NURS_FPX4900 Assessment 5-1 Intervention Presentation and Capstone Video Reflection Intervention

Intervention Presentation and Capstone Video Reflection
Intervention

HIV is a persistent challenge in the United States. With about 13% unaware of their status, health promotion and education is vital to inform individuals about the relevance of screening, diagnosis, and timely treatment. The intervention identified is the need for proactive engagement to make patients ad vulnerable population aware of self-care practices that help monitor or control symptoms. I focused on quality, cost, and safety of care since the three determine individuals’ ability to live healthy and fulfilling lives. Addressing the three reinforce individual and collective commitment to reducing health disparities common in underserved and under-resourced communities.

Vulnerable population, largely the young groups between 13 and 29 years can access essential diagnosis, prevention, and treatment services to avoid delayed or postponed care across the continuum (Nyati et al., 2020). Focusing on increased HIV promotion and education helps patients, families, and healthcare providers identify evidence-based and patient-centered practices and resources relevant for treating HIV. HIV self-management practices enable patients to access tailored interventions for monitoring and controlling symptoms throughout the care process. Patients learn to improve quality, safety, and cost of care by adhering to lifestyle modifications, medications, and other strategies designed to prevent escalating symptoms.

My Practicum Experience

My first experience was a conversation with a patient living with HIV. The interaction provided insights into the need for improvements that make quality, safe, and affordable care accessible to patients living with HIV. The patient from a low-resource setting agreed that it is challenging coping with quality, safety, and cost concerns evident in under-resourced and underserved communities. Challenges such as inadequate staffing, inconveniences in accessing ARVs, and low income that denies individuals from accessing healthy foods and other self-care measures prevent patients from living longer and healthier lives (Nyati et al., 2020). The patient expressed optimism in accessing better services by enrolling for Medicaid and Medicare programs. The patients also expressed desire to access primary care providers and specialists conveniently for education and counseling on tailored interventions for improving quality of life. Limited access to financial aid programs is a serious challenge that limits access to prescription drugs and other services appropriate for preventing escalating symptoms. Challenges accessing private insurance also undermine access to comprehensive care. However, the patient appreciated existence of the Affordable Care Act that facilitates access to emergency services, mental health counseling, talk therapies, prescription drugs, and overnight stays at hospitals. Qualifying for Medicaid and Medicaid is a significant step for patients living with HIV and from low-income settings to live healthier lives.

I also had a second conversation, which was an extension of an interaction with the patient living with HIV. The patient’s higher levels of need due to old age reinforced the need for well-coordinated practices, risk assessment, and accessible social and health care systems. The patient acknowledged the relevance of technologies such as telehealth in promoting timely and consistent access to social support, medications, therapies, and other HIV management plans. However, the patient expressed concerns over connectivity issues witnessed in low-resourced settings. The patient also recognized care coordination as a concept that enhances access to personalized care plans. I encouraged the patient to take advantage of community resources and technologies that strengthen the framework for managing HIV and referring patients to qualified professionals. The patient also appreciated the roles of community resources in providing medical and social support. Patients adhere to ARTs and make choices based on accessible resources and information across the continuum. The conversation with the patient revealed the need for flexible access to HIV support services, clinical interventions, and other pathways necessary for improving quality of life.

Telehealth to Enhance HIV Management

I acknowledge the relevance of new and advanced health information and communication in improving quality, cost, and safety of HIV management. Consultations delivered through text messages and videoconferencing enhance access to health promotion and education, behavioral intervention, and support for people with HIV. Melissa et al. (2021) recognized telehealth as a key consideration that improves linkages between primary care providers, specialists, and patients help individuals to live healthier lives. During telehealth sessions, a patient accesses information on drugs, self-care practices, and other tailored mechanisms needed to sustain viral suppression (Melissa et al., 2021). The flexible access to accurate and complete information encourages promotes medication adherence and positive health-seeking behaviors and attitudes. In this case, healthcare professionals educate patients on self-monitoring and controlling of symptoms including consistent measuring of viral loads and CD4 levels. Telehealth also promotes interdisciplinary collaboration, where primary care providers and specialists utilize videoconference sessions to engage patients and inform them about evidence-based and personalized approaches for managing complexities associated with HIV care.

The Affordable Care and Impact on Quality, Safety, and Cost of Care

Health policies influence the quality, cost, and safety of patient care. For this project, I considered the Affordable Care Act (ACA) as one of the viable legislations that highlights barriers and enablers of successful HIV management. Key highlights of ACA include expanded and assured coverage for people with pre-existing conditions. Patients take advantage of expanded Medicaid coverage, reduced cost of prescription drugs, and access to preventive services (Ginossar et al., 2019). Satre et al. (2020) acknowledged the relevance of ACA in encouraging coordinated care for people with HIV. Patients and families benefit from a healthcare system that streamlines access to medical and non-medical services. Broader Medicaid eligibility allows low-income populations to access services that safeguard them from a damaged immune system (Satre et al., 2020). Similarly, there are opportunities to initiate and sustain coordinated care for those with HIV and related complications.

Capstone Project Outcomes vs. Predictions

The project outcomes matched predictions. First, I observed that communication and collaboration enable nurses, physicians, and nutritionists to initiate consultations and engagements for encouraging positive behavior change and better treatment outcomes. Ideally, every element of HIV management depends on excellent communication and collaboration that allow individuals to understand testing, risk of HIV infection, and self-management practices (Crowley & Rohwer, 2021). The care team creates an environment that encourages shared decision-making to build trust, confidence, and hope in adhering to recommended treatment.  Supportive relationships between health care professionals and patients enhance access to clinical and social support services that provide adequate support for retention of care (Crowley & Rohwer, 2021). The care team helps patients identify new goals and healthy behaviors necessary to maximize care outcomes.

Another prediction was that self-management practices improve the quality, cost, and safety of care. The project outcome matched the prediction by highlighting the need for consistent self-care practices to reduce morbidity and mortality rates associated with HIV. For instance, patients understand the integrated testing, prevention, and treatment services and tailored approaches to improve safety and quality of care. In this case, self-management promotes culturally and linguistically appropriate care. Patients access accurate and complete information that matches their values and preferences. The care team demonstrates knowledge, skills, and experiences for handling patients’ values and preferences across the continuum. Having diverse primary care providers and specialists reduce the risk of delayed or postponed care common in under-resourced and under-served communities.

Opportunities for Personal and Professional Growth

The experience was amazing and presented opportunities for personal and professional growth. First, the capstone revealed the need for competent leadership when addressing health issues. The right qualities and traits allow leaders to design and implement HIV prevention, education, and treatment interventions. My aim is to participate in developing programs that enhance strategic, effective, and sustainable responses to HIV. This way, I understand the need for diverse skills that make them familiar with complexities such as stigma and discrimination associated with HIV. My preferred leadership style is transformational. The approach allows leaders to connect with stories, challenges, and solutions that influence outcomes (Figueroa et al., 2021). The transformational leader inspires everyone to go beyond expectations by embracing results-oriented attitudes. The care team responds well to calls for interdisciplinary approaches and a shared vision to improve prevention programs, education, and other programs designed to address health needs and disparities.

The other learning outcome with an impact on personal and professional growth focused on nurse practice standards. I understood my roles and obligations towards improving the quality, safety, and cost of HIV management by communicate with patients non-judgmentally and understanding values and preferences. I will uphold compassion, empathy, and open communication to facilitate informed conversations about mental health, sexual behaviors, and other risks associated with HIV. I will also educate patients and empower them to design health goals such as healthy nutrition, mindfulness, and adherence to treatment across the continuum. Rouleau et al. (2019) indicated that nurse practice standard enable the care team to understand challenges that expose patients to anxiety, fear, and hopelessness. As such, I am committed to using social, cultural, and psychosocial priorities to create tailored pathways for patients to overcome the burden of HIV.

I also seek to embrace care coordination as a means of gaining knowledge, skills, and experience of evidence-based and patient-centered relevant for preventing transmission, morbidity, and mortality.  I will adopt team-based values, attitudes, and behavior to allow me be part of interdisciplinary teams of nurses, physicians, nutritionists, therapists, and others. The collaborative practices reinforce commitment to meeting diverse needs of people living with HIV through consistent delivery of psychosocial, cultural, and other services. The interdisciplinary team makes referrals and manage information flows to connect everyone with essential healthcare services in a timely manner (Watson et al., 2018). In the end, patients benefit from improved access to medications, education, counseling, and other support programs designed to reduce health disparities. I will coordinate with nurses, community health workers, social workers, physicians, and other clinical and non-clinical professionals to design and implement care plans that help reduce the burden of disease across communities.