Evidence-Based Care Plan for Vila Health Remote Collaboration Subject: Healthcare Research Pages: 5 Words: 1435 Reading time: 6 min Study level: Bachelor Villa Health Remote Collaboration Scenario

From the case study, a reader can see Dr. Copeland and Ms. Anderson calling various professionals on skype, including Madeline Becker and Rebecca Helgo, among others. The partnership, which is evident in the scene, depicts a remote collaboration in healthcare. This video presents a proposal of an evidence-based plan (EBP) that will improve Caitlynn’s medical situation and identification of benefits of remote collaboration in the scenario.

Evidence-Based Care Plan to Improve the Patient’s Safety and Outcome

The safety and outcome of the care that Caitlynn undergoes can be improved by a raft of elements that are important in nursing cystic fibrosis (CF). It is important to first highlight the extent to which the child has risks to her safety from the current chronic illness she has (Sumner & Walshaw, 2018). CF is caused by a mutation in the gene of cystic fibrosis transmembrane conductance regulator (CFTR), which occurs in the mucus-producing body cells (Wei Chern, 2021). The clinical manifestation is a long-lasting lung disease which brings the idea of pneumonia that Caitlynn was diagnosed with during her previous admission. As the scenario presents, her sweat glands have been affected and that is why Dr. Copeland insists that the child’s temperature must be checked. This video proposes impaired gas exchange as the EBP to improve outcomes and safety for Caitlynn.

Impaired Gas Exchange

This EBP strategy will work for the patient as she will maintain optimal gas exchange which shall be evidenced by oxygen fullness of almost 90% and relaxed breathing (Bartlett et al., 2019). Additionally, the plan will ensure that Caitlynn has no further worsened in her level of consciousness as the EBP will create an advanced baseline heart rate, among other issues. Therefore, the desired outcome here will be to improve her outcome from Dr. Copeland’s intervention measures. Several nursing interventions will be necessary to conduct as far as the chronic issue is concerned.

During the plan, it is important to monitor respiratory and heart rate to detect any alterations. Under this intervention, there is a guarantee of a high heart rate because the system will be compensating for early hypoxia (Bartlett et al., 2019). It is also important to assess any deviations in the status of respiration, for instance, pallor, cyanosis, awareness level, and breathing difficulty, if any. The reason for doing that is that Caitlynn has high chance of adjusting to the breathing pattern over time as one way of enabling gas exchange. The plan is essential because it shows oddities that may show respiratory cooperation, hypoxia, and hypercarbia.

The other task under the impaired gas exchange will be to track transcutaneous carbon dioxide. A caregiver needs to do that because underlying hypercarbia may be present because the scenario shows Caitlynn having moderate CF (Sumner & Walshaw, 2018). If the levels increase, it means that the child may have a progressive acute infection and possible respiration failure. At this point, the EBP guides a professional to offer physiotherapy and other prescriptions to ease the problem.

The plan also involves intervention such as monitoring arterial blood gases and saturation of oxygen and provision of adequate relaxation between activities when the child is active during the day. This ensures that oxygen supply is increased without fatigue. Another recommendation that should be made to improve Caitlynn’s condition is to place her in a semi-Fowler position (Bartlett et al., 2019). That will facilitate lung expansion and reduce the chances of airway collapse which prevents Caitlynn from dyspnea.

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During caregiving, it is important to administer oxygen therapy that Dr. Copeland proposed which helps in relieving dyspnea and maintaining sufficient oxygenation in the entire body. Here, the goal is to increase her comfort, and oxygen saturation must be equal to or greater than 90% (Bartlett et al., 2019). Lastly, a nurse should make efforts to reach care personnel to have critical monitoring of noninvasive ventilation that assists with nighttime ventilatory requirements. Therefore, the EBP will perfectly work to improve the condition that Caitlyn has.

Ways in which an EBP Model was used to Develop the Plan

This video employed some metrics from Advancing Research and Clinical Practice Through Close Collaboration (ARCC). First, it enabled the assessment of the culture and organizational readiness in implementing the potential plan in the case of Caitlynn (Melnyk et al., 2016).