Hello. My name is _________. This recording will discuss the process of making evidence-based decisions. According to Russell et al. (2021), people who live in rural areas often face obstacles in their access to medical care, which makes it more difficult for them to get the treatment they need. Despite sufficient healthcare services in a community, various factors can hinder access to healthcare. The CRAAP Test was employed to assess the source’s credibility. The literature sources used were credible, current, relevant, authoritative, accurate, and purposeful.In this video, I will analyze a patient with limited healthcare access and propose an evidence-based care plan to establish a safe and achievable outcome.
Allow me to provide you with some details regarding my patient.
The patient is a 25-year-old transgender male residing in a rural location with restricted healthcare access. The individual received a diagnosis of gender dysphoria following a behavioral health evaluation conducted by their healthcare provider. The patient desires hormonal and surgical interventions for the management of gender dysphoria. Dr. Smith, the patient’s medical practitioner, worked virtually with a group of skilled specialists, including nurses, surgeons, mental health specialists, and endocrinologists, to provide evidence-based treatment for gender dysphoria.
In this section, I will elucidate using an evidence-based practice model in developing the patient’s care plan.
Telehealth is a novel approach to overcoming geographical obstacles in healthcare delivery. When a patient and a healthcare professional are in different places, telehealth is a way to provide healthcare services utilizing information and communication technology.It includes remote patient monitoring, synchronous videoconferencing, and asynchronous store-and-forward, according to Sequeira et al. (2021). Eighty percent of 204 transgender and gender diverse (TGD) teenagers in recent research by Russell et al. (2021) said they would be interested in using video visits for hormone refills, and seventy-one percent said they would be interested in using them for follow-up lab monitoring. While there is increasing evidence of its usefulness for transgender and gender-diverse youth, telehealth has already been established as a beneficial healthcare option. Telemedicine can also improve training opportunities for gender-affirming surgery, such as for our patients.
The Iowa Model’s conceptual framework was utilized to guide the evaluation and integration of evidence-based research findings into patient care. This framework consists of several steps, including identifying triggering issues and opportunities. The process involved stating the clinical question or purpose, forming a team, assembling, appraising, synthesizing evidence, designing and piloting the practice change, integrating and sustaining the practice change, and disseminating the results to the patient (Russell et al., 2021).The Iowa Model emphasizesorganization and collaboration, enabling nurses to address knowledge- and problem-focused triggers. It encourages personnel to evaluate current nursing practices and determine if care can be enhanced by utilizing current research findings.
I will now analyze the most pertinent and valuable evidence in formulating the care plan.
The decision to implement a telehealth program is motivated by the urgent need to address limited access to healthcare for our patients. The individual’s limited access to transportation and lengthy commute to the clinic may result in missed appointments and potentially hinder their recovery process. Gender-affirming hormones have been found to decrease depression, anxiety, and gender dysphoria while also enhancing quality of life and self-esteem. Similarly, gender-affirming surgery has been linked to high levels of patient satisfaction and improvements in quality of life. Transgender and gender-diverse individuals often face obstacles when seeking healthcare services. Telehealth has the potential to benefit patients seeking Gender-affirming care. Russell et al. (2021) reported that telehealth may let patients access many physicians in different places and can reduce geographical access barriers since it is not limited by physical location.
The patient’s care plan will involve recommending the use of online applications for communication with the care team and provider to initiate hormone therapy. This online application offers Gender-affirming hormone therapy and a range of procedures, including hormone therapy, genital reconstruction, breast reconstruction, facial plastic surgery, speech therapy, urologic and psychiatric services, and primary care (Sequeira et al., 2021). These ser
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