Homework: Telehealth and Digital Technology Health Education

Educational Plan A guide to ensure that your health is always at its best! Specially made for you and your diagnosis YOUR TEAM Memorial Hospital Michael Warren, MD Dona Robert, RN, CCRN NINA TATE EDUCATIONAL PLAN Your Current Health You currently suffer from hypertension (high blood pressure), hyperthyroidism, and a myocardial infarction. Hyperthyroidism occurs when “your thyroid gland makes more thyroid hormones than your body needs”, causing weight loss and heart issues such as myocardial infarctions, which is simply another term for a heart attack (“Hyperthyroidism”, n.d.) On August 14th, your blood pressure was recorded as being at 135/82. The averageblood pressure for a healthy woman of your age is below 120/80. It is recommended that you create a healtty lifestyle and stick to a healthy diet as outlined by your prescriber. How to Prevent Future Attacks Stick to a healthy diet Eat nutrient-rich foods such as avocados, berries, and kale. Stay Active Heart disease is the #1 killer of women in the United States 2 months ago, it was noticed that your circumflex artery was 100% blocked, and although the exact reason as to why you had a second heart attack is unknown, it could have been triggered by your high blood pressure and diet. Workout for at least 30 minutes a day. You could walk, run, or try some yogathe options are endless. Take your medication as prescribed Your current medication, Plavix, when used in conjunction with Aspirin can help to effectively prevent future heart attacks. Plavix only works if you take it as prescribed, and can cause side effects such as nausea headaches, and itching, such as the itching you are currently experiencing on both of your arms. Seek Additional Support From: CDC Facts About Hypertension. (2020, September 08). Retrieved January 05, 2021, from https://www.cdc.gov/bloodpressure/fa cts.htm Medline Plus.gov High Blood Pressure | Hypertension. (2020, November 20). Retrieved January 05, 2021, from https://medlineplus.gov/highbloodpre ssure.html CDC Women and Heart Disease. (2020, January 31). Retrieved January 05, 2021, from https://www.cdc.gov/heartdisease/wo men.htm Cardiovascular Disease in Women: Clinical Perspectives Garcia, M., Mulvagh, S. L., Merz, C. N., Buring, J. E., & Manson, J. E. (2016). Cardiovascular Disease in Women. Circulation Research, 118(8), 1273-1293. doi:10.1161/circresaha.116.307547 References Journal of Cardiovascular Disease Research Research, J. (n.d.). Retrieved January 05, 2021, from http://www.jcdronline.org/ Hyperthyroidism | Graves’ Disease | Overactive Thyroid. (2020, May 20). Retrieved January 04, 2021, from https://medlineplus.gov/hyperthyroidism.html Heart Attack Symptoms in Women. (n.d.). Retrieved January 04, 2021, from https://www.heart.org/en/health-topics/heartattack/warning-signs-of-a-heart-attack/heartattack-symptoms-in-women Lifestyle Changes for Heart Attack Prevention. (n.d.). Retrieved January 04, 2021, from https://www.heart.org/en/health-topics/heartattack/life-after-a-heart-attack/lifestyle-changesfor-heart-attack-prevention IM3004A: Healthcare Technology and Informed Decision Making: Create educational plans in collaboration with patients based on information from healthcare technology. Assessment Rubric Rubric Criteria Does Not Meet Meets Expectations Expectations Part 1: Educational Plan Module 1: Healthcare Technology Describe and define Response includes a the health diagnoses, description of health treatments, and at diagnoses, treatments, or least one medication medications from the listed in the patient patient portal that is vague, portal for your inaccurate, or incomplete. selected patient. Response includes definitions of health Learning Objective 1.1: diagnoses, treatments, or Describe relevant medications from the medical information patient portal that is vague, necessary for patient inaccurate, or incomplete. education Explain relevant statistics Response provides an and individual health vital explanation of health signs related to the statistics and vital signs that patient’s medical history. is vague, inaccurate, or incomplete. Learning Objective 1.2: Analyze health statistics based on patient medical history © 2020 Walden University Exceeds Expectations Response accurately and sufficiently describes health diagnoses, treatments, and at least one medication from the patient portal. Response accurately and thoroughly describes health diagnoses, treatments, and at least one medication from the patient portal. Response accurately and sufficiently defines health diagnoses, treatments, and at least one medication from the patient portal. Response accurately and thoroughly defines health diagnoses, treatments, and at least one medication from the patient portal. Homework: Telehealth and Digital Technology Health Education

Response provides an accurate, complete, and sufficient explanation of relevant health statistics and individual vital signs that relates to the patient’s health history. Response provides an accurate, complete, and exemplary explanation of relevant health statistics and individual vital signs that relates to the patient’s health history. 1 Rubric Criteria Does Not Meet Expectations Module 2: Patient Health Literacy Design and create an Response includes the educational plan application of health literacy (brochure or guidelines that is vague, pamphlet) that inaccurate, or incomplete. addresses the following for your Response addresses selected patient: few to none of the six areas from the • Adhere to “Checklist for Easy-tohealth literacy Understand Print guidelines for Materials.” your individual patient. Response is not • Address each of visually appealing or relevant to the the six areas individual patient. from the “Checklist for Easy-toUnderstand Print Materials.” • Make your educational plan visually appealing and relevant to your individual patient. © 2020 Walden University Meets Expectations Exceeds Expectations Response applies appropriate health literacy strategies to the patient’s educational plan. Response applies exemplary health literacy strategies to the patient’s educational plan. Response sufficiently includes the application of the six elements of health literacy to support patient ease of understanding and to enhance the educational plan. Response excels in the application of the six elements of health literacy to support patient ease of understanding and to enhance the educational plan. Response is visually appealing and relevant to the individual patient. Response is visually appealing and relevant to the individual patient. 2 Does Not Meet Expectations Meets Expectations Exceeds Expectations Module 3: Care Coordination Recommend Response does not include additional reputable recommendations for care sources of support for coordination plans or the patients with similar recommendations provided health are vague, inaccurate, needs/diagnoses. incomplete, or disreputable. Response includes additional reputable sources of support that are consistent with the patient health history. Response includes exemplary additional reputable sources of support that are consistent with the patient health history. Learning Objective 3.1: Recommend care coordination based on patient context for health needs Response includes recommendations for care coordination plans that align with the context of the patient based on information from the patient health history. Rubric Criteria Learning Objective 2.1: Apply patient health literacy into the design of patient educational plan Response includes recommendations for care coordination plans that are not related to the patient health history. Response includes exemplary recommendations for care coordination plans that align with the context of the patient based on information from the patient health history. Part 2: Delivering Your Educational Plan Module 1: Homework: Telehealth and Digital Technology Health Education

Health Technology Describe how you might use telehealth or other healthcare technologies to communicate the © 2020 Walden University Response includes a vague, inaccurate, or incomplete description of how to apply telehealth or other healthcare Response includes a sufficient, accurate, and complete description of how to apply telehealth or other healthcare technologies to Response includes an exemplary, thorough and innovative description of how to apply telehealth or other healthcare 3 Rubric Criteria educational plan to your selected patient. Does Not Meet Expectations technologies to communicate educational plans to patients. Meets Expectations Exceeds Expectations communicate educational plans to patients. technologies to communicate educational plans to patients. Response includes a 3- to 5-minute presentation that is accurate, complete, and aligned to the recommendations of the patient educational plan. Response includes a 3- to 5-minute presentation that is exemplary, thorough, and well aligned to the recommendations of the patient educational plan. Response includes a 3- to 5-minute presentation that is clear and enhances the dialogue between the nurse and patient. Response includes a 3- to 5-minute presentation that is clear, consistent, and enhances the dialogue between the nurse and patient. Learning Objective 1.3: Apply healthcare technologies to communicate educational plans to patients Module 2: Patient Health Literacy Record a 3- to 5Response includes a minute video presentation that is vague, presentation detailing inaccurate, or incomplete. how you would communicate this Response includes a educational plan to presentation that is not your patient. aligned with the patient educational plan. Learning Objective 2.2: Apply effective Response includes a communication strategies presentation that is not into the delivery of a patient clear or consistent with the educational plan recommendations of the patient educational plan. Response includes a 3- to 5-minute presentation that adheres to information contained within the patient portal. Response includes a 3- to 5-minute presentation that closely adheres to information contained within the patient portal. Homework: Telehealth and Digital Technology Health Education

Module 3: Care Coordination © 2020 Walden University 4 Rubric Criteria Include a plan for care coordination. a. Explain your plan for care coordination based on the educational plan you developed. Does Not Meet Expectations Response includes a vague, inaccurate, or incomplete formulation of a plan for care coordination in patient educational materials. Meets Expectations Exceeds Expectations Response includes a sufficient, accurate, and complete formulation of a plan for care coordination in patient educational materials. Response includes an exemplary, thorough, and insightful formulation of a plan for care coordination in patient educational materials. Response includes sufficient, accurate, and complete application of patient-centered care strategies in the design of patient educational plans. Response includes exemplary, thorough, and insightful application of patient-centered care strategies in the design of patient educational plans. Learning Objective 3.2: Formulate a plan for care coordination in patient educational materials Module 4: Patient-Centered Care Incorporate patientResponse includes vague, centered care strategies in inaccurate, or incomplete the design and delivery of application of patientyour educational plan. centered care strategies in a. Do not just read the the design of patient educational plan you educational plans. created; rather, consider how you would engage with your patient based on health literacy, culture, and background when educating your patient based on their health needs. Learning Objective 4.1: Apply patient-centered care strategies in the © 2020 Walden University 5 Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations Content contains significant spelling, punctuation, and/or grammar/syntax errors. Writing does not demonstrate adequate sentence and paragraph structure and requires additional editing/proofreading. Key sections of presented content lack clarity, logical flow, and/or organization. Content contains few spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates adequate sentence and paragraph structure and may require some editing. Content presented is satisfactorily clear, logical, and/or organized, but could benefit from additional editing/revision. Content demonstrates satisfactory awareness of context, audience, and purpose. Tone is adequately professional, scholarly, and free from bias, and style is mostly consistent with the professional setting/workplace context. Homework: Telehealth and Digital Technology Health Education

Content is free from spelling, punctuation, and grammar/syntax errors. Writing demonstrates appropriate sentence and paragraph structure. Content presented is clear, logical, and well organized. Content adequately reflects original writing and Content reflects original thought and writing and design of patient educational plans Professional Presentation Professional Writing/Presentation: Clarity, Flow, and Organization Professional Presentation: Context, Audience, Purpose, and Tone Professional Presentation: Originality, S © 2020 Walden University Content minimally or does not demonstrate awareness of context, audience, and/or purpose. Writing is not reflective of professional/scholarly tone and/or is not free from bias. Style is inconsistent with the professional setting/workplace context and reflects the need for additional editing. Content does not adequately reflect original Content clearly demonstrates awareness of context, audience, and purpose. Tone is highly professional, scholarly, and free from bias, and style is appropriate for the professional setting/workplace context. 6 Rubric Criteria ource Credibility, and Attribution of Ideas © 2020 Walden University Does Not Meet Expectations writing and/or paraphrasing. Writing demonstrates inconsistent adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are numerous and/or significant errors. Meets Expectations Exceeds Expectations paraphrasing. Writing demonstrates adequate adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are one or two minor errors. proper paraphrasing. Writing demonstrates full adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. 7 Nursing Economic$ Perspectives in Ambulatory Care Care Coordination: Roles of Registered Nurses Across the Care Continuum Beth Ann Swan Sheila Haas Anne T. Homework: Telehealth and Digital Technology Health Education

Jessie Lack of coordination leads to health care that is fragmented, inconsistent, and poorly planned. Conversely, effective care coordination supports achieving the Quadruple Aim. Care coordination, roles of RNs in care coordination, and implications for healthcare delivery are explored. S ix in ten adults in the United States have a chronic illness and four in ten adults have two or more chronic illnesses. Chronic diseases are the leading cause of death and disability and leading drivers of the nation’s $3.3 trillion in annual healthcare costs (National Center for Chronic Disease Prevention and Health Promotion, 2019). Concurrently, the incidence and prevalence of chronic health conditions has increased, with conditions such as diabetes, heart disease, cancer, hypertension, stroke, arthritis, obesity, renal disease, and respiratory diseases leading the way as the most common causes of illness, long-term disability, reduced quality of life, and death (National Center for Chronic Disease Prevention and Health Promotion, 2019; Raghupathi & Raghupathi, 2018). With such a large chronically ill population, the need for improved care is obvious. Individuals with chronic diseases generally receive care by more than one provider in more than one setting, and, too often, their care is not coordinated across the continuum. Within this care environment, medical decision-making occurs in a vacuum without complete information about an individual’s condition, health history, medications ordered, care managed, or services rendered. In addition, no one facility is officially responsible and accountable for the individual, meaning no one practitioner takes the lead in making the plan and next steps in care clear. Instead, the job of coordinating care is transferred from the professionals to individuals and their families who are often unprepared to manage the task. The lack of coordination leads to care that is fragmented, inconsistent, and poorly planned. Medical errors, duplication of tests, and paper shuffling can occur, with results ranging from inconvenient to life-threatening. The lack of coordinated care can also lead to unnecessary emergency room visits and hospitalizations, avoidable readmissions, and excessive resource use causing billions of dollars in wasteful spending each year. In fact, researchers estimate that $25 to $45 billion is spent on avoidable complications and unnecessary hospital readmissions (Burton, 2012). Conversely, effective care coordination supports achieving the Quadruple Aim: improving the care experience for individuals, improving individual health, improving the work life of healthcare providers, and reducing costs (Bodenheimer & Sinsky, 2014). Homework: Telehealth and Digital Technology Health Education

One essential component of effective care coordination is the role of registered nurses (RNs). The nursing profession has a long history of caring for individuals in a holistic manner, integrating traditional health care with personcentered approaches that are focused on health and healing; and integrating and incorporating interventions from a variety of healthcare disciplines. Across settings of care, RNs provide care that is based on the individual’s values, goals, preferences, and specific care needs. RNs lead care coordination programs and interprofessional teams across diverse acute, post-acute, and community-based care settings, playing pivotal roles in the design and implementation of new November/December 2019 | Volume 37 Number 6 317 Nursing Economic$ care delivery models such as behavioral and physical health integration, Patient-Centered Medical Homes (PCMHs), Accountable Care Organizations (ACOs), and emerging payer-based care delivery initiatives. Connecting and integrating individuals with providers and services, RNs work to optimize individuals’ clinical and functional status, as well as self-care management with the goal of improving outcomes and containing healthcare costs. RN-led care coordination is often aligned with quality, safety, payer, and healthcare reform initiatives, placing RNs in a role that is central to healthcare delivery across the care continuum. Homework: Telehealth and Digital Technology Health Education

Care coordination, the roles of RNs in care coordination, and implications for healthcare delivery will be explored. Background Care coordination is a hallmark of most healthcare reform models in the United States. Though definitions of care coordination have proliferated over the last decade, the most recent definition from the National Quality Forum’s (2017) Care Coordination Endorsement Maintenance Project 2016-2017 is a multidimensional concept that includes • effective communication among healthcare providers, patients, families, caregivers (regarding chronic conditions); • safe care transitions; • a longitudinal view of care that considers the past, while monitoring present delivery of care and anticipating future needs; and • the facilitation of linkages between communities and the healthcare system to address medical, social, educational and other support needs that align with patient goals. (para. 2) RNs successfully provide effective care coordination that occurs with different populations in a variet …