Click here to download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Click here to access the codes.

Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.  If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.

Format

• Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be no longer than 3-4 pages excluding the title and the references and in 12pt font.
• Name your document: SU_NSG6001_W2A2_LastName_FirstInitial.doc.
• Submit your document to the Submissions Area by the due date assigned.

Capstone Project Change Proposal Presentation 

Review  the feedback on the change proposal professional presentation and make  required adjustments to the presentation. Present your evidence-based  intervention and change proposal to an interprofessional audience of  leaders and stakeholders. Be prepared to answer questions and accept  feedback.

After presenting your capstone project change proposal,  write a 250-350 word summary of the presentation. Include a description  of the changes that were suggested by your preceptor before your  presentation and how you incorporated that feedback. Describe how this  interprofessional collaboration improved the effectiveness of your  presentation. Include a description of the feedback and questions from  your audience after your presentation, and how this experience will  affect your professional practice in the future.

While APA style  is not required for the body of this assignment, solid academic writing  is expected, and documentation of sources should be presented using APA  formatting guidelines, which can be found in the APA Style Guide,  located in the Student Success Center.

You are not required to submit this assignment to LopesWrite.

 Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation. Atleast 2 APA refernces each

Response 1

The purpose of this week’s discussion is to create a treatment plan for V.S. based off the given case study information. V.S. has conjunctivitis of the left eye. The specific goals of treatment for conjunctivitis is to relieve symptoms and to clear the infection (Woo & Robinson, 2020). There are numerous forms of conjunctivitis but given the information the symptoms this is more than likely a form on bacterial conjunctivitis. The discharge color, age of the patient, being immunocompromised with a cold prior, and only one eye being infected suggests this is a bacterial infection (Watson et al., 2018). Treatment therefore would be a broad spectrum ophthalmic antibiotic. I would suggest bacitracin which should not affect the patient’s sulfa allergy (Nguyen, 2020). To monitor success the patient should be seen by his pediatrician within a week to see if symptoms have resolved.
Education to include for this patient would be that the ointment can cause blurred vision directly after administration but should clear soon after (Woo & Robinson, 2020). If symptoms worsen in the affected eye or spread to the unaffected eye the patient should contact his pediatrician for reassessment to see if this condition is viral. If this occurs treatment should be stopped due to risk for a drug resistance (Nguyen, 2020). Another adverse reaction that would cause me to change treatment would be any sign of hypersensitivity such as swelling, hives, nausea, or vomiting. If this occurs I would recommend a medication such as erythromycin in ophthalmic form.
An over the counter method for treating bacterial conjunctivitis would be artificial tears for relief of dryness symptoms and saline flushes to wash out the pus (CDC, 2019). Lifestyle changes would include proper hand hygiene, avoiding touching the eye in general, not sharing things such as glasses, and not rubbing the eye. This is the medication I would choose for this patient due to its low risk of interactions to other drugs and/or foods. 

Response 2

V.S., age 12 Hispanic male, presents with a feeling that there is sand in his eye. He had a cold a week ago and woke up this morning with his left eye crusted with yellowish drainage. On physical examination, he has injected conjunctiva on the left side, no adenopathy, and no vision changes. His vision is 20/20. Fluorescein staining reveals no abrasion. He is allergic to sulfa.

Diagnosis: Conjunctivitis

        The goal of treatment for V.S. would be to clear his infection and make sure he doesn’t rub his eyes because that can cause the infection to get worse and spread to other individuals. According to Azari and Arabi (2020), “bacterial conjunctivitis can spread from person to person, from hand-to-eye contact or via eye contact with contaminated objects. Alternatively, changes in the usual bacteria that live on the conjunctiva can cause conjunctivitis. Bacteria can also spread by large respiratory tract droplets” (p. 374). Bacterial conjunctivitis is most often treated with  ophthalmic antibiotic eyedrops and ointments. Since V.S. is allergic to sulfa, Bleph or antibiotics with similar derivatives would not be utilized because they are sulfacetamide sodium. Ophthalmic fluoroquinolones can be prescribed such as Moxeza (moxifloxacin), Zymar (gatifloxacin), or Romycin (erythromycin).

     The parameters for monitoring success would be to see the alleviation of redness and itchiness in the patient’s eyes. According to Saher et al. (2016), most cases of viral or bacterial conjunctivitis are mild. The infection will usually clear up in 7 to 14 days without treatment and without any long-term consequences. However, in some cases, viral conjunctivitis can take 2 to 3 weeks or more to clear up. I would educate the parents to administer the drug as prescribed. I would urge the parents to continue giving the antibiotics even if the infection seems to subside. According to Shetty et al. (2020), it has been widely accepted that stopping antibiotic treatment early encourages bacteria to develop antibiotic resistance. As a result, current medical advice is to finish taking a prescribed course of antibiotics as recommended by a healthcare professional, even if you start to feel better. 

      I would educate the parents to assist in alleviating some discomfort V.S. can take ibuprofen or another over-the-counter pain killer. He can also use over-the-counter lubricating eye drops (artificial tears) if his eyes feel excessively dry. In addition, a warm, damp washcloth over your eyes for a few minutes. Nausea, diarrhea, and headaches can be adverse effects seen in the agents mentioned above. A second line treatment would be Bacticin (bacitracin). V.S. should be encouraged to drink plenty of water and take his antibiotics with water. According to Azari and Arabi (2020), moxifloxacin should not be taken with dairy products such as milk or yogurt, or with calcium-fortified juice.  They could make the medication less effective.

Assessment 1

• Triple Aim Outcome Measures
  • Overview: 
  • Develop a presentation, containing 10–15 slides, on the Institute for Healthcare Improvement’s Triple Aim, how current and emerging health care models support the Triple Aim, and how governmental regulatory initiatives and outcome measures can be applied in the care coordination process to achieve the Triple Aim in a population.
    The Triple Aim is a framework by the Institute for Healthcare Improvement (n.d.) for “simultaneously improving the health of the population, enhancing the experience and outcomes of the patient, and reducing per capita cost of care for the benefit of communities.” Care coordinators must have a model and framework to guide their practice and enable them to achieve the Triple Aim. Presently, many rural hospitals are using archaic models that must be updated to achieve the Triple Aim. For example, the patient-centered medical home model has been around for 30 years, but it has evolved during that time.
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
    • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level.
    • Analyze the relationships between various current and emerging health care models and the ways in which they support the Triple Aim.
    • Explain how the structure of particular health care models contributes to the process of gathering and evaluating the quality of evidence-based data.
    • Describe governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
  • Competency 2: Explain the relationship between care coordination and evidence-based data. 
    • Explain how evidence-based data shapes the care coordination process in nursing.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Present process improvement recommendations to a stakeholder group clearly and concisely.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
  • Reference
    Institute for Healthcare Improvement. (n.d.). Triple Aim for populations. Retrieved from http://www.ihi.org/Topics/TripleAim/Pages/default.aspx
    Competency Map
• Models of Care
  National initiatives focus on health care organizations to continuously improve the quality, safety, and coordination of care. In response to these initiatives, health care models have surfaced with the goal to guide national health safety and quality improvement efforts.
• Nursing is an art and science with a foundation that embraces evidence, research, and quality. The thought “we have always done it this way” has long been discarded and replaced by standards based on evidence-based research. As the specialization of care coordination has evolved, care coordination has proven to be a vital element that links patients and families to safer and higher quality care. One care coordination model, the patient-centered medical home (PCMH), has gained momentum and support from governmental and regulatory agencies.
• • Institute for Healthcare Improvement. (n.d.). Retrieved from http://www.ihi.org/Pages/default.aspx
  • Effective Presentations
    The following resources will help you create and deliver more effective presentations.
  • SoNHS Professional Presentation Guidelines [PPTX].
  • PowerPoint Presentations. 
    • This Capella library guide has links to resources on PowerPoint and other presentation software.
  • Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design. 
    • This multi-part video is a primer on presentation design.
  • Writing Resources
    You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.
  • APA Module.
  • Academic Honesty & APA Style and Formatting.
  • APA Style Paper Tutorial [DOCX].
  • Capella Resources
  • ePortfolio. 
    • This resource provides information about ePortfolio, including how to use the different features of the product.
  • Online ePortfolio Guidelines [PDF].
  • Research Resources
    You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
    As you review these resources, you may want to consider the following questions:
  • What is the Triple Aim, and what does it seek to accomplish?
  • How have health care models laid the foundation for care management structures?
  • How do various models influence organizational health care and system performance?
  • Imagine that you are a care coordinator at an urban teaching hospital. The patients that are served at your health care organization are ethnically, culturally, and linguistically diverse. Based on these facts, what care coordination model is best suited to guide your practice as a nurse?
  • What is the purpose and philosophy of the patient-centered medical home (PCMH) model? 
    • How does its structure contribute to the process of gathering evidence-based data?
    • How is health care quality enhanced through the PCMH model?
• Asssessment InstructionsPreparation
  In this assessment, you will assume the role of a new case manager at a small rural hospital, Sacred Heart. You have been asked to deliver an evidence-based presentation to hospital leaders and clinical leadership teams about the ways in which the care coordination process at Sacred Heart can be modified to achieve the Triple Aim within the hospital’s rural population. 
  To gain a better understanding of current health care models and their support for the Triple Aim, examine and compare such models as:
  • Patient-centered medical home (PCMH).
  • Transitional care.
  • Patient self-management.
  • Guided care.
  • Care coordination (Institute for Healthcare Improvement).
  • Then, finish gathering the information needed to prepare for your presentation by completing the following simulation exercise:
  • Vila Health: Triple Aim Outcomes.
  • Note:Remember that you can submit all or a portion of your presentation to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Presentation Software
    You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with faculty to avoid potential file compatibility issues.
    You are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
    Requirements
    Develop a presentation of specific suggestions for improving the care coordination process at Sacred Heart Hospital to achieve Triple Aim outcomes.
    Developing the Presentation
    The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses each point, at a minimum. You may also want to read the Triple Aim Outcome Measures Scoring Guide to better understand how each criterion will be assessed.
  • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level. You will do this on slides with these specific headings:
    • Experience of Care/Patient Satisfaction.
    • Improving Population or Community Health.
    • Decreasing Per Capita Costs.
  • Analyze the relationships between various current and emerging health care models you have chosen to examine and the ways in which they support the Triple Aim by answering these guiding questions:
    • How do I define the rationale and philosophy of these health care models?
    • Can I explain how these health care models have evolved? How do I believe that these health care models have changed over time?
    • Can I cite at least three ways in which health care quality is enhanced through these models? In which three ways do I believe that these models most enhance health care quality? (Cite references to support your assertion.)
  • Explain how the structure of these models contribute to the process of gathering and evaluating the quality of evidence-based data.
  • Explain how evidence-based data shapes the care coordination process in nursing.
  • Describe three governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
  • Present process improvement recommendations to a stakeholder group clearly and concisely.
    • Address the anticipated needs and concerns of your audience.
    • What questions or objections are they likely to raise? How will you respond?
  • Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
    • Is your supporting evidence clear and explicit?
    • How or why does particular evidence support a claim?
    • Will your audience see the connection?
  • Additional Requirements
    PRESENTATION FORMAT AND LENGTH
    Your slide deck should consist of 10–15 slides that address the presentation criteria,not includingthe title slide, purpose slide, and references slide.
  • Begin your presentation with the following slides:
    • Title.
    • Purpose (the reasons for the presentation).
    • Definition of the Triple Aim outcome measures.
  • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
  • SUPPORTING EVIDENCE
  • Cite 3–5 sources of credible scholarly or professional evidence to support your presentation.
  • List your sources on the references slide at the end of your presentation.
  • Apply APA formatting to all in-text citations and references.
  • Portfolio Prompt: You may choose to save your presentation to your ePortfolio.