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NURS FPX 6030 Assessment 2 Problem Statement PICOT

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PART 1: Problem Statement 

Need Statement 

The program for health promotion is effective in educating people to modify their lifestyles to prevent the higher risk of chronic diseases such as delirium. To treat delirium patients’ nurses can play a vital role in educating patients about adopting a new and healthy lifestyle and using self-care management strategies (Francis & Young, 2021). Nurses can do health promotion because they are first-line healthcare service providers. Nurses can make a professional empathetic relationship with the patient and their families that can help them in trusting healthcare providers’ suggestions. Nurses need to analyze patients’ mental states, acceptance capacity, and knowledge about the risks of delirium.

Nurses can promote healthcare interventions comprehensively with patients and their families by showing research that supports lifestyle modification and atypical antipsychotics for delirium treatment (Gual et al., 2020). Nurses can offer healthcare policies and insurance that offer lifestyle modification programs for elderly patients’ healthcare. For quality improvement, the care coordination plan is highly effective in that interdisciplinary healthcare teams will provide care to a patient with a delirium diagnosis with the use of cost-effective healthcare programs and technologies.

 An interdisciplinary team can offer an integrated healthcare plan in which doctors will prescribe atypical antipsychotics, nurses will educate patients on self-care management (regular exercise, rehabilitation, good diet, social activities, mindfulness practice) and adhere to medical consultation, and therapists and encourage patients to shape their self-care priorities according to their mental state (Gual et al., 2020). Also, the interdisciplinary team can provide remote care to the patient with the use of telehealth or telemedicine which will improve care quality.

For the prevention of the high risks of delirium, nurses can offer remote care and home care. In the early diagnosis of delirium patients need constant monitoring, so nurses can offer telehealth services in which patient vitals and healthcare conditions will be shared with the care provider in real-time. The interdisciplinary team can encourage patients to self-care management to prevent acute delirium. Furthermore, nurses can enhance patients’ buy-in for self-care management and atypical antipsychotic use for treatment by providing detailed education to the patients. Nurses can guide patients and their families about the use of telehealth/telemedicine to access remote care (Francis & Young, 2021).  

Population and Setting 

The targeted population for delirium treatment is elderly people. In elderly people, the condition can occur within hours and can get extreme within days. Any infection, drug intake or withdrawal, infection, or any medicine intake or withdrawal can cause delirium. For delirium patient treatment, the proposed setting is a hospital. Patients can be out of control due to unconsciousness and confusion. Elderly patients above 65 years old are at a higher risk of this disease and the first episode can be very intense.

So, hospitalization is the first choice but a long stay in the hospital can create a negative impact on patient health due to low physical activity (Göhner et al., 2022). If the patient is not having frequent episodes, then remote care is the best choice. Providing a quiet, calm home setting is very helpful in encouraging patients to self-care management (Mayo Clinic, 2022). 

In a hospital, the interdisciplinary team can provide effective patient care. Patients will be able to get rehabilitation and physical therapies with the help of an interdisciplinary team. The nursing staff will monitor the mental state of the patient by frequent rounding. Nursing staff will provide supportive care to the patient by encouraging movement, avoiding falls, treating pain, helping the patient in having healthy meals, and managing the patient’s smoking and alcohol-drinking habits through patient education and medicine (Clevelandclinic, 2020).

On the other hand, remote patient care can be easily provided with the use of healthcare technology in which all the patient needs can be fulfilled. An interdisciplinary team will provide patient-centered care through a care coordination plan (Göhner et al., 2022). So, remote patient care is the setting in which the interprofessional