What does Descartes say about being infallible certain?

Two sentences I can’t be wrong about 

1. I am thinking 

2. I think, therefore, I am

Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5–7 page analysis of your intervention.

Please submit both your solution/intervention and the 5–7 page analysis to complete Assessment 4.

Collapse All

Introduction

In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem.

Preparation

In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:

· Creating an educational brochure.

· Producing an educational voice-over PowerPoint presentation or video focusing on your topic.

· Creating a teaching plan for your patient, family, or group.

· Recommending work process or workflow changes addressing your topic.

Plan to spend at least 3 direct practicum hours working with the same patient, family, or group.

In addition, you may wish to complete the following:

· Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.

· Conduct sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence.

Note: As you revise your writing, check out the resources listed on the Writing Center’s 

Writing Support
 page.

Instructions

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.

Part 1

Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.

Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:

· Leadership.

· Collaboration.

· Communication.

· Change management.

· Policy.

· Quality of care.

· Patient safety.

· Costs to the system and individual.

· Technology.

· Care coordination.

· Community resources.

Part 2

Submit your proposed intervention to your faculty for review and approval.

In a separate written deliverable, write a 5–7 page analysis of your intervention.

· Summarize the patient, family, or population problem.

· Explain why you selected this problem as the focus of your project.

· Explain why the problem is relevant to your professional practice and to the patient, family, or group.

In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

· Define the role of leadership and change management in addressing the problem.

· Explain how leadership and change management strategies influenced the development of your proposed intervention.

· Explain how nursing ethics informed the development of your proposed intervention.

· Include a copy of the intervention/solution/professional product.

· Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.

· Identify the patient, family, or group.

· Discuss the benefits of gathering their input to improve care associated with the problem.

· Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.

· Cite the standards and/or policies that guided your work.

· Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.

· Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Cite evidence from the literature that supports your conclusions.

· Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.

· Cite evidence from the literature that supports your conclusions.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references.

Additional Requirements

·
Format: Format the written analysis of your intervention using APA style. 

APA Style Paper Tutorial [DOCX]
 is provided to help you in writing and formatting your paper. Be sure to include:

· A title page and reference page. An abstract is not required.

· Appropriate section headings.

·
Length: Your paper should be approximately 5–7 pages in length, not including the reference page.

·
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.

·
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.

Portfolio Prompt: Save your intervention to your 
ePortfolio. After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Lead people and processes to improve patient, systems, and population outcomes.

· Define the role of leadership and change management in addressing a patient, family, or population health problem and includes a copy of intervention/solution/professional product.

· Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.

· Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.

· Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.

· Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.

· Competency 5: Analyze the impact of health policy on quality and cost of care.

· Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.

· Competency 6: Collaborate interprofessionally to improve patient and population outcomes.

· Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.

· Competency 8: Integrate professional standards and values into practice.

· Write concisely and directly, using active voice.

· Apply APA formatting to in-text citations and references

 

Acute Kidney Injury (AKI) is highly prevalent in ICU settings and requires significant consideration.  AKI is rarely attributed to a single factor, and most critically ill patients who develop AKI have coexisting conditions.

Many forms of AKI are preventable and patients at risk should be evaluated early according to clinical condition and biomarkers.  Discuss AKI prevention and pharmacological treatment strategies.  Include specific recommendations for preventing or treating drug-induced AKI. 

Instructions:

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words.  Reply to at least two other student posts with a reflection of their response.  Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.  

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

• Metformin 500mg BID 
• Januvia 100mg daily 
• Losartan 100mg daily 
• HCTZ 25mg daily 
• Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86