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Capella NURS FPX4030 Assessment 4 Remote Collaboration and Evidence-Based Care

Introduction

This scenario examines the case of Caitlynn, a 2-year-old patient diagnosed with cystic fibrosis (CF) and pneumonia at Valley City Regional Hospital. The goal is to provide an evidence-based care plan, outline the context of the case, discuss the treatment plan, and evaluate the benefits and challenges of remote interdisciplinary collaboration to enhance care outcomes.

Background

Caitlynn was admitted to the emergency department with pneumonia, her third hospitalization for the condition in six months. During the initial assessment, she presented with malnourishment, fever, diminished bilateral lower lobe breath sounds, and scattered rhonchi in the upper lobes. A sweat chloride test confirmed a diagnosis of cystic fibrosis.

Complications arose due to her parents’ separation and the limited resources in their rural area. Caitlynn’s primary pediatrician, Dr. Benjamin, participated in collaborative planning via Skype and text due to a lack of advanced telemedicine tools in the region. Despite these challenges, remote collaboration was crucial in developing Caitlynn’s care plan.

Evidence-Based Care Plan

Cystic fibrosis, a hereditary disorder affecting mucus-producing glands, leads to thick mucus accumulation, airway obstruction, and organ damage (U.S. Department of Health and Human Services, n.d.). The interdisciplinary team implemented an evidence-based care plan that included the following interventions:

  1. Nebulizer Treatments: Regular use of nebulized medications to clear airways and improve breathing. Proper cleaning of the nebulizer is essential to prevent infections.
  2. Medications: Use of bronchodilators and anti-inflammatory drugs to reduce inflammation and open airways.
  3. Nutritional Support: Supplementation with vitamins A, D, E, and K to address malnutrition and promote growth. Iron, zinc, and calcium intake were also emphasized for bone and immune system health (Stanford Medicine Children’s Health, n.d.).

Evidence-Based Practice Model

The care plan was developed using the Johns Hopkins Evidence-Based Practice Model, which emphasizes the PET process: Practice question, Evidence, and Translation. This model integrates evidence with education to enhance care implementation and outcomes (Springer Publishing, n.d.). By applying this approach, Caitlynn’s care plan addresses her specific needs while ensuring adherence to evidence-based protocols.

Challenges and Benefits of Remote Interdisciplinary Collaboration

Remote collaboration introduced both advantages and challenges. Telemedicine facilitated communication among the healthcare team and Caitlynn’s family, enabling care delivery despite geographic barriers. However, limited access to internet services and telemedicine tools posed significant obstacles. To overcome these issues, the hospital team worked to optimize existing technologies and explored partnerships with local organizations to improve connectivity.

Conclusion

Caitlynn’s case underscores the importance of evidence-based care and interdisciplinary collaboration in managing complex conditions like cystic fibrosis. The application of the Johns Hopkins model ensured a structured approach to her treatment, while remote collaboration allowed the care team to overcome resource limitations. Although challenges persist, such as limited telemedicine access, the commitment to evidence-based practice enhances patient outcomes and supports long-term management strategies.

References

Cayley, W. (2018). Four evidence-based communication strategies to enhance patient care.
Retrieved from https://www.aafp.org/fpm/2018/0900/p13.html

Default – Stanford Medicine Children’s Health. (n.d.). Feeding your child with cystic fibrosis.
Retrieved from https://www.stanfordchildrens.org/en/topic/default?id=feeding-your-child-with-cystic-fibrosis-90-P02932

Gawlinski, A. (2008). Selecting a model for evidence-based practice changes. AACN Advanced Critical Care, 19(3), 291–300.

Indra, V. (2018). A review on models of evidence-based practice. Asian Journal of Nursing Education and Research, 8(4), 549–552.

Springer Publishing. (n.d.). Evidence-Based Practice Models.
Retrieved from https://connect.springerpub.com/content/book/978-0-8261-2759-4/back-matter/bmatter1

U.S. Department of Health and Human Services. (n.d.). What is cystic fibrosis? National Heart, Lung, and Blood Institute.
Retrieved from https://www.nhlbi.nih.gov/health/cysticfibrosis

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