Hi, I am Name. During my three practicum hours with Clay, I recognized the urgency of implementing an impactful, multifaceted intervention given the escalating Alzheimer’s epidemic affecting over 10% of adults 65+ in the U.S. (and almost a quarter with mild impairment). The disproportionate burden on minority and less educated groups compounds concerns (BrightFocus Foundation, 2019). As Clay’s nurse, I developed a comprehensive plan leveraging technology tools, robust care coordination, and community partnerships to enhance his safety, quality of life, and family support amidst progressive cognitive decline. My poster visually depicts the critical components of this evidence-based intervention and relevant benchmark data that will inform ongoing improvements in Clay’s care. Nurses are pivotal in innovating and advocating for patients like Clay to receive integrated, compassionate care that optimizes limited resources across communities (BrightFocus Foundation, 2019).

Contribution of Intervention to Patient

I gathered regular feedback from Clay and his family to evaluate the intervention’s impact on satisfaction and quality of life. Questionnaires rating their care experience in communication, coordinated support access, and involvement in care decisions provided quantitative data. During bi-weekly conferences, I also had open discussions to gather qualitative insights on aspects they find beneficial versus areas needing improvement. Checking with Clay’s wife regularly helped assess the caregiver’s burden and respite needs. With Clay personally, I observed changes in engagement, mood, and behaviors to determine the effects on his daily life (Gilbert & Cousins, 2022).

This feedback indicates that GPS tracking grants Clay security in wandering safely while reducing agitation, knowing his whereabouts are monitored (Sun et al., 2021). His wife notes appreciating alerts from home sensors that notify of possible unsafe events without constant in-person supervision. They find virtual provider visits more convenient and efficient. The Alzheimer’s Association has connected the family to legal assistance and adult day programs providing socialization for Clay and needed breaks for his wife. However, they report needing more support navigating insurance barriers and transportation to appointments, which I will focus on improving through care coordination. Overall, this fair, unbiased feedback method helps refine the intervention to meet Clay’s values, preferences, autonomy, dignity, and comfort – the core of patient-centered care (Sun et al., 2021).

Use of Evidence and Literature

To ensure a rigorous, evidence-based foundation for this capstone project, I extensively researched peer-reviewed literature on Alzheimer’s interventions utilizing the academic databases PubMed and CINAHL. I gathered randomized controlled trials, systematic reviews, cohort studies, and qualitative research, analyzing the impacts of diverse interventions from multiple scientific journals. This comprehensive literature review provided scientific grounding for my proposed solutions integrating technology like GPS trackers and telehealth, care coordination programs, and community partnerships (Bormans, 2021).

For example, meta-analyses by Lee et al. (2020) reinforced care coordination strategies to reduce unnecessary and burdensome ER visits and hospitalizations for dementia patients. A randomized trial by Loon‐van Gaalen et al. (2021) demonstrated telehealth’s ability to lower ER admissions by facilitating regular provider check-ins. Synthesizing this high-level evidence-guided planning, an intervention that met Clay’s multifaceted needs through established, effective modalities. It allowed me to innovate while adhering to best practices that maximize clinical outcomes, system efficiency, coordination, safety, patient-centeredness, and ethical care delivery. This research-guided approach promotes optimal, sustainable solutions for Clay’s Alzheimer’s amidst an escalating public health crisis (Chen, 2021).

Project Planning and implementation

My capstone project’s planning and implementation are firmly grounded in evidence-based practice, as demonstrated through my extensive literature review synthesizing high-quality research on Alzheimer’s interventions. The multifaceted plan incorporating GPS tracking, telehealth platforms, care coordination, and community partnerships directly aligns with proven modalities shown effective through randomized trials, systematic reviews, cohort analyses, and qualitative studies. Referring Clay’s family to adult day programs is supported by research demonstrating reduced caregiver stress and nursing home placement. Allowing rigorous data and best practi