NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Assessment 3 Assessing the Problem Technology Care Coordination

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Capella university

NURS-FPX 4900 Capstone project for Nursing

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Date

Introduction

Type 2 Diabetes Mellitus (DM) is a prevalent chronic health condition globally, posing various complications and challenges for patients. In our healthcare facility, we encounter cases like John, a 50-year-old male undergoing prolonged DM treatment. Despite efforts, John experiences persistent high blood sugar levels due to genetic predisposition. This assessment extends the discussion from a previous assessment to explore healthcare technologies aiding John’s management and the potential benefits of care coordination and community resources in enhancing his health.

Impact of Healthcare Technologies on Type 2 DM

Recent advancements in healthcare technology have significantly benefited both healthcare providers and patients by improving safety, diagnosis, and consultation processes. Specifically for diabetes management, innovations like Continuous Glucose Monitoring (CGM) devices offer advantages over traditional blood glucose monitoring methods. While CGM provides immediate and predictive glycemic data, it also presents challenges such as alarm disturbances and the need for calibration to ensure accuracy. Despite these drawbacks, CGM integration into professional practices shows promise in enhancing patient health outcomes, albeit with challenges like cost-effectiveness and education.

Use of Care Coordination and Community Resources

Effective care coordination, as defined by the Agency for Healthcare Research and Quality (AHRQ), involves systematic planning and information sharing among healthcare providers to deliver patient-centered care. For chronic conditions like type 2 DM, care coordination, coupled with community resources, plays a vital role in enhancing patient outcomes. However, barriers such as geographical constraints and patient trust issues hinder optimal utilization of these resources. Overcoming these barriers, particularly through telehealth services, can significantly improve patient management and outcomes.

Nursing Practices Standards and Governmental Policies

Nursing practice standards, guided by ethical principles and evidence-based strategies, ensure quality care delivery to patients like John. Similarly, governmental policies like the 21st Century Cures Act and the Affordable Care Act support healthcare innovation, care coordination, and patient privacy, thus fostering improved patient outcomes and equitable healthcare access.

Conclusion

In conclusion, the management of type 2 DM requires a multidimensional approach encompassing technological innovations, care coordination, and community resources. By adhering to nursing practice standards and governmental policies, healthcare providers can ensure that patients like John receive comprehensive and effective care, ultimately leading to improved health outcomes.

References

Agency for Healthcare Research and Quality. (2018). Care coordination. Retrieved from https://www.ahrq.gov/ncepcr/care/coordination.html Alcántara-Aragón, V. (2019). Improving patient self-care using diabetes technologies. Therapeutic Advances in Endocrinology and Metabolism, 10, 204201881882421. https://doi.org/10.1177/2042018818824215 Aleppo, G., & Webb, K. (2018). Continuous glucose monitoring integration in clinical practice: A stepped guide to data review and interpretation. Journal of Diabetes Science and Technology, 13(4), 664–673. https://doi.org/10.1177/1932296818813581 American Nurses Association. (n.d.). Nursing scope of practice: American Nurses Association. Retrieved from https://www.nursingworld.org/practice-policy/scope-of-practice/ Astier, A., Carlet, J., Hoppe-Tichy, T., Jacklin, A., Jeanes, A., McManus, S., Pletz, M. W., Seifert, H., & Fitzpatrick, R. (2020). What is the role of technology in improving patient safety? A French, German and UK Healthcare Professional Perspective. Journal of Patient Safety and Risk Management, 25(6), 219–224. https://doi.org/10.1177/2516043520975661

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Centers for Disease Control and Prevention. (2022). Community-based organizations (CBOs). Retrieved from https://www.cdc.gov/diabetes/professional-info/community-organizations.html Doupis, J., Festas, G., Tsilivigos, C., Efthymiou, V., & Kokkinos, A. (2020). Smartphone-based technology in diabetes management. Diabetes Therapy, 11(3), 607–619. https://doi.org/10.1007/s13300-020-00768-3 Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2023). Health insurance portability and accountability act. In StatPearls. StatPearls Publishing. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK500019/ Elliott, M. N., Adams, J. L., Klein, D. J., Haviland, A. M., Beckett, M. K., Hays, R. D., Gaillot, S., Edwards, C. A., Dembosky, J. W., & Schneider, E. C. (2021). Patient-reported care coordination is associated with better performance on clinical care measures. Journal of General Internal Medicine, 36(12), 3665–3671. https://doi.org/10.1007/s11606-021-07122-8 Evans, M. V., Andréambeloson, T., Randriamihaja, M., Ihantamalala, F., Cordier, L., Cowley, G., Finnegan, K., Hanitriniaina, F., Miller, A. C., Ralantomalala, L. M., Randriamahasoa, A., Razafinjato, B., Razanahanitriniaina, E., Rakotonanahary, R. J., Andriamiandra, I. J., Bonds, M. H., & Garchitorena, A. (2022). Geographic barriers to care persist at the community healthcare level: Evidence from rural Madagascar. PLOS Global Public Health, 2(12). https://doi.org/10.1371/journal.pgph.0001028

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

FDA. (2020). 21st Century cures act. U.S. Food and Drug Administration. Retrieved from https://www.fda.gov/regulatory-information/selected-amendments-fdc-act/21st-century-cures-act Garcia-Dia, M. J. (2020). Balancing care with technology. Nursing Management, 51(4), 56–56. https://doi.org/10.1097/01.numa.0000657280.44223.10 HealthCare.gov. (n.d). Affordable care act (ACA) – glossary. Retrieved from https://www.healthcare.gov/glossary/affordable-care-act/ Jiao, Y., Lin, R., Hua, X., Churilov, L., Gaca, M. J., James, S., Clarke, P. M., O’Neal, D., & Ekinci, E. I. (2022). A systematic review: Cost‐effectiveness of continuous glucose monitoring compared to self‐monitoring of blood glucose in type 1 diabetes. Endocrinology, Diabetes & Metabolism, 5(6). https://doi.org/10.1002/edm2.369 Karam, M., Chouinard, M.-C., Couturier, Y., Vedel, I., & Hudon, C. ( 2023). Nursing care coordination in primary healthcare for patients with complex needs: A comparative case study. International Journal of Integrated Care, 23(1), 5. https://doi.org/10.5334/ijic.6729 Miller, E. M. (2020). Using continuous glucose monitoring in clinical practice. Clinical Diabetes, 38(5), 429–438. https://doi.org/10.2337/cd20-0043

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations

Northwood, M., Shah, A. Q., Abeygunawardena, C., Garnett, A., & Schumacher, C. (2022). Care coordination for older adults with diabetes: A scoping review. Canadian Journal of Diabetes, 46(7). https://doi.org/10.1016/j.jcjd.2022.09.053 Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019). Sustainable care coordination: A qualitative study of primary care provider, administrator, and insurer perspectives. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-3916-5

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