SOAP signature assignment to rewrite for a zero turnitin score.
3
SOAP Note on Mental Health
Name xxx
United State University
Couse xxx
Professors xxxx
Date xxx
Video link
SOAP Note on Mental Health
Patient Initials: P.S. Age: 21; is a Hispanic male who visits the clinic unaccompanied and seems to be a reliable historian.
Subjective
CC: “I am feeling depressed.”
HPI: The patient is a 21-year-old male Hispanic college student. He has complaints of feeling depressed. He says that ever since he broke up with his girlfriend twomonths ago, he has had a broadly depressed attitude and has not been enjoying life to the fullest possible extent. He also reports having trouble sleeping on occasion. He is frequently anxious and overthinks the possibility of ever finding true love. He is now failing exams and scoring poor grades. He denies nightsweats, fever, chills,fatigue, nausea, or vomiting.
Past Medical History
Chronic illness: None
Medication: None
Allergies: No known allergies
Surgeries: None
Social History
He is a college student
Broke up with his girlfriend 2 months ago
Drinks alcohol 1 bottle of beer per day since he broke up with his girlfriend.
Smokes cannabis daily since he broke up with his girlfriend.
Denies smoking tobacco
Family History
His father died in a tragic road accident.
Mother has no known chronic illness
PGF alive has hypertension
PGM diseased, no known chronic illness
MGF diseased, no known chronic illness
MGM diseased, no known chronic illness
Review of Systems
Constitutional: Denies chills, fever, chest pain, or weight loss.
Head: Denies unconsciousness or head trauma.
Eyes: No eye irritation, color blindness, dryness, or copious tears reported. Denies using
corrective lenses.
Ears: Denies experiencing ear pain, ear ringing, discharges, or hearing loss.
Nose: No nosebleed, loss of smell, nasal congestion, or pain reported.
Mouth: Does not experience bleeding gums or mouth wounds.
Throat: No sore throat and hoarseness reported.
Skin: Denies skin rashes, bruises, color changes, or lesions.
Respiratory: He denies having any symptoms of coughing, wheezing, difficulty breathing, or
chest pain.
Cardiovascular: Denies heart palpitations and denies having chest pain or tachycardia.
Genitourinary: Denies having pain, abnormal penile discharge, or urination frequency changes.
Musculoskeletal: Denies having joint pain, muscle pain, or swelling.
Heme/Lymph/Endo: He denies experiencing excess sweating. He denies a history of blood
transfusion.
Neurologic: No dizziness, headaches or tremors, or syncope have been reported.
Psychological: Denies suicidal thoughts or memory loss. Reports depression and anxiety.
Objective
Vital Signs
Blood Pressure: 125/74mmHg Pulse 82. Temperature: 98.5F Respiration 18. SaO2: 99% Height: 55 Weight: 148lbs BMI 24
General appearance: The patient is conscious, oriented, and well-groomed. He seems disturbed.
Head: normocephalic, symmetric, atraumatic
Ears: T.M. intact and pearly gray with the cone of light bilat. Pinna clean, no exudate noted.
Eyes: Normal PERRLA findings. Anicteric sclera.
Nose: No maxillary sinuses, lesions, or bleeding. The mucous membrane is moist.
Throat: No lesions, exudate, or inflammation.
Skin: Soft, warm, supple, and dry. There are no rashes, bruising, or changes in skin color.
Cardiovascular: Normal S1 and S2 sounds. Regular heartbeat.
Gastrointestinal: No palpable masses. Soft, non-distended, and non-tender abdomen.
Respiratory: Lung auscultation indicates no abnormalities. No wheezes
Musculoskeletal: No joints or muscles that are inflamed or stiff.
Extremities: No discernible edema.
Neurological: Gait is normal, and balance is stable. Clear communication with a clear tone of voice.
Psychiatric: He is cooperative, alert, and has a pleasant disposition and conduct.
Assessment
1.
Depression (F33.1)- Depression is characterized by persistent sadness and lack of motivation. Depression, also known as major depressive disorder, can cause a variety of emotional and physical challenges (SAMHSA, 2021). At times, a person may feel that life has no purpose and find it hard to perform daily tasks (SAMHSA, 2021). This is the most likely differential diagnosis as evidenced by symptoms of feeling sadness from the previous breakup, frustration, smoking cannabis and drinking alcohol.
2.
Attention deficit hyperactivity disorder (ADHD) (F90.9)- is one of the most prevalent childhood neurodevelopmental disorders (Cabral et al., 2020). It is most commonly diagnosed in childhood but can last into adulthood if left untreated. Patients with ADHD may struggle to pay attention, control their impulsive behaviors, or engage in an excessive activity (Cabral et al., 2020). The possibility of this diagnosis is due to school inattentiveness and poor grades. However, the differential diagnosis is ruled out because he began scoring low grades after a loss of concentration due to a breakup with his lover.
3.
Substance use disorder (
F19. 10) – is a mental condition that impacts both the brain and behavior of a person, resulting in that person’s inability to exercise self-control regarding the consumption of substances like alcohol, drugsor medications (Kalin, 2020). Likely differential diagnosis is evidenced by the use of cannabis and alcohol consumption (Kalin, 2020). Ruled out by DSM-5 criteria.
Final Diagnosis: Depression
Plan
Diagnostic Tests
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) The DSM-5 defines major depression and substance use disorder as five or more episodes of despair within two weeks and disregarding the negative effects of continued substance use (Dubovsky et al., 2021). The DSM-5 can helps classify and determine the severity of depression or substance use disorders.
Complete Blood Count (CBC) – In some cases, medical illnesses such as anemia, autoimmune illness, or vitamin deficiency can mimic the symptoms of depression. In order to rule out other medical disorders that could be confused for depression, a complete blood count can be beneficial (Selph & McDonagh, 2019). In this case, the patient CBC is normal.
Treatment Plan
Depression symptoms may be treated with venlafaxine tablets or capsules (Bandelow et al., 2022). Patients begin with 75mg/day and gradually increase their dosage to 375mg/day (Bandelow et al., 2022). Therefore, it is recommended that the patient take Venlafaxine 75mg/day ER 1 Tablet twice a day by mouth for one month. The dose will be increased at the next appointment.
Patient Education:
1. To abstain from the use of cannabis and drinking alcohol.
2. Exercises can improve treatment outcomes for many depressed patients (SAMHSA, 2021). Encouraged the patient to have regular exercises, yoga, and meditation.
3. Encouraged to get enough sleep
4. Encouraged to eat a healthy diet (SAMHSA, 2021).
Referral: Referred to a physiotherapist
Follow-up: Return in 14 days for reevaluation, or sooner if symptoms worsen.
Evidence-Based Practice
Introduction
I have chosenthis soap note about mental health because there has been an evident rise in mental health problems on college campuses over the past few years. This trend is considered to be a major mental health crisis that calls for quick intervention. Depression, anxiety, and other forms of behavioral and cognitive disorders are all part of one’s mental health. Students in their twenties are at especially high risk for developing many of the symptoms associated with mental illness. This paper covers three evidence-based articles and practices for diagnosing, preventing and treating common mental health issues, which include insight meditation, stress management, acceptance and therapeutic intervention, behavioral therapy, and counseling.
Evidence-based articles:
Dubovsky, S. L., Ghosh, B. M., Serotte, J. C., & Cranwell, V. (2021). Psychotic depression: Diagnosis, differential diagnosis, and treatment.
Psychotherapy and Psychosomatics,
90(3), 160177. https://doi.org/10.1159/000511348
SAMHSA. (2021).
Prevention and treatment of anxiety, depression, and suicidal thoughts and behaviors among college students. https://archive.hshsl.umaryland.edu/handle/10713/16957
Selph, S. S., & McDonagh, M. S. (2019). Depression in children and adolescents: Evaluation and treatment.
American Family Physician,
100(10), 609617. https://www.aafp.org/pubs/afp/issues/2019/1115/p609.html
Diagnosis
To make a diagnosis of major depressive disorder, theDSM-5criteria must be met (Selph & McDonagh, 2019). These criteria cannot be explained by drug abuse, medication use, or any other medical or mental condition (Selph & McDonagh, 2019). When a teen tests positive on a formal screening instrument or appears with symptoms suggesting a possible depression, the healthcare professional is recommended to determine whether the complaints are due to a severe depressive state or another ailment that could manifest with comparable symptoms. In some cases, medical illnesses such as anemia, autoimmune illness, or vitamin deficiency can mimic the symptoms of depression (Selph & McDonagh, 2019). In order to rule out other medical disorders that could be confused for depression, a complete blood count or thorough metabolic profile panel can be beneficial.
Risk factors
In the 10-24 age group, suicide is the second greatest cause of mortality after unintentional injury (Selph & McDonagh, 2019). There is a link between depression and suicide, but young people who are at risk may go unnoticed until they undergo suicide screening (Selph & McDonagh, 2019). Therefore, these studies have advocated appropriate interventions to prevent suicides.
Management
For mild depression that may not last long, active support like counseling and pharmacotherapy treatment options, helping the patient take care of their own depression is firstly recommended before starting pharmacotherapy (Dubovsky et al., 2021). Depressive symptoms can often be alleviated through physical activity, and numerous studies have found this to be effective in achieving this goal (Dubovsky et al., 2021). Participation in organized exercise has shown potential for relieving depressive symptoms. Exercise and depression have been linked since the early 1900s by scholars (Selph & McDonagh, 2019). Case studies conducted in the past concluded that exercise of moderate intensity should be useful for depression and should result in a happy mood for some individuals. As a result of these studies, that is why we recommended the patient practice regular exercises and refer him to a psychotherapist.
Holistic Approach
A holistic approach to mental healthcare aims to treat the whole person, not just the disease symptoms, rather than just the disease itself (Hughes et al., 2021). Mental health professionals that use a holistic approach to patient care will take a step back to get a more comprehensive picture of their patient’s overall health (Hughes et al., 2021). Health care providers need to be aware of a patient’s lifestyle and relationships to better treat them. Before developing a care plan, it is crucial to comprehend the interrelationships between all physiological systems and lifestyle factors (Hughes et al., 2021). As part of a comprehensive approach to mental health, the patient, family, and community are also supported.
Holistic mental health care offers various advantages to patients. For instance, some individuals with mental health concerns may also feel anxious and have insomnia, exhaustion, and other health problems (Hughes et al., 2021). The treatment process can become more challenging when these physical health problems are accompanied by a mental health condition. Addressing these additional health concerns concurrently improves patient outcomes in each of these areas.
Other patient advantages of a holistic mental health approach include dietary and physical exercise enhancements. These modifications can aid in reducing anxiety, sleeplessness, sadness, and mood swings (Hughes et al., 2021). Utilizing a patient’s thinking as a healing tool. This is accomplished by assisting patients in reframing how they see, understand, and respond to specific circumstances and stimuli. This can be as successful as psychotropic medication administration. Educating how to deal with stress. Typically, stress is a cause of a variety of mental health issues (Hughes et al., 2021). In addition to being crucial for a patient’s overall improvement in health, stress management plays a crucial role.
Patients can alsoget many benefits from taking a holistic approach to psychiatric care, which includes paying attention to how they take care of their spiritual selves. Studies have shown that a strong sense of spirituality fosters self-esteem, enhances motivation, and assists individuals in making meaning of intense interior experiences (Hughes et al., 2021). According to medical studies, spiritual persons engage in fewer self-destructive activities such as drug and alcohol abuse, gambling, and taking unnecessary risks.
Examples How to Collaborate with the Patient’s Family and Other Members and Cultural Factors.
For best care in these complex conditions, both patients and physicians must be involved in which we involved the patient and our clinical team, whereby we refer the patient to a psychotherapist to help the healing (Bombard et al., 2018). Clinicians provide information and recommendations based on their scientific knowledge of therapy and intervention options, as well as their knowledge of prospective outcomes (Bombard et al., 2018). We should have involved the family and cultural considerations because it has the first-hand experience with the benefits and drawbacks of various treatments in light of the patient’s unique set of circumstances and preferences (Bombard et al., 2018). To choose the appropriate care choice, it is necessary to gather data from both sources.
Patient-centered treatment does not entail agreeing to every request. An important part of this process is to interact with the patient and develop an open line of communication about the information that is available as well as the decisions that will be made (Bombard et al., 2018). There are many factors that go into providing patient-centered care, and it can be difficult and time-consuming to include everyone who has a stake in the patient’s well-being in that process.
Jean Watson Caring Process Considering our Patient
Jean Watson suggests that compassion regenerates vital energy and bolsters our capacities (Wei & Watson, 2019). The benefits are immense and promote both personal and professional self-actualization. We must also remember that Watson highlights the importance of taking care of oneself in order to take care of others; self-healing is an essential step for restoring our vitality and recharging our mental bank (Wei & Watson, 2019). Taking care of others is a win-win situation for everyone involved: patients, families, and health caregivers. As a result, we believed that showing compassion tothe patient and encouraging him to care for himself as a form of self-healing could help him generate vital energy.
Representative of a Holistic Approach to Our Patient
As a representative of a holistic approach, we used treatment strategies focusing on energy or movement-based, biological, or anchored in functional nutrition. We implemented dietary modifications and nutritional supplements as a change in lifestyle; we encouraged mind-body exercises like yoga and tai chi, physical exercise, discussion, art, and massage treatment. We also involved other clinicians as part of this therapy whereby we referred our patient to a psychotherapist. In addition, we should have included the family in the therapeutic planning process.
In conclusion, both psychotherapy and antidepressants are common forms of treatment for depressed teens. We also used the holistic approach strategies, which took everything into account. Our plan focused on mental, emotional, physical, spiritual, and social health. We thought that one plan could not work without the other. That is why, in addition to pharmacotherapies, we also used exercise management and counseling. Exercise’s antidepressant effects are still up in the ability to reduce symptoms of depression. During exercise implementation, follow-up interaction may also be necessary. Henceforth, motivation and encouragement for exercise activity can be greatly enhanced.
References
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., Onate, K., Denis, J.-L., & Pomey, M.-P. (2018). Engaging patients to improve quality of care: a systematic review. Implementation Science: I.S., 13(1). https://doi.org/10.1186/s13012-018-0784-z
Dubovsky, S. L., Ghosh, B. M., Serotte, J. C., & Cranwell, V. (2021). Psychotic depression: Diagnosis, differential diagnosis, and treatment.
Psychotherapy and Psychosomatics,
90(3), 160177. https://doi.org/10.1159/000511348
Hughes, S., Rondeau, M., Shannon, S., Sharp, J., Ivins, G., Lee, J., Taylor, I., & Bendixsen, B. (2021). A holistic self-learning approach for young adult depression and anxiety compared to medication-based treatment-as-usual. Community Mental Health Journal, 57(2), 392402. https://doi.org/10.1007/s10597-020-00666-9
Kalin, N. H. (2020). Substance use disorders and addiction: Mechanisms, trends, and treatment implications.
The American Journal of Psychiatry,
177(11), 10151018. https://doi.org/10.1176/appi.ajp.2020.20091382
SAMHSA. (2021).
Prevention and treatment of anxiety, depression, and suicidal thoughts and behaviors among college students. https://archive.hshsl.umaryland.edu/handle/10713/16957
Selph, S. S., & McDonagh, M. S. (2019). Depression in children and adolescents: Evaluation and treatment.
American Family Physician,
100(10), 609617. https://www.aafp.org/pubs/afp/issues/2019/1115/p609.html
Wei, H., & Watson, J. (2019). Healthcare interprofessional team members’ perspectives on human caring: A directed content analysis study. International Journal of Nursing Sciences, 6(1), 1723. https://doi.org/10.1016/j.ijnss.2018.12.001Cabral, M. D. I., Liu, S., & Soares, N. (2020). Attention-deficit/hyperactivity disorder: diagnostic criteria, epidemiology, risk factors and evaluation in youth.
Translational Pediatrics,
9(Suppl 1), S104S113. https://doi.org/10.21037/tp.2019.09.08
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Assignment: Capstone Project Presentation
message for instructions
2.2
Impacting Factors Tool
Stakeholder Identification and Engagement Strategies to Secure Support
Stakeholders:
Patients/ Resident
Nurses
Psychiatric physicians
Dietitian
Social workers
Unit manager
Engagement strategies to secure support would be to:
Collaborate with the nursing staff and explain the plan clearly on how to improve depression on newly admitted seniors at Lydia healthcare.
Educate the stakeholders on early assessment for depression, and the use of exercises and diet to eradicate depression on mental ill seniors.
This strategy will be cost-effective to implement because it will eliminate high rates of suicide as well as increase the census rate. I believe these strategies will be effective in getting everyone involved in the plan.
SWOT Analysis
Strengths
The primary strength is the passion and commitment of the team.
Good communication channels between family, patients and the staff.
The team is composed of experts in the field of mental health, psychology, dietitian, and social work.
Weaknesses
A lack of awareness of the issue among key stakeholders, including mental ill seniors, their families, and the staff who support them (Vafaeinasab et al., 2022).
A lack of resources to effectively engage all stakeholders in the issue.
Lack of nurses and other staff to take care of mentally ill residents.
Opportunities
The opportunity to raise awareness about the problem of depression in seniors with mental health issues.
The opportunity to engage all stakeholders in the issue and secure their support for taking actiontoimprove mental health and psychological well-being for seniors.(Chen & Xu 2020).
Improve seniors overall wellness.
Decrease the number of seniors with depression.
Improve nurse and patient interaction.
Threats
Poor implementation may result from uncertainty about the cost and services offered when engaging a personal trainer.
The efficient execution of this plan may be hampered by newly admitted seniors switching from their personal doctor and their medical diagnostic.
If a recommendation calls for the use of a public or outdoor exercise facility, the availability and rules of that facility will determine how well the plan is carried out.
Financial Implications of the Capstone Project
Patient financial impact: There is no patient financial impact.
The facility’s expenses will include the cost of bringing on a personal trainer who comes in 2 times a week for 3 weeks. This will be an estimated cost of about $180.
Potential income: The facility will avoid needless medical expenses associated with misdiagnosed or incorrectly diagnosed depression.
The prospective revenue will exceed the project’s possible cost.
External Influencing Factors
There are a number of external factors that could influence the success of the project. Some of the external factors that could influence the project include:
External Stakeholder Engagement
Patients, family members, mental health specialists, and general health workers (Tyndal et al., 2018).
Engagement with the stakeholders should be done during the first stage of the planning.
State/Federal Regulations
The set legislation will influence the outcome of the project
Examples include Food and Drug Administration regulations
Accreditation
The presence of accreditation bodies such as the Joint Accreditation committee will influence the outcome of the policies
Examples include National Patient Safety Goals.
Outcome statement for the capstone project
A special assessment of seniors with mental illness who are also exhibiting depressive symptoms will be done by 10% of the workforce. Conduct and observe seniors as they work out for 30 minutes, three times a week, doing things like stretching and stair climbing. Assure the elderly have an adequate diet. At the end of each shift, all shifts will record and submit their report. After eight weeks, the entire report will be assessed to determine whether we succeeded in lowering senior residents with mental illnesses’ rates of depression to 5%. The number of individuals who have demonstrated improvement in engaging in the facility’s socially organized events will be used to measure this.
No modifications were needed for this outcome
Evaluation plan for the capstone outcome
The evaluation process will involve assembling all of the shift reports. This objective will be achieved if all of the report’s findings lower the incidence of depression below 5%.
No modifications were needed for this outcome
3.4
Capstone Project Work Schedule
Activities
Target Date
Choose a topic for a planned change by outlining a problem in detail, coming up with ways to address the issue in order to bring about the desired change, formulating a problem statement, and setting a desired outcome utilizing a SMART objective.
9/3 /22
Identify the stakeholders who will be engaged in the change, as well as any necessary physical resources, time resources, and financial resources, to determine whether the change is feasible.
9/5/22
To examine the intended change and present evidence-based research to support the need for a change, meet with the project facilitator.
9/12/22
Analyze the most recent weekly admission records of elderly patients who have mental illnesses and exhibit depressive symptoms.
9/15/22
To introduce planned change and provide evidence-based information to justify the need, meet with internal stakeholders (nurses, nursing assistants, dietitians, social workers, personal trainers, unit managers, and mental physicians). At this time, I was also able to gather input on the intended result and respond to queries and worries.
9/19/22
Examine the current obstacles to tool implementation, such as staffing, financial and facility issues.
9/21/22
Determining on inclusion and exclusion standards for patients who will follow a nutrition and exercise plan. To locate the finest solutions for the elderly who are mobile and immobile, I will rely on the personal trainer’s advice. Every senior will receive a recommended diet from the dietitian.
9/22/22
To analyze our progress and make sure we are following the expected plan, I will have a second meeting with the project facilitator.
9/26/22
To discuss the need for educational meetings to mobilize seniors with depression and staff members to ensure suitable practices are used for safety, I will met with the unit manager, trainer, and dietician.
9/27/22
Second meeting to discuss roles of each staff member during project implementation with internal stakeholders (nurses, nursing assistants, dietitians, social workers, personal trainers, unit managers, and psychiatric physicians).
9/29/22
I will be turning my blueprint into an action plan over the course of the next four weeks, including an exercise routine and food recommendations for seniors with depression. It will progress as the resident is able and include several phases. Upon admission, the resident will be evaluated to determine the best phase for them. Exercise and dietary progress will be made during the resident’s stay as determined by the inclusion/exclusion criteria. A daily 30-minute x 3 days walk, yoga aerobics, and stretching exercises will comprise the first phase. The second phase includes dancing, swimming, and climbing. The third stage will involve senior outdoor activities, movie outings, and bowling. Following each workout session, residents will consume the proper amount of calories and nutrients for their bodies through a balanced meal. During the implementation of this plan, the nurses, trainers, and nutritionists will be the senior residents with depression’s strongest supporters. The seniors with depression will have their actions observed and recorded.
9/30/22-10/28/22
After the strategy is in place, I will visit the unit three times each week to examine any obstacles or worries the team may have at this time.
10/29/22
Examine the team’s records from the 30 days of the strategic plan’s implementation for depression reduction (nurses, nursing assistants, dietitians, social workers, personal trainers, unit managers, and psychiatric physicians) to see if the outcome was met.
10/31/22
4.3
Discussion: Capstone Project: Risks and Challenges Web Page
Identify Any Challenges with Implementing the Capstone Project You Have Experienced
One of the challenges I experienced with implementing our capstone project was Scope creep. This is when the scope of the project expands beyond the original content. I addressed this challenge by having weekly meetings with my team to discuss the project’s progress and ensure everyone was on track(Heagney, 2016). Another challenge I faced was a lack of resources. I addressed this by being creative with my resources and reaching out to my stakeholders for help.
Discuss Potential Risks and Challenges That May Threaten Your Capstone Project.
Three primary sources of change could potentially impact my capstone project: schedule, cost, and scope. The schedule for my project is very tight, and any delay could cause significant problems. I need to ensure that all my team members are aware of the schedule and working diligently to meet deadlines(Heagney, 2016). The cost of my project is another potential risk. I need to make sure that I can get the necessary funding in place in order to complete the project. The scope of my project is also a potential risk. I need to ensure that I do not try to take on too much and am realistic about what I can achieve.
Explain How Real or Potential Risks and Challenges Fit into the Triple Constraints Triangle?
Risks and challenges can fit into the “triple constraints triangle” in several ways. First, they can impact the schedule of the project. For example, if a team member gets sick and cannot work, this could delay the project. Second, risks and challenges can impact the project’s cost(Heagney, 2016). For example, if a key piece of equipment fails and needs to be replaced, this could increase the project’s cost. Finally, risks and challenges can impact the scope of the project. For example, if a risk materializes and causes significant damage, this could reduce the project’s scope.
Describe A Contingency Plan Including Specific Strategies to Manage the Real or Potential Risks and Challenges to Your Project.
A contingency plan is a plan that is put in place to deal with potential problems that may arise during a project. One strategy is to have a backup plan for key team members in case they cannot work(Heagney, 2016). Another strategy is to have a contingency fund that can be used to cover unexpected costs. Finally, it is important to be flexible and willing to adjust the project scope if necessary.
Based On Your Assessment of Risks and Challenges, what, If Any, Changes Are Needed to Your Strategic Plan or Timeline?
Based on my assessment of risks and challenges, I may need to change my strategic plan or timeline. I may need to add some additional buffer time into the schedule to account for potential delays(Heagney, 2016). I may also need to increase the size of my contingency fund to cover unexpected costs. Finally, I may need to be flexible and be willing to adjust the project scope if necessary.
5.3
Capstone Project: Financial Impact and Sustainability
What is the current financial impact of your capstone project on the organization and the patient? Explain current costs involved with project implementation, and how those expenses are being funded. (Be sure to include the cost of both human and material resources, as well as savings realized through the initiative.
The project’s progress is tracked using an estimate, and without a plan, there is no control. (Heagney 2016). Reducing the depression rate among newly admitted senior residents to 5 % will have some financial impact on the organization.Implementing the project will increase the organization’s budget for the year.The income lost by the facility in the area of decreased census rate, increase in hospitalization and suicidal rate, will be more than the change in change project cost. Before starting the project, it is crucial to let the residents know of the cost to them; this will enable the residents to make informed choices and increase the likelihood of compliance with the project. Luckily there will be no financial cost to be incurred by the residents to implement this project. Rather all the residents will have to contribute their time and willingness to participate. The project is being implemented by 10% of the workforce which includes nurses, social worker, dietitian, personal trainer, unit manager, and psychiatric physician that are required to work extra 30 minutes three times a week. This is estimated to cost the facility an additional $3000.00 in payroll over eight week period. The estimated cost of weekly staff meetings, educating, and training staff to document the result of the project plus the cost of procuring additional exercise equipment is $2000.00. When compared to the income from one depressed resident that was paying $3000.00 a month ($3000.00×2 months = $6000.00) per resident, you will find out my plan has a positive financial impact of $1000.00 on the budget of the facility. But if the plan achieved its goal of reducing depression to two people out of 10 residents, the positive financial impact will then be 8 x$6000.00= $48000.00 income -$5000.cost= $43000.00 profit for the current year.
.What is the future financial impact of your capstone project on the organization and the patient?Explain projected costs necessary to sustain the change project, and how those expenses will be funded.(Be sure to include the cost of both human and material resources, as well as savings projected for the future.)
My capstone project will have a major positive financial influence on the facility’s and the resident’s future financial standing. This is due to the estimated $5000.00 cost of both materials and human resources that will be required to maintain the change project. While my proposal, which aims to prevent 8 out of 10 residents from developing depression, will earn $6000.00 for each resident prevented ($48000 for 8 residents). Therefore, even if one resident is kept out of depression, the financial prognosis for the future appears to be quite advantageous. The resident incurs no financial expense because all that is required of them is their time and willingness to participate in the change project.
Identify and explain any modifications to the capstone project that are necessary because of financial considerations.
The facility won’t put in an indoor pool for the senior resident due to financial constraints. The seniors will instead be given a membership card to a local private gym so they can go indoor swimming as a modification to the change project. The employees who will be watching over the elderly residents will travel with them on a facility bus.
Describe the project-related activities you want to sustain after your NUR-495 coursework isComplete, and explain how sustaining these elements of the project will benefit the organization.Include specific resources, stakeholders, and collaboration necessary to sustain your changeInitiative.
The project-related activities I would like to sustain after the NUR-495 coursework iscompleted would be to encourage the Facility to continue to carry out the three phases of exercise that my plan recommended. Sustaining these project elements will benefit the facility because the exercise will improve the overall well-being of the resident health and decrease depression and suicidal rates. This recommendation will then routinely be carried out by 10% of the workforce which include nurses, dietitian, trainer, social worker, unit manager, and psychiatric physician.
6.3
Capstone Project: Evaluation
My strategic plan is to reduce the rate of newly admitted seniors with mental illness who exhibit symptoms of depression from 100% (10) to 5% (2) by October 28th, 2022. This plan will involve three thirty-minute phases of exercise 3x a week and diet to achieve the goal. The exercise and diet will be monitored and recorded by nurses, social workers, personal trainers, psychiatric physicians, dietitians, and unit managers.
The evaluation approach entails comparing and assessing the behavioral occurrences of seniors with depressive symptoms from previous years before the exercise and dietary plan was put into place, as well as data collected eight weeks after the process started. The nurses, social workers, personal trainers, psychiatrists physicians, dietitians, and unit managers. Will keep an eye on and record every workout and dietary change to make sure the elderly residents involved are adhering to the new method. It will be decided whether the depression rate decreased to 95% after examining their data. The examination will be placed on October 31st, 2022.
The evaluation records kept during admission and the assessment records kept at the conclusion of the plan will be used to gather the data. If the documentation demonstrates a significant decrease in the depressive symptoms of eight out of ten seniors with mental illness displayed at the conclusion of the implementation, the strategy has been successful. Analysis of the information gathered from the social participation record will be another tool (SPR). The documentation of the stages of exercise and nutrition regimen was done in SPR. If the SPR at the end of the plan’s implementation shows a 95% increase in social involvement from the SPR at the start, the objective has also been met.
The information is credible because the three phases of exercise are done 3x a week with dieting. The assessment log is recorded by the nurses, social workers, and psychiatric physician during the initial admission of the resident. The SPR is documented at the start of every exercise by the nurses and personal trainer. The unit manager checks all the recordings of every other team member to ensure it was filled out correctly. The only limitation in the evaluation plan is if the staff that went out with the seniors to the local swimming pool forgot to fill out the SPR. The information can be found and easily entered into the chart by using the records of the local swimming pool census sheet. At this time, I have only had one staff forget to fill in their SPR charting. I think the project has continued to run smoothly from that point and does not need further modification or clarification.