Patient-Centred Care

NURS FPX 6011 Assessment 2 Traumatic Brain Injury Care Report GCU

Programs almed at Improving the health of large populations are becoming Increasingly essential to health care organizations In
the United States. PHIls, or population health improvement initlatives, were created with the dual objectives of reducing overall
health care costs and Improving the lives of different population segments, such as pregnant women and older residents. In
addition, PHIls give critical information on patient-centred Care and expenditure per capita in the form of veriflable clinical,
humanistic, procedural, economic, and utilization outcomes (Kazdin, 2019). A PHIl’s findings are considered by medical experts
when creating treatment plans customized explicitly to the needs of patients treated by a health Institution.

Changing patient demographics, Illnesses, and care enwironments might lead to evidence not belng presented in the context of a
health care professional’s practice (Anglin et al, 2021). Experts in the health care sector do an evidence evaluation of a PHII and
choose just those factors relevant to the specific patlent care plan when presented with such situations. When discussing evidence-
based practice, the story of Mr. Nowak, an Uptown Wellness Clinlc (UWC) patient who fell and had a traumatic brain Injury (TBI), Is
presented as an example. Mr. Nowak volced worry about his increasing shakiness during his cholesterol screening. In his view, a
person’s inability to maintain their balance Indicates brain Injury.

Mr. Nowak’s treatment plan should be based on evidence from Safe Headspace, according to a charge nurse at UWC. One of Safe
Headspace’s goals is to enhance the results for those who have. The evidence from the PHII will be Included in Mr. Nowak’s
treatment plan once thoroughly examined. As a starting point for Mr. Nowak’s therapy, the assessment will seek to uncover any
knowledge gaps within the PHII. It will then provide vlable remedies to those gaps. A new framework for evaluating the patient care
plan will be created in light of the results.

Evaluation of Population Health Improvement Initiative (PHII) Outcomes
Seeing some of the PHII Outcomes results in promising research discoveries was uplifting. It was pretty encouraging to see these
goals come to frultion. Participants aged 45 to 80 who engaged in cardlac exercise saw Improvements In short-term memary,
mood, and muscle control, to name a few of the results they identified as promising. Studles have shown that meditating
significantly Improves one’s mood and lessens the symptoms of depression. When treating traumatic brain damage, an
Intervention like word puzzles or games falled to provide any positive results (TBI). Safe Headspace PHII has significantly Improved
the health outcomes of older adults who have PTSD due to head trauma since its Inception (Rahill et al, 2020).

NURS FPX 6011 Assessment 2 Traumatic Brain Injury Care Report GCU
Physical movement, talk therapy, and meditation are just a few of the methods used by the PHIl to help people with mental health
difficulties. Regular exercise was the most beneficial Intervention this program provided. More than 70 percent of the participants
In the Intervention were men In their late 40s and carly 50s. Four months of aeroble exercise were required of cach of the
participants. One in 15 men showed an Increased ablity to control muscles, while 22 percent showed an Increase In mood, and 61
percent showed an Increase In their short- to medium-term memory capacity. Desplte this, the data presented here does not offer
a comprehensive picture of the problem. People dlagnosed with post-traumatic stress disorder and traumatic brain Injury were the
first to benefit from the PHII (Rodney et al, 2020).

Individuals with PTSD or TBI cannot be studied independently. Thus, the outcomes of cases lke Mr. Nowak’s, who has a history of
TBI but no record of PTSD, remain ambiguous and need more investigation. Safe Headspace’s findings do not explain why patients
were unable to follow the self-management plans they were given, nor do they analyze whether or not this lack of motivation was
connected to factors such as high medical costs or insufficient therapy. Evaluation of these prevlously unresearched outcomes
Increases the evidence base and assists doctors in devising treatments for individuall patients that are fit for the symptoms, history
and experiences.

Evaluation of Population Health Improvement Initiative (PHII) Outcomes and
Strategies for Improving Outcomes
One way to improve the averall findings of the PHI research is to expand the number of participants. Considering how few people
participated in the meditation experiment, any positive results are likely to have more welght than results from research with
larger sample size. There Is no harm in asking family members for thelr thoughts as well. The patient’s famlly must be Invited
whether they have seen any changes in thelr loved one since persons with traumatic brain Injuries may not be aware of certaln
behavlours they particpate in (Mikolie et al., 2019). This is why it is so Important to Inquire. One member of the family may be the
only one who recognizes anything. There may be a need for surveys.

Furthermore, there was a lack of a randomised control study during the PHII activity. In addition, everyone who took part was a
native of the same reglon. Attrition and recrultment are considered when determining the necessary number of participants for a
study to be genuine. The utilzation of a wide range of media and collaborations with varlous disciplines and organizations, as well
as the expansion of the demographics of the participant community, were critical to the project’s success (Ord et al., 2022). In
addition, it explains how to pick a population to study in combination with a specific Intervention. Once the results have been
compared to the outcomes of a control group, the researchers will publish thelr findings. PHII community studies did not seem to
reach groups who did not get the studied theraples. The observation was the primary method employed in this study. Despite my
diligent searching, the comparisons of interventions in terms of therapy were nowhere to be found. By filling in the holes In the
Safe Headspace programs, the PHIl’s methodology may be Included in the treatment plan the UWC has prepared for Individuals
Ike Mr. Nowak.

Bellin Health, a Wisconsin-based integrated healtheare dellvery system, demonstrates the Triple Aim’s effectiveness. Bellin
enhanced the health of its employees and Medicare beneficiarles by using the approach (Wallace et al,, 2022) To achleve this, the
health care specialists at Belin could provide cost-effective, patlent satisfying and comprehensive treatment for both large-scale
health Initlatives and Individual patients. Despite its many triumphs, the Triple Aim continues to confront varlous challenges. “The
Phantom Aim,” which refers to the health and happiness of individuals who work in the health care profession, Is a second
Impediment.” It’s a challenging work environment that can lead to employee burnout as a consequence of the three objectives
(Wallace et al, 2022). Because of this, quality improvement programs must include measures to enhance the working
circumstances of medicall workers. It’s essential to consider the benefits and Iimitations of every effort to Improve quallty. In
designing a treatment plan for Mr. Nowak, the medical personnel at UWC should consider both the advantages and disadvantages
of employing the Triple Aim framework. Similar to the PHII results, the plan must consider the findings and alter them to
compensate for shortcomings.

Personalized Evidence-Based Patient Care Plan
Only If the treatment regimens are adjusted to each patient following the above statement can a high degree of evidence-based
medicine (EBM) be accomplished by employling any or all of the PHII treatments. This should be kept in mind while considering
using any or all PHII treatments. This patient does not live in the same environment as the research participants. Therefore,
consider additional theraples that have been proved to assist patients with traumatic brain injury (Talal et al., 2020). Further
treatment is required as a result. I’il meet with the patient again after I’ve explained that problems with balance are the second
most common symptom of traumatic brain Injury so that we can talk about the patient’s worrles about the connection. ril let hlm
know that I understand his concerns about balance, which is the second most common symptom of a traumatic braln Injury.

NURS FPX 6011 Assessment 2 Traumatic Brain Injury Care Report GCU
After he tells me about his friendships in thelr entirety, I’ll begin questioning him. TBI sufferers may find themselves alone due to
thelr condition, which may lead to feelings of loneliness. According to the report, someone with mental or physical health concems
may experience sensations of loneliness even when they are not alone. In the month after his departure, I will ask him to restore
touch with at least one friend from a list I wil provide or go to a support group (Marra et al., 2020). Reconnecting with old friends
or conversing with people going through similar hardships may help him feel less anxlous if this has been a problem for him. I
think it is feasible for him to reconnect with old friends or others who are golng through something similar to what he Is; if this has
been an Issue for him, In the following 30 days, I advise him to attempt a new exerdise regimen and then get in touch with me
through our electronie patient connection platform on our online platform for new patient connections.

A helpful intervention would be to utilize the Xbox Kinect function to monltor patlents with cardlovascular health and balance
Issues participating in video games powered by Microsoft’s sensor technology (Tremblay et al., 2021). An excellent and beneficial
study was carried out. The volce-activated feature of the Xbox Kinect was my Inltial thought. I opted to utilze the function because
of my view that it would be an effective Intervention In this situation. It was shown that using motion capture gaming technology
may restore dynamic balance and provide cardiovascular exercise to someone who has suffered a severe traumatic braln Injury
(TEI). To achleve this, they had to be able to track thelr movements accurately.

Analysis of Evidence
The PHII Interventions taught me a lot, and Mr. Nowak has high cholesterol, so I knew I had to add some physical exercise to hls
treatment plan. Having both of us do this seemed like a good idea to me. There are no downsides to doing this, In my opinion, and
Just great rewards. The Patient-Centered Medical Home has had a lot of success in Increasing the quality of Interactions between
primary care physicans, patients, and their familes (Barone Glbbs et al., 2021). Over three years of research, the PCHM was
effectively Incorporated into the Pennsylvania Chronic Care Intiative. Compared to non-PCMH practices, the PCMH pilot year’s
adjusted expenditures were 17.5% lower.

Consequently, fewer people are belng admitted to hospitals, going to the ER, and visiting outpatient clinlcs. mHealth, or mobile
health, has a lot of promise in metropolitan regions, where there are a lot of dinical and financial pressures to deal with. Urban
and working-class neighborhoods, notably in Chicago, Ilinols, are the primary focus of UCM, an academic medical facility (Granger
et al., 2018) The moblle health program includes messaging services, appolntment reminders by emall and text, and follow-up
contact via phone calls, emalls, and readers for self-management. Patients were encouraged to continue practicing self-
management as a consequence of this. However, there are drawbacks to these methods. PCMHs are often employed to treat

chronic Ilnesses, but lttle is known about their potentlal use in treating mental conditions.

NURS FPX 6011 Assessment 2 Traumatic Brain Injury Care Report GCU
Patlents who use mHealth platforms want to feel lke they are engaging in the project by seelng a natural face (Rashidi et al., 2020).
As a result, UCM employees have been tasked with keeping tabs on the mHealth participants. In addition, due to the complicated
and heavily controlled structure of the technology and health care sectors, there are numerous unresolved challenges with
adopting mHealth. UWC’s PCMH and moblle health studies can better serve public health. There are several ways in which a clinic
might use this research to enhance its treatment cholces. Establishing a practicall evaluation framework may help ensure
adherence to the patient care plan’s requirements.

Evaluation Strategy for Personalized Care Approach Outcomes
The breadth of the medical examinations I can undertake is more limited since this treatment plan focuses on the patient
performing particular duties at home while going about his dally life (Rashidi et al, 2020). Galt index and qualitative remarks will be
given on the patient’s friendships and energy level as part of the evaluation approach that I will utiize for this patient every three
months. In a monthly questionnaire based on cognitive and Behavloural questions, which he will complete once a month, I will
search for themes of reconnecting with people and initlating new interests. We’ll also check on him every three months to
determine whether his cholesterol levels have dropped. These evidence evaluation levels aren’t particularly compelling, but for the
sake of this strategy, I think they’re approprlate. People with neurological conditions such as multiple sclerosis and stroke may
beneft from the dynamic galt index, which is an effective tool for monitoring galt, balance, and the risk of falling.

Conclusion

This patient’s treatment plan includes concepts from PHII and other support groups, combined with the novel use of an X.Box for
an Innovative Intervention. I was pleased to read that gaming and exercise might improve cardlovascular health and balance. With
friends, family, or even alone oneself, I feel this is a safe exercise that may enhance mood, overall health, and balance. These
treatments may be used with a broad range of people who suffer from varlous chronic mobllity issues.

References

Anglin, D. M., Orshansky, S., Kluang, M. J, Bridgewater, M. A., Niendam, T.A., Ellman, L. M., Deviled, J., Thayer, G., Bolden, K.,
Musket, C. W., Grattan, R. E., Lincoln, S. H., Schiffman, J., Lipner, E, Bachman, P., Corcoran, C. M., Mota, N. B., & van der Ven, E.
(2021). From Womb to Nelghborhood: A. Racial Analysis of Social Determinants of Psychosis in the United States. American Journal
of Psychlatry, 1787), 599-610. https://dol.org/10.1176/appl.ajp.2020.20071091

NURS FPX 6011 Assessment 2 Traumatic Brain Injury Care Report GCU
Barone Gibbs, B., Hiver, M.F., Jerome, G. J, Kraus, W. E., Rosenkran, S. K., Schorr, E. N., Spartan, N. L., & Lobelo, F. (2021). Physical
Activity as a Critical Component of First.Line Treatment for Elevated Blood Pressure or Cholesterol: Who, What, and How? A
Scientific Statement From the American Heart Association. Hypertension. https://dol.org/10.1161/hyp.0000000000000196