role scope4: project | Nursing

Clinical Requirement:

project ProposalonAssessmentofNeedsofClients.docx 5 Proposal on Assessment of Needs of Clients Student’s Name Institutional Affiliation Course Name Instructor’s Name Date Proposal on Assessment of Needs of Clients The suggested initiative will investigate women suffering from postpartum depression’s necessities and formulate a plan of action for their well-being. This research will study postpartum depressive needs and outline an approach to enhance their health. The aim of this project is clients and families. This project will support the clients’ need identification and a plan for health. Background About 10-15% of new moms experience postpartum depression (Smorti et al., 2019). Sadness, depression, anxiety, and loss of interest in oneself or the infant are PPD symptoms. PPD can severely impact mother and child health. Studies demonstrate that PPD increases the risk of diabetes, high blood pressure, and cardiovascular illness in women (Nayak et al., 2021). Interpersonal issues and poor child connection are also common. Children's cognitive, emotional, and behavioral development might be affected by PPD. Many women with severe PPD do not receive the treatment and support they need. This can be caused by postpartum depression (PPD) ignorance, mental health stigma, or limited therapies (Nayak et al., 2021). Raising awareness of PPD and developing and implementing therapies to improve maternal health in those affected is vital. The Project Goal This will assess PPD-affected women's needs. Additionally, qualitative client health evaluation and health needs will be examined in relation to PPD prevalence and effect statistics. Individual counseling will help clients identify their requirements and create a health improvement plan (Chrzan-Dętkoś et al., 2022). The review would also summarize PPD studies and suggest future study. A qualitative analysis of consumer health attitudes and current data will be conducted (Chrzan-Dętkoś et al., 2022). In-depth interviews and focus groups with postpartum depressed mothers could be employed in this regard. After assessing her needs, the client will receive one-on-one counseling to create her health promotion program. Psychologists specializing in counseling women with PPD will lead these sessions (Chrzan-Dętkoś et al., 2022). Evidence-based therapies utilized in client-specific sessions include cognitive-behavioral therapy, mindfulness, and medication. A self-care, stress management, and PPD symptom management plan will be created during treatment to promote client health. The project aims to support PPD-diagnosed women, improve their health, and empower them to manage their mental health. The Target Audience This study focuses on Postpartum Depression (PPD) women and their families. They get major mental health issues immediately after having birth. The project needs a thorough evaluation and customized solutions to meet their demands. The program also recognizes the need of including family members in the support system for afflicted women. Focusing on this group will raise awareness of PPD, reduce stigma, and improve health outcomes for postpartum depressed women, creating an enabling atmosphere for healing. Expected Outcomes The client should be able to define her needs and create a health improvement plan after this project. This plan may involve treatment, medication, support groups, and lifestyle changes. The project will also reveal the client's health thoughts and wants, which will inform future actions. Conclusion This concept takes a holistic approach to analyzing postpartum depression patients' requirements and improving their health. Through client and family involvement in the evaluation process, the project will gather useful data to build effective and focused interventions. References Chrzan-Dętkoś, M., Murawska, N., & Walczak-Kozłowska, T. (2022). ‘next stop: Mum’: Evaluation of a postpartum depression prevention strategy in Poland. International Journal of Environmental Research and Public Health, 19(18), 11731. https://doi.org/10.3390/ijerph191811731 Nayak, D., Karuppusamy, D., Maurya, D. K., Kar, S. S., Bharadwaj, B., & Keepanasseril, A. (2021). Postpartum depression and its risk factors in women with a potentially life‐threatening complication. International Journal of Gynecology & Obstetrics, 154(3), 485–491. https://doi.org/10.1002/ijgo.13549 Smorti, M., Ponti, L., & Pancetti, F. (2019). A comprehensive analysis of postpartum depression risk factors: The role of socio-demographic, individual, relational, and delivery characteristics. Frontiers in Public Health, 7. https://doi.org/10.3389/fpubh.2019.00295 QualityImprovementProjectProposal3.docx 5 Quality Improvement Project Proposal Student’s Name(s) Institutional Affiliation(s) Course Details Instructor’s Name(s) Date Quality Improvement Project Proposal The Problem and the Need Assessment Through a previously done thorough research, it was deducible that medication administration errors are prevalent in the health care facilities. However, these challenges are rampant in the in-patient settings, linked to health practitioner’s burnout and the inefficiencies in nursing or health care. In numerous studies, it is revealed that medication administration errors, especially in the in-patient care unit, are a concern of safety being linked to significant mortality and morbidity rate. In a study by Rodziewicz et al., (2023), medication errors by nurses relate to poor communication, workload, and staff rotation, and unclear medication orders. As a result, patients in the in-patient care unit encounter life-threatening sentinel events, mostly related to allergy reactions. Other outcomes resulting from medication administration errors include skin disfigurement, itches, or rashes, linked to potentially severe injuries or death. As a result, achieving a safe culture for the in-patient client safety remains a priority, to curb incidents of lengthy and costly hospitalization, build trust with the healthcare system, inhibit injuries, and ensure that the right patients get the correct drug in the dose and route and at the right time. Goals of the Project This project aims to establish a concrete framework for safety of care to ensure that patients get their medications without complications or safety issues. Reducing harm is the primary objective of the project by focusing on effective medication management. Additionally, this project targets to achieve a transparent error-reporting framework where nurses or practitioners are free to report errors by encouraging the implementation of self-reporting systems to curb the incidents of adverse events arising from the unreported medication administration errors. This project aims to cultivate a culture of transparency by ensuring honest self-reporting and preventing missteps that lead to medication administration errors by enhancing the technology-based knowledge in the health care setting. Besides, this project targets to bridge the knowledge gap on the implementation of technology to reduce administration errors. Target Population This project targets to improve quality in the in-patient care unit, which is highly prone to medication administration errors resulting from poor handover, unclear recording, poor communication, burnout, etc. Therefore, the in-patient is the target department for this quality improvement proposal, seeking to bridge the gap arising on the patient safety procedures in health care. This quality improvement proposal applies to all locations in the in-patient care setting. Test of Change or Intervention Healthcare is evolving, and adopting a technology-based quality improvement intervention would be a perfect strategy to overcome the inefficiencies experienced in the in-patient unit. The intervention for this proposal includes the use of computerized medication reconciliation, which entails the integration of IT error reduction exercises. This exercise involves the process of identifying the list of medicines for every patient in terms of name, route, and frequency and matching them with the current list to detect and document possible variations using an electronic system. Waldron et al., (2021) confirm that a computerized medication reconciliation entails integrating the IT systems to keep and protect history on medication and other processes. Proposed Measurement and Outcome The evaluation can be done by obtaining the current lists of patient’s medications and comparing them against lists in use electronically. First, the electronic system should be able to detect discrepancies and suggest for review. Secondly, there should be a significant reduction in the number of adverse events resulting from medication administration errors. The expected outcomes for the proposed intervention include increased accuracy in the documentation of medicines, easily trace the patient medication history and suggest the red flag drugs (allergens) and drugs that match the patient’s needs. It also expected there would be few or no medication error-related adverse events or reactions in the in-patient facilities. References Rodziewicz, T. L., Hipskind, J. E., & Houseman, B. (2023).  Medical error reduction and prevention. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499956/ Waldron, C., Cahill, J., Cromie, S., Delaney, T., Kennelly, S. P., Pevnick, J. M., & Grimes, T. (2021). Personal Electronic Records of Medications (PERMs) for medication reconciliation at care transitions: a rapid realist review.  BMC Medical Informatics and Decision Making,  21(1). https://doi.org/10.1186/s12911-021-01659-8 ProposalonObesityPrevention.docx 6 Proposal on Obesity Prevention Student’s Name Name of Institution Course Instructor Date Proposal on Obesity Prevention Obesity is a complex disorder encompassing an excessive amount of body fat. Indeed, this is not merely a cosmetic issue but a medical concern that increases the risk of other disorders and health complications, including diabetes, heart diseases, and high blood pressure. Implementing obesity prevention programs would improve the overall health outcomes. It will prevent the prevalence of heart diseases and diabetes and their interrelated mortality and morbidity rates (Mado et al., 2021). At least 2.0 billion individuals between 18 years and above have obesity, and more than 2.9 million die yearly from the disease. Reversing the obesity epidemic entails community efforts and preparedness to support healthy eating practices and encourage activities and positive lifestyles in various settings. The obesity prevention campaign would expose a massive population to health information consistently and persistently to increase awareness, knowledge, and change behavior. Such campaigns would be supported by the World Health Organization (WHO) and prominent health agencies (Kobes et al., 2020). Again, the prevention interventions would enable people to feel better, decrease cholesterol levels, boost or resolve diabetes, and minimize their risks of stroke, heart disease, osteoarthritis, and fatty liver disease. Project Goal The overarching goal of the proposed obesity prevention project is to mitigate the pervasive impact of obesity on public health by implementing comprehensive strategies targeting vulnerable populations. Specifically, the aim is to reduce the prevalence of obesity-related health complications, such as diabetes, heart diseases, and high blood pressure, among the identified groups, including children, adults above 65 years, and low-income communities. The project seeks to instill healthier lifestyle habits, emphasizing balanced nutrition, increased physical activity, and the reduction of sedentary behaviors. By fostering awareness, knowledge, and behavior change through sustained campaigns and interventions, the anticipated response includes improved overall health outcomes, reduced mortality and morbidity rates associated with obesity, and a decline in related chronic conditions within the targeted populations. Obesity Prevention Interventions The fundamental strategies to prevent obesity among vulnerable populations include encouraging healthy eating practices, reducing sedentary activities, and inspiring regular physical activities. Selecting healthier foods such as fresh fruits, vegetables, whole grains, protein sources, and beverages is recommendable (Brown et al., 2019). Besides, there is a need to limit unhealthy foods such as red meat and refined sweets and to exercise regularly to burn calories. The Target Audience These prevention programs would target children, adults above 65 years, and low-income communities. The primary causes of obesity among children include lack of physical activities, unhealthy food intake, and family eating habits. For those above 65 years, the hormonal changes occurring during aging lead to fat accumulation, making them vulnerable (Raziani & Raziani, 2020). The low-income people have a higher risk for obesity since they typically consume cheap foods with high calories and fatty contents. Expected Response Effective obesity prevention programs would reduce mortality and morbidity rates related to the disorder. Again, there would be a low prevalence of hypertension, type 2 diabetes mellitus, stroke, gallbladder disease, and coronary heart disease (Wharton et al., 2020). Psychological complications, including depression and anxiety among children, would be reduced. A comprehensive peer review of these journals cites that the prevalence of obesity among children, people aged above 65, and those living in low-income regions is high. They have described various risk factors that one must consider when implementing an obesity prevention program, such as an unhealthy diet, a lack of regular physical exercise, some medications, and family factors (Wharton et al., 2020). Preventing obesity among children is paramount and entails encouraging physical exercise, reducing their time on TV, encouraging them to eat only when angry, and using healthy foods and fresh fruits or vegetables Raziani & Raziani, 2020). The peer-review articles further cite that a fundamental reason for preventing obesity among children is to avoid the persistence of the disease into adulthood and increase the chances of heart disease, high blood pressure, and diabetes. Another study has pointed out that obesity and overweight is a chronic mismatch between food intake and the energy expended. This implies that the food consumed exceeds the typical body requirements, thus increasing the overall body mass index. Based on these journals, empowering children and adults to live healthily is the primary goal of preventing incidences of obesity (Mado et al., 2021). Healthy eating practices and exercising regularly are core approaches to preventing obesity in the vulnerable population. Prevention of obesity is the fundament step for controlling obesity since its prevalence in childhood would lead to obese adults (Kobes et al., 2020). People with obesity have high risks for abnormal cholesterol levels and hypertension making them vulnerable to stroke and other cardiovascular disorders. Conclusion The peer-reviewed journals and evidence-based practices (EBPs) reveal the need to prevent obesity, the strategic interventions, the risk factors, and the benefits of obesity prevention. The primary target is children, adults above 65, and those living in low-income regions. Failure to prevent obesity might cause psychological complications among children and a high prevalence of stroke and diabetes. References Brown, T., Moore, T. H., Hooper, L., Gao, Y., Zayegh, A., Ijaz, S., ... & Summerbell, C. D. (2019). Interventions for preventing obesity in children.  Cochrane Database of Systematic Reviews, (7). https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001871.pub4/abstract Kobes, A., Kretschmer, T., Timmerman, G., & Schreuder, P. (2020). Interventions aimed at preventing and reducing overweight/obesity among children and adolescents: a meta‐synthesis.  Obesity reviews,  19(8), 1065-1079. https://onlinelibrary.wiley.com/doi/full/10.1111/obr.12688 Mado, F. G., Sirajuddin, S., Muis, M., Maria, I. L., Darmawansyah, D., & Arifin, M. A. (2021). Intervention empowerment of families in preventing and controlling overweight and obesity in children: A systematic review.  Journal of Public Health Research,  10(2), jphr-2021. https://journals.sagepub.com/doi/full/10.4081/jphr.2021.2185 Raziani, Y., & Raziani, S. (2020). Investigating the predictors of overweight and obesity in children.  Int. j. adv. stud. humanit. soc. sci,  9, 262-280. https://www.researchgate.net/profile/Yosra-Raziani/publication/345727892_Investigating_the_Predictors_of_Overweight_and_Obesity_in_Children/links/5fad15c745851507810d4e66/Investigating-the-Predictors-of-Overweight-and-Obesity-in-Children.pdf Wharton, S., Lau, D. C., Vallis, M., Sharma, A. M., Biertho, L., Campbell-Scherer, D., ... & Wicklum, S. (2020). Obesity in adults: a clinical practice guideline.  Cmaj,  192(31), E875-E891. https://www.cmaj.ca/content/192/31/E875/