Rubric is attached

 

Case Study E Disorders of Nutritional Status

Mr. Olsen presents to the clinic today reporting joint pain and “just feeling run down.” He reports a lack of energy and just wants to sit and do nothing. Significant findings from the initial assessment include a blood pressure of 184/92, height of 5 feet 5 inches, and a weight of 284 pounds. 

1. Weight that is higher than what is considered as a healthy weight for a given height is described as overweight or obese. Body mass index(BMI) is used as a screening tool for overweight or obese patients. What is Mr. Olsen’s BMI? How was this calculated?
2. Obesity is frequently subdivided into categories. List and discuss the classes.

3. Obesity is a complex health issue resulting from a combination of causes and individual factors such as behavior and genetics. Discuss the individual risk factors associated with obesity.
4.  Obesity is a medical problem that increases your risk of other diseases and health problems. What other health issues is Mr. Olsen at risk for developing?

5. What are some treatment options?

6. What would you teach Mr. Olsen?

Each case study requires two peer-reviewed, scholarly articles written within the past five years. The references put be in the text and on the reference list. Each of the six questions must have a minimum of three sentences (at least five for the maximum points) and a supporting source. APA format will be graded. Must post the submission in the reply box as attachments will not be accepted and will result in an automatic zero. The answers must be in paragraph format, not bulleted or numbered (p. 24 of the syllabus).

 

Phase 3: Planning for Evaluation

Table of Contents

Evaluation of the Planned Change Project

A clear understanding of the problem and opportunity for improvement is essential to effectively lead planned change. This leads to the development of a clear and measurable outcome statement to describe the intended end result of the planned change initiative. Both of these elements are pivotal for effective planning change.

Critical Role of the Evaluation Plan

Additionally, it is essential that a valid plan for evaluation of the outcome is established early on in the planning process. A plan for evaluation is necessary to define how successful achievement of the outcome will be measured. An accurate and effective evaluation plan will specifically correspond to the aligning outcome statement and will describe how successful achievement of the outcome statement will be measured.

If a clear outcome statement has been determined, the evaluation plan will naturally flow from that statement. Here are a few examples which convey the alignment between the outcome statement and the evaluation plan:

Outcome Statement

Corresponding Evaluation Plan

20% increase in the number of patients receiving the flu vaccine at Mercy Clinic by 12/31/2020 (baseline = 160 patients accepting the vaccine)

Track the number of patients receiving the flu vaccine at Mercy Clinic and compare with baseline in order to validate an increase of 20% by 12/31/2020.

25% decrease in the number of patients readmitted with CHF within 30 days at Fairfield Hospital by the end of the second quarter, 6/30/2020 (baseline = 16 patients readmitted during the first quarter)

Monitor the number of patients readmitted with CHF within 30 days at Fairfield Hospital and compare with baseline in order to validate a decrease of 25% by the end of the second quarter (6/30/2020).

20% decrease in the number of teen pregnancies at Judson High School by 6/1/2020 (baseline = 15 pregnancies)

Calculate the number of pregnancies at Judson High School and compare with baseline to verify a 20% decrease by 6/1/2020.

Elements of an Evaluation Plan

Evaluation plans describe how the project outcome will be assessed and measured, and will include each of the following components:

Component of the Evaluation Plan

Example

Outcome measure and current baseline for that measure

Outcome measure: Flu vaccine uptake among clinic patients

Current baseline

Baseline: 160 patients

Source of data

Electronic health records

Method of evaluating the outcome measure

Tracking and counting the number of people that receive the flu vaccine in the clinic

Indicator of success

192 patients (Increase of 20% by 12/31/2020 as noted above).

Helpful Reminders

As you develop an evaluation plan to correspond with the outcome for your planned change project, be sure to ask yourself the following:

• What is the outcome measure, and do I know the current baseline?
• What is the source of data and do I have access to that information?
• Is there a method in place for gathering the specific data related to the indicators of success?
• Will I have access to this data regarding the indicators for success?
• Do I need to develop any tools to conduct the evaluation, or permission to access the necessary data to determine successful achievement of the outcome?
• What will be the indicator of success?
• Is the scope of the outcome and evaluation plan feasible for the time that I have in practicum?

Practicum Application and Activities

Once you have established a project outcome, or outcomes, it is essential that you develop a plan for evaluation of the outcomes. Review the Johns Hopkins Appendix B, number 10, located in the MSN Toolbox area of the course. Proceed with the following activities. Document your practicum-related activities on the Practicum Log:

• Prepare a plan with specific talking points to meet your faculty (and practicum mentor if available) regarding your plan for evaluation of the project outcome.
• Meet with your faculty (and practicum mentor if available) to discuss your plan for evaluation of the project outcome.
• Complete the Johns Hopkins Appendix B, number 10.
• Validate your work on Phase 3 with your faculty (and practicum mentor if available) as needed.
• Revise your work as necessary.
• Submit the Johns Hopkins Appendix B completed with your time log, once Phase 3 completed.