DNP 805 Case Report: Health Care Informatics
Grand Canyon University DNP 805 Case Report: Health Care Informatics-Step-By-Step Guide
This guide will demonstrate how to complete the DNP 805 Case Report: Health Care Informatics assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for DNP 805 Case Report: Health Care Informatics
Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 805 Case Report: Health Care Informatics depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for DNP 805 Case Report: Health Care Informatics
The introduction for the Grand Canyon University DNP 805 Case Report: Health Care Informatics is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for DNP 805 Case Report: Health Care Informatics
After the introduction, move into the main part of the DNP 805 Case Report: Health Care Informatics assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for DNP 805 Case Report: Health Care Informatics
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for DNP 805 Case Report: Health Care Informatics
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for DNP 805 Case Report: Health Care Informatics
The current health care system is characterized by massive utilization of technology to help in improving the quality of life by lessening recovery time in patient and help them to enjoy a healthy life. Consequently, in the recent years, several technology-based applications have been extensively used to help in preventing the fall incidences among the older adults in acute care settings. Essentially, falls among the older adults are associated with primary sources of disability and deaths. Falls have adversely affected many patients aged 65 years and above who are admitted in acute care inpatients (Matarese et al., 2015). Besides, falls in these settings are attributed to other factors such as medication side effects, polypharmacy, and acute diseases. Therefore, the aim of this paper is to explore how technology can be used to prevent the issue of falls among the elderly inpatients in acute care settings. In particular, the paper will delve into the virtual monitoring technology which comprises fall detection devices, in particular alarms.
Literature Review
A fall refers to accidental descent to the ground with or no injury to the patient (Toren & Lipschuetz, 2017). With the growing ageing population, the incidences of fall among the elderly people aged 65 years and above is increasing rapidly, causing a great public health problem not only in the US but also globally. The NCOA (2020) claim that falls are the major reasons for both fatal and non-fatal injuries in the older adults in the United States, which has compromised their independence and safety, including being associated with considerable personal and economic burdens. A similar argument is also advanced by Toren and Lipschuetz (2017) who claim that falls are primary causes of injuries that lead to pain, emotional distress, reduced quality of life, increased hospitalization days, loss of independence, and high morbidity and mortality rates. According to NCOA (2020), one in four elderly Americans fall annually. Besides, in every 11 seconds, at least one older person is admitted at the emergency room because of fall. Moreover, in every 19 minutes, an elderly person dies due to fall related issues. Generally, around 2.8 million fall related injuries are treated annually, with estimated 800,000 hospitalizations and 27,000 fatalities (NCOA, 2020). Besides, Toren and Lipschuetz (2017) project that by the year 2015, falls in older adults will reach 1.2 billion globally.
Falls in elderly persons in acute care settings are caused by various factors such as surgery, diagnostic testing conditions, and medications conditions which results in confusion or body weakness in patients (Galet, Zhou, Ten Eyck & Romanowski, 2018). These factors hamper functional autonomy leading to falls. As a result, older adults suffer poor functional outcomes and low quality of life. Owing to the adverse consequences, nursing interventions such as installation of bed alarms have been used to help in preventing the incidences of fall.
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Case Description
The identified case is a situation where a 76-year-old male patient was admitted at the acute care setting for spinal surgery. Although the surgery was successful, the patient seemed disoriented and confused. The circumstance of the fall was elimination related since the patient slipped while trying to get out of the bed. Since the patient was disoriented, he could not tell what he wanted making it difficult for health care providers to provide the right intervention.
Proposed Technology
Although falls are likely to occur in older adults, it is imperative to put measures in place to prevent falls and related injuries. Today, technologies are increasingly being used to prevent fall and reassure individuals who face possible falls, their family, and care givers. Besides, these technologies are also critical for clinicians to understand when a patient experiences a fall, circumstances of the fall, and offer enabling opportunity for better treatment. One of the ways to prevent falls include use of personal emergency response systems (PERS) (Chaudhuri, Thompson & Demiris, 2014). PERS connote clinical alarm systems that are used to contact the emergency center. This fall detection technology is crucial in enabling quick detection and intervention for patients who experiences fall.
How to Use Technology in the Present Case
In the above illustrated case scenario, the use of bedside alarm connotes a smart technology that can detect fall in real time. The clinical alarm systems work by offering the patient an opportunity to contact the emergency center by pressing the button located within the reach of the patient, mostly on the bedside. Besides, the alarm system tends to be activated in cases where the patient changes position, moves, or getting out of the bed. Therefore, in the present case, the fall would have been prevented if the alarm system was installed on the patient’s bed to notify the nurses on duty possible movement or changing of position of the patient to enable them attend to the patient promptly before falling (Chaudhuri, Thompson & Demiris, 2014).
Summary of The Case Integrating Christian Worldview
However, despite the effectiveness of alarm system in fall prevention, the system may not be suitable where the patient cannot reach the button or is unconscious. Therefore, as a Christian who intends to do everything for positive patient outcomes, it is imperative to include other solutions. These solutions may include passive monitoring solutions such as wristwatch to be worn by patient, having cameras or microphones to help in further detection of fall.
Conclusion
Falls among the older adults in acute care settings are associated with significant dire impacts on health and economic burden. However, despite the massive effort by the health care industry players to prevent the incidence, the success has been minimal. Therefore, it is vital to change the approach of tackling falls in the current society. It is against this backdrop that a customized approach of using alarm system to prevent falls was proposed. However, it has been established that alarms are not effective when used independently, especially where the patient is unconscious or the device is out of reach. Therefore, other options should be used alongside the alarm systems.
References
Chaudhuri, S., Thompson, H., & Demiris, G. (2014). Fall detection devices and their use with older adults: a systematic review. Journal of geriatric physical therapy (2001), 37(4), 178.
Galet, C., Zhou, Y., Ten Eyck, P., & Romanowski, K. S. (2018). Fall injuries, associated deaths, and 30-day readmission for subsequent falls are increasing in the elderly US population: a query of the WHO mortality database and National Readmission Database from 2010 to 2014. Clinical epidemiology, 10, 1627.
Matarese, M., Ivziku, D., Bartolozzi, F., Piredda, M., & De Marinis, M. G. (2015). Systematic review of fall risk screening tools for older patients in acute hospitals. Journal of advanced nursing, 71(6), 1198-1209.
National Council on aging (NCOA). (2020). Falls Prevention Facts. NCOA. Retrieved 30 March 2020, from https://www.ncoa.org/news/resources-for-reporters/get-the-facts/falls-prevention-facts/.
Toren, O., & Lipschuetz, M. (2017). Falls prevention in hospitals-the need for a new approach an integrative article. Nurse Care Open Acces J, 2(3), 93-96.
Sample Answer 2 for DNP 805 Case Report: Health Care Informatics
The treatment and management of diseases in the care environment have undergone drastic changes and evolution in recent years. While nurses have been at the center stage of managing patients with various conditions, the strategies applied in such a process have changed from time to time, with the major focus on coming up with the best strategies. The implication is that there has been improved patient care, with the patients reportedly experiencing better outcomes. Technology has played a key role in such a process (Nair & Dreyfus, 2018). Various technological applications have found their way into healthcare and therefore have been used in managing conditions such as pressure ulcers. Therefore, the purpose of this problem is to explore a specific disease process and describe a technological element that can be applied in offering care to a patient experiencing the disease as well as patient practice. In addition, the paper will focus on how the technology will help in integrating treatment within the identified care setting.
The Disease Process and the Problem Statement
Pressure ulcers, sometimes called bedsores refer to the injuries to the skin and other underlying tissues which come from sustained pressure on an individual’s skin. They are commonly experienced on the skin parts which cover the body’s bony areas, such as the tailbone, hips, ankles, and the heals, among others (BoykoTatiana et al., 2018). Pressure ulcers can be developed by individuals while in various care settings such as rehabilitation, long-term, and acute care facilities. When individuals develop pressure ulcers, they may have an experience of increased pain and prolonged hospitalization, treatment, and healing times. While the problem is prevalent in the acute and long-term care settings, various interventions have been applied in the past with non-satisfactory results. The implication is that better strategies should be explored to help in managing the conditions better. However, such efforts are dented due to incorrect management of the medical devices and insufficient knowledge regarding pressure ulcer treatment, the risk factors, and the etiology.
The Synthesized Literature Review
The devastating impacts of pressure ulcers in the acute care setting lead to an exploration of literature regarding the existing literature on the conditions. As such, various peer-reviewed article databases were used to obtain relevant articles which have been explored and synthesized in this section. Gaspar et al. (2019) explored the impact of prevention strategies applied in the prevention of hospital-acquired pressure ulcers. This research entailed a review of close to thirty research articles that reported the prevention strategies for pressure ulcers. From the analysis, the researcher found out that the use of system reminders on-screen, preventive skin care, educating the health care professional, and application of dressing in the heals, trochanters, and the sacrum was found to be more effective (Gaspar et al., 2019). In addition, this analysis also found that many of the studies which dealt with the use of multiple intervention programs reported high efficacy in decreasing pressure ulcers. Another highlight of this analysis was that studies which used single interventions such as repositioning and the use of support surfaces were not always impactful in pressure ulcer prevention.
Clay et al. (2018) conducted a study that aimed at determining the incidence and cause of device-associated pressure ulcers and formulate interventions for preventing device-related pressure ulcers. This study focused on exploring two of the most offensive devices, which include the Continuous Positive Pressure and the Bilevel Positive Airway Pressure masks. Before the use of the proposed intervention, the researchers noted that within a period of two years, the pressure injuries connected to the medical devices were as high as 81% of the hospital-acquired pressure ulcers. The intervention applied in this project was adhesive foam dressing on individuals with the Continuous Positive Pressure and the Bilevel Positive Airway Pressure masks and before orthopedic spinal surgery. The intervention targeted the prevention of operating room and device positioning pressure ulcers. The application of the intervention led to a drastic drop in the cases of pressure ulcer development.
Mervis and Phillips (2019) also explored strategies for preventing and managing pressure ulcers. According to this research, prevention is the major focus of pressure ulcer research, and even though efforts have been made toward preventing the problem, pressure ulcers are still prevalent in hospitals and community settings. This source explored various strategies that can be applied to prevent the condition. One of them is repositioning. This strategy seeks to avoid extended periods of locally sustained pressure. Even though there have been suggestions of repositioning after every two hours, several studies have disputed this since studies done by using repositioning every two hours produced non-significant results.
The next intervention explored in this study is the use of support surfaces. This entails using specialized surfaces such as overlays and mattresses that have been made to minimize shear and lower pressure. There are also alternating pressure and constant low-pressure supports that have been used towards reducing pressure ulcers. These surfaces have been shown to be more effective in comparison to standard mattresses (Mervis & Phillips, 2019). The next intervention that has been applied is nutrition. This intervention has been used as guided by the fact that nutritional deficiencies can lead to skin breakdown. Therefore, as part of the strategy, a nutritional assessment is performed on the patients to help prevent pressure ulcers. During such assessments, mineral, vitamin, calorie, and protein deficiencies are checked, and necessary steps are taken to ensure that the patient is not deficient in any of them for better pressure ulcer prevention.
These researchers also explored the use of dressings such as prophylactic dressings that are key in reducing the impacts of shear and friction. Dressing such as foams, hydrocolloids, and films are used to minimize the impacts of shear or friction on all the at-risk body parts. Besides, topical agents such as fatty acid creams have also been applied to help in the reduction of pressure ulcer incidences (Mervis & Phillips, 2019). These fatty acid creams include ointments, lotions, and other creams.
The Description of the condition
As earlier pointed out, pressure ulcers are common in care settings and entail injuries to the skin and underlying tissues as caused by sustained pressure on the skin. Even though considerable attention has been given to the condition, it still remains a substantial source of mortality and morbidity (Mervis & Phillips, 2019). The implication is that pressure ulcers still lead to a considerable burn for the healthcare system and the patients who are impacted negatively in several ways by the condition. Even though pressure ulcers come as a result of overall poor health or due to other medical conditions, most cases of this condition can be avoided or prevented. As such, various preventive measures have been applied in recent times, which focus on improving the care outcomes at affordable costs. However, in the cases where a patient has already developed pressure ulcers, then surgical management, non-operative strategies, and appropriate wound care are indicated. These treatment and management strategies can be integrated with the preventive measures for better outcomes.
Pressure ulcers can make the patients to have various problems. One of the problems resulting from pressure ulcers is pain. In some cases, pressure ulcers can lead to wounds that can be painful, making the patients experience negative outcomes. The other impact is longer hospital stays. When patients are admitted to the hospital due to other conditions, the development of pressure ulcers would mean that they may have to spend extra days in the hospital since the condition still has to be managed (BoykoTatiana et al., 2018). The implication is that these patients can be exposed to other hospital-acquired infections, which can further adversely impact the patient’s condition. Various barriers to care exist. The major barriers include incorrect management of the medical devices, insufficient knowledge regarding pressure ulcer treatment, the risk factors, and the etiology.
The case entails a 50-year-old patient who was admitted to the acute care setting for a bad general condition. The patient was completely immobile and had a history of sclerosis, having experienced multiple cases. The patient had pressure ulcers in the legs and arms. Even though the patient had been offered some care, it is a great challenge to position the patient since the patient experiences severe pain and also has physical limitations. However, the patient is fully oriented and mentally active.
Description of A technology that can be used as a Solution
Technology and technological applications have been at the forefront of a revolution in healthcare as the treatment and management of various patient conditions these days are becoming more and more technology-based. One of the technologies that be used as a solution to the patient situation presented in the previous sections is alternating pressure mattresses. The alternating pressure mattresses have air-filled compartments capable of inflating and deflating in a synchronized way to vary pressure across a patient’s body parts continuously (Shi et al., 2021). Even though the studies regarding the use of alternative pressure surfaces are heterogeneous, specifically on the air cell cycling times and specifications, the use of this technology has been shown to be far more effective in comparison to the standard mattresses used in hospitals.
The Use of Alternating Pressure Mattress
Even though other technological solutions can be applied in the case study discussed in the previous section, alternating pressure mattresses can best fit the patient. The patient feels a lot of pain and also has physical complications and challenges. As such, strategies such as repositioning may be harmful to the patient. Therefore, alternating pressure mattresses will be helpful as the air-filled surfaces will help in relieving pressure on the area susceptible to the development of pressure ulcers as well as better management of the parts already impacted with the pressure ulcers (Shi et al., 2021). The use of this technology is key in relieving and redistributing pressure through a dynamic lying surface. While the inflated air cells offer pressure to support the patient, the deflated cells offer relief for the skin above.
The Summary of the Case Integrating Proposed Solution
Pressure ulcers are detrimental to the health of the patients hence a need to control, treat and manage them. As discussed in the literature review section, various strategies have been used in the prevention and treatment of pressure ulcers. Even though various interventions can be used, not all strategies can be effective for particular cases. For example, the patient explored in this case report experiences a lot of pain and has physical complications, thus making repositioning a non-suitable option. As such, the use of an alternating pressure mattress has been proposed for this patient (Shi et al., 2021). It is hoped that the alternating pressure mattress will help the patient to recover and prevent further development of pressure ulcers.
Conclusion
Technology and technological applications have been at the center of operations in healthcare and the improvement of healthcare services offered to patients experiencing various conditions. Therefore, this case report has explored the prevention and management of pressure ulcers using alternating pressure mattresses as a technology. In addition, a real-life situation of a patient experiencing pressure ulcers has been explored and discussed.
References
BoykoTatiana, V., LongakerMichael, T., & YangGeorge, P. (2018). Review of the current management of pressure ulcers. Advances in Wound Care. https://doi.org/10.1089/wound.2016.0697
Clay, P., Cruz, C., Ayotte, K., Jones, J., & Fowler, S. B. (2018). Device-related pressure ulcers pre and post identification and intervention. Journal of Pediatric Nursing, 41, 77-79. https://doi.org/10.1016/j.pedn.2018.01.018
Gaspar, S., Peralta, M., Marques, A., Budri, A., & Gaspar de Matos, M. (2019). Effectiveness on hospital‐acquired pressure ulcer prevention: a systematic review. International Wound Journal, 16(5), 1087-1102. https://doi.org/10.1111/iwj.13147.
Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Prevention and management. Journal of the American Academy of Dermatology, 81(4), 893-902. https://doi.org/10.1016/j.jaad.2018.12.068.
Nair, A., & Dreyfus, D. (2018). Technology alignment in the presence of regulatory changes: The case of meaningful use of information technology in healthcare. International Journal of Medical Informatics, 110, 42-51. https://doi.org/10.1016/j.ijmedinf.2017.11.012
Shi, C., Dumville, J. C., Cullum, N., Rhodes, S., Jammali-Blasi, A., & McInnes, E. (2021). Alternating pressure (active) air surfaces for preventing pressure ulcers. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD013620.pub2