Hello, and welcome to today’s presentation on remote collaboration and evidence-based care at Vila Health. This presentation will propose an evidence-based care plan to manage Caitlynn Bergan, who has been diagnosed with cystic fibrosis. The presentation will also discuss an evidence-based practice model used in the development of the care plan and identify the benefits of remote collaboration.
We will begin by proposing an evidence-based care plan that can help to enhance safety and improve outcomes for Caitlynn. I will then explain the evidence-based model used to develop the care plan. After that, I will identify the most relevant evidence in developing the care plan. Finally, I will explain the benefits of remote collaboration and the strategies to avert the interdisciplinary collaboration challenges.
Let me take you through an evidence-based care plan to improve safety and outcomes. Healthcare providers and clinicians at Vila Health should utilize various strategies to ensure that patients receive adequate care at the hospital and remotely from home. The need for adequate nutritional therapy should be emphasized. Notably, according to Martin (2018), patients with cystic fibrosis usually have inadequate nutrition caused by persistent malabsorption, high caloric needs, or anorexia. Martin (2018) notes that this is demonstrated by loss of weight and a negative deviation from the ideal body weight by approximately 20%. In this context, Caitlynn’s weight is lower than the ideal body weight. According to Kapnadak et al. (2020), Caitlynn’s parents should modify her dietary intake to include adequate hydration, liberal salt intake, a high protein diet, a high caloric diet, and fat-soluble vitamins such as A, D, E, and K. essentially, Kapnadak et al. (2020) note that adopting this nutritional approach helps to address the increased dietary requirements for the patient and malabsorption that accompany cystic fibrosis.
Nurses should collaborate with respiratory therapists to administer oxygen therapy to address impaired gas exchange. The parents should be advised on the importance and technique of placing the child in a semi-Fowler’s position (Kapnadak et al., 2020). This position enables adequate expansion of the lungs and prevents the collapse of airways and shortness of breath (Martin, 2018). Parents should ensure that they rest between routine tasks to decrease oxygen needs. Furthermore, the parents should be familiar with the pulse oximeter and interpretation of its readings (Martin, 2018). This will help to monitor oxygen saturation levels. Ineffective clearance of the airways is caused by mucus plugging facilitated by the rapid growth of bacteria in the respiratory system (Jessup et al., 2018). This can manifest as crackles, difficulty in breathing, and lowered pulmonary function tests (Martin, 2018). The respiratory therapist should utilize various airway clearance therapies to manage the patients. Examples include chest physiotherapy, postural drainage, and the utility of chest percussions (Martin, 2018). The parents should be taught chest percussions and postural drainage techniques to be used by the child Kapnadak et al. (2020).
Kapnadak et al. (2020) reported that mucolytics such as dornase alfa and bronchodilators such as albuterol are important. Healthcare providers should use these medications to manage patients with CF. Inhalation techniques using devices such as metered dose inhalers will allow adequate delivery of medication o the airways (Jessup et al., 2018). Pharmacists should educate parents on the inhalation techniques that maximize drug delivery for the child (Jessup et al., 2018). Healthcare providers should indicate pancreatic enzyme replacement therapy and anti-pseudomonal antibiotics such as fluoroquinolones (Kapnadak et al., 2020).
The evidence-based model used to develop this care plan is the Stetler Model. The first step of this model involves preparing and identifying the problem and the role of the evidence-based practice. (Camargo et al., 2018) In this context, the problem is cystic fibrosis, and evidence-based care aims at patient outcomes in the hospital and away from the hospital. The second step entails searching and evaluating the credibility of the sources (Camargo et al., 2018). In this context, I used the CRAAP criteria to validate the sources (Esparrago-Kalidas, 2021). The third step involves decision-making. In this context, I compared information from different journals and identified the best evidence-based practices. The next step entails the application of the findings. During this step, I identified how evidence