Intervention and Evaluation PowerPoint

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NR 443 Week 6 Caring for Populations; Milestone 3; Intervention and Evaluation (Presentation)ChamberlainCommunity Health Nursing 443

Patient-centered intervention for stroke prevention

Patient-centered intervention for stroke prevention

Stroke Prevention

Introduction

Community based intervention for stroke prevention The purpose of this presentation is to develop a community health nursing intervention and evaluation tool for stroke prevention in Weeki Wachee, FL. Stroke is an epidemic that continues threatening many of the population in the United States.

Examples of Stroke Related Complications

Difficulties talking and/or swallowingParalysis or loss of movementMemory lossEmotional problemsPain that interferes with everyday life

Proposed Intervention

Home health nursing intervention is the proposed community health nursing intervention that will be embraced during the study. The target population includes all adults aged more than 50 years. This will start with free clinics for the underinsured to monitor vital signs, speak to a physician, education on prescriptions and life style choices.

Proposed Intervention

In respect to accessing the target population ,an announcement will be put on media reminding all parents, guardians, caregivers and other custodians to be available at the designated clinics in order to participate in the study. In terms of involving the target population, there will be partnership principles that will offer codified expectations and guiding values for the purpose of sustaining active involvement.

Proposed Intervention

Community health workers screen for high blood pressure, cholesterol, and behavioral risk factors recommended by the United States Preventive Services Task Force (USPSTF); deliver individual or group education on CVD risk factors; provide adherence support for medications; and offer self-management support for health behavior changes, such as increasing physical activity and smoking cessation, (the community guide).

Proposed Intervention

The proposed intervention will address primary level prevention. This is because home-based intervention will address and influence the self care of the patient.

Intervention Justification

According to Ko, Murphy, and Bindman,” Despite a common mission to care for our nation’s most vulnerable, community health centers and safety net hospitals experience conflicts over autonomy, institutional prejudices, and trust,” (p.S678, 2015).The best way we can build this trust is to use the strength of the community and work with this population on their level.According to Kyounghae and associates, “Community based health workers are typically trusted members of their communities with whom they share the same cultural and linguistic backgrounds and life experiences, they are ideally positioned to provide tailored, culturally responsive interventions,” (p.e26, 2016).

Proposed Evaluation

The research process will utilize quantitative approaches where multiple activities including surveys, free clinic testing, and windshield surveys will be embraced.During the investigation exercise, physical activity, blood pressure, health histories and their dietary intake will be measured.

Evaluation Design

The study will utilize a pre-cohort design to evaluate the communities healthy living.During this stage, all patients aged 50 and above will be enrolled to participate in the study.

Measures

Weight status – Before, implementation of the proposed intervention, data on weight and height of patients will be obtained from the free clinics.Dietary Intake – The personnel will coordinate with a well-trained research staff to ensure that accurate data regarding the weight and the height of patients are obtained.

Measures

Physical activity (PA) – The physical activity and inactivity of patients will be measured using a GT3X accelerometer, which will be worn around their waists for a seven-day period Blood pressure – This will be measured at the initial visit and throughout the study. The use of telehealth monitoring will be obtained for the highest risk patients.

Data Analysis

The obtained data will be analyzed by the research staff and reported to the physicians on board to help set up a treatment plan, including prescriptions that the patients may need.Analysis of financial data for each patient will be obtained to help make sure that all patients are able to receive the medications needed regardless of financial ability.

Summary and Conclusion

Based on the observation and health records patient-centered stroke prevention is the most appropriate for addressing this epidemic in the community. Spruill and associates states, “These interventions have the potential to substantially mitigate racial and ethnic disparities in stroke reoccurrence,” (2015).

References

Cardiovascular Disease: Interventions Engaging Community Health Workers. (2016). Retrieved December 01, 2016, from https://www.thecommunityguide.org/findings/cardiovascular-disease-prevention-and-control-interventions-engaging-community-health Kim, K., Choi, J. S., Choi, E., Nieman, C. L., Joo, J. H., Lin, F. R., & … Han, H. (2016). Effects of Community-Based Health Worker Interventions to Improve Chronic Disease Management and Care Among Vulnerable Populations: A Systematic Review. American Journal Of Public Health, 106(4), e3-e28. doi:10.2105/AJPH.2015.302987Ko, M., Murphy, J., & Bindman, A. B. (2015). Integrating Health Care for the Most Vulnerable: Bridging the Differences in Organizational Cultures Between US Hospitals and Community Health Centers. American Journal Of Public Health, 105 Suppl 5S676-S679. doi:10.2105/AJPH.2015.302931

References

Ko, M., Murphy, J., & Bindman, A. B. (2015). Integrating Health Care for the Most Vulnerable: Bridging the Differences in Organizational Cultures Between US Hospitals and Community Health Centers. American Journal Of Public Health, 105 Suppl 5S676-S679. doi:10.2105/AJPH.2015.302931Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.

References

(n.d.). Retrieved November 20, 2016, from http://www.floridahealth.gov/programs-and-services/emergency- preparedness-and-response/healthcare-system- preparedness/vulnerable-populations/_documents/hernando– 2011.pdfSpruill, T. M., Williams, O., Teresi, J. A., Lehrer, S., Pezzin, L., Waddy, S. P., … Ogedegbe, G. (2015). Comparative effectiveness of home blood pressure telemonitoring




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