In this capstone project, the patient is a 68-year-old African American female with Alzheimer’s Disease (AD). The patient reports that she was diagnosed with AD when she was 60 and has been on medication for the past seven years. Currently, the patient presents with confusion, restlessness, difficulty remaining attentive, and difficulty with language. Her ability to organize thoughts and think logically is preserved. Her manifestations are indicators of moderate AD. My intervention entails using telehealth to promote medication adherence and lifestyle modification for the patient.
The patient acknowledged that telehealth would help to improve medication adherence. She revealed that this would be her first experience with telehealth technology. She was intrigued by the fact that features such as reminders and alarms would improve her compliance with the treatment plan. Her family reported that telehealth would enable them to seek timely clarifications and eliminate the need for frequent face-to-face healthcare appointments. Additionally, her family members reported that using motion sensors would help them monitor the patient and reduce the likelihood of injuries. This is particularly relevant because the intervention included lifestyle modification aspects involving physical exercise. Her family members agreed that medication compliance would improve the patient’s prognosis and reduce the frequency of hospitalization.
Allow me to explain how my intervention improves patient and family experience. Maresova, Tomsone, Lameski, & Madureira (2018) reported that the use of telehealth would create flexibility in the delivery of healthcare services. Flexibility will be created by removing the physical barrier and allowing perpetual monitoring and consultation at any time. Video conferencing will create real-time interactions between healthcare providers and the patient. This allows continuous monitoring and prompt initiation of interventions hence a better prognosis of the disease. Maresova, Tomsone, Lameski, & Madureira (2018) further reported that mobile health features such as messages, alarms, and reminders enable the patient to take medications as planned. In addition, they promote adherence to non-pharmacological interventions involving physical activity and dietary modification. Besides, according to Galvin, Aisen, & Langbaum (2021), physical exercise helps to avert brain atrophy and improve the prognosis of AD. Furthermore, it will minimize the risk of cardiovascular complications.
At this point, I will describe the use of evidence and peer-reviewed literature in my capstone project. I used online medical databases to locate peer-reviewed journals. The online medical databases that guided my research include Google Scholar, PubMed, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). I used keywords such as ‘Alzheimer’s disease’ and ‘healthcare technology’ to search for relevant peer-reviewed articles. Customized features enabled me to search for articles published within the past five years. After that, I used the CRAAP criteria to evaluate the credibility of each source. Esparrago-Kalidas (2021) notes that this criterion assesses the currency, relevance, accuracy, authority, and purpose of the article. Accordingly, this enabled me to choose the best evidence-based research articles. When researching, I used professional websites to seek evidence for my capstone project.
Furthermore, I was guided by five principles of evidence-based practice. These include formulation of a problem, accessing evidence, appraisal, application, and evaluation. In this context, the problem is Alzheimer’s disease. I used professional journals and online medical databases to access evidence. I used the CRAAP criteria to appraise the evidence. The approval of my intervention reveals that it is feasible and applicable to the patient population. Implementation of this intervention will be succeeded by periodic evaluation of its effectiveness.
I would now like to discuss how I leveraged healthcare technology in my capstone project. I used telehealth in the formulation of my intervention to improve patient outcomes. Specifically, I embraced mobile health, videoconferencing, and remote patient monitoring. According to Maresova, Tomsone, Lameski, & Madureira (2018), mobile health features such as audio, messages, reminders, alarms, and mobile applications improve communication, promote medication adherence and improve patient outcomes. In addition, Werner, Brown,