/s12603-020-1548-4 

Vandervelde, S., Vlaeyen, E., Dierckx de Casterlé, B., Flamaing, J., Valy, S., Meurrens, J., Poels, J., Himpe, M., Belaen, G., & Milisen, K. (2023). Strategies to implement multifactorial falls prevention interventions in community-dwelling older persons: A systematic review. Implementation Science, 18(4). https://doi.org/10.1186/s13012-022-01257-w 

Virginia Anikwe, C., Friday Nweke, H., Chukwu Ikegwu, A., Adolphus Egwuonwu, C., Uchenna Onu, F., Rita Alo, U., & Wah Teh, Y. (2022). Mobile and wearable sensors for data-driven health monitoring system: State-of-the-art and prospect. Expert Systems with Applications202, 117362. https://doi.org/10.1016/j.eswa.2022.117362 

NURS FPX 6030 Assessment 4 Implementation Plan Design