Category: BSN

NURS FPX 4900 Assessment 6 Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Intervention Presentation and Capstone Video Reflection Hello everyone, I am —–, a registered nurse at Alhambra Hospital Medical Center. In this video presentation, I aim to contemplate a capstone project for addressing my mother’s diabetes. She is 60 years old with a medical history of hypertension, which is under controlled by medication. Her current symptoms of excessive thirst, weight loss, and tingling sensation in her toes and fingers made us doubtful of diabetes. Undergoing an HbA1c test, she confirmed her diagnosis of diabetes when her fasting blood glucose level appeared to be 280mg/dL. Her unhealthy lifestyle, genetics, and old age were probably the reasons for acquiring type 2 diabetes mellitus. This capstone project’s assessment will highlight how the intervention plan developed for my mother contributed to her diabetes management, along with the details of the complete journey of addressing her diabetes.  Role of Intervention in Patient’s Satisfaction and Quality of Life The curative strategy proposed for my mother in diabetes treatment was remote monitoring of her condition together with a telehealth-based Diabetes Self-Management Education and Support program. These two interventions played a significant role in lowering my mother’s blood glucose levels. DSMES enhances the health literacy level of diabetes in patients and empowers them to take care of their diabetes, leading to enhanced satisfaction and better quality of life (Rauh, 2020). Similarly, remote monitoring permits healthcare professionals to track and monitor patient’s health conditions, treatment adherence, and symptom management. This leads to improved quality of care and quality of life. Ultimately, the patient’s satisfaction increases as his health outcomes are improved (Rhoden et al., 2022).  My mother, who was recently diagnosed with diabetes, needed education and awareness on what diabetes is and how it can be self-managed by lifestyle modifications. Her lifestyle required intricate changes in diet and physical activity. She reported that remote monitoring helped her consistently improve her physical exercise. Furthermore, it improved her adherence to the prescribed medication plan. My mother’s health literacy on diabetes was poor, and upon taking the DSMES program from nurses on telehealth, she claimed that this program helped her enhance her knowledge of her health condition. This prevented her from eating processed food and replacing it with healthier alternatives. She also found it convenient to receive care treatments through telehealth as she lived far from the hospital, and the daily commute would be difficult for her in this old age. Overall, the experience of this care treatment plan enhanced patient satisfaction and improved her quality of life.  Use of Evidence-based Literature in Planning Capstone Project The proposed remote monitoring intervention and DSMES program delivery via telehealth is theoretical and substantial. Various authors in research have claimed the efficacy of remote monitoring in diabetes to be practical (Su et al., 2019). Others have positive reviews on the improved quality of life by DSMES programs with telehealth in diabetes. In one study, the effectiveness of remote monitoring in diabetes was conducted for patients with badly managed type 2 diabetes (Amante et al., 2021). The patients were connected to glucose meters, transferring data to cloud-based databases that healthcare professionals quickly analyzed. The results indicated that remote monitoring improved HbA1c levels in enrolled patients and enhanced treatment satisfaction (Amante et al., 2021). This literature resource inspired me to take advantage of digital health technologies and remotely monitor my mother’s diabetes when I am on nursing duty at the hospital. NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection Likewise, another evidence-based study delved into using telehealth in navigating care for diabetes and its education. The article highlighted the telehealth-based DSMES programs and how they helped patients with diabetes (Drobycki & Roseman, 2021). The findings showed that virtual education in diabetes care with the DSMES program resulted in more effective care than traditional care. The benefits of this strategy included that patients did not need to commute, and scheduling healthcare sessions was easy. Furthermore, the patients could acquire individualized care, significantly reducing the economic burden. The overall services of telehealth-based DSMES programs showed positive patient satisfaction (Drobycki & Roseman, 2021).  Another systemic review on using DSMES apps to manage diabetes through education and support was done by the authors. The results showed that using mobile apps for DSMES improved patients’ adherence to treatment plans, and diabetes was well managed in patients (Nkhoma et al., 2021). This facet of telehealth informed me to deliver the DSMES program by using telehealth services to my mother, following this approach as her old age wanted home-based care where she did not have to travel regularly. Using these evidence-based studies as substantial resources, I crafted the proposed plan considering their potential benefits in improving diabetes. Leveraging Healthcare Technology in Capstone Project This section entails the degree to which I maximized the use of healthcare technology to manage my mother’s diabetes. With more outstanding advancements in digital technologies, healthcare systems are not lagging. Digital technologies have improved health literacy and advanced care strategies (Dunn & Hazzard, 2019). Telehealth and remote monitoring are the widely used healthcare information technologies that have increased patients’ motivation to adhere to care plans and enable them to be more self-empowered to improve their chronic health conditions (Randall et al., 2020). Therefore, I opted for these healthcare technologies to manage my mother’s condition and manage her disease symptoms by regular monitoring of her medication adherence behavior and compliance with treatment plans and lifestyle modifications. Further improvements can be brought with healthcare technologies, including making digital healthcare user-friendly, such as adding translations to improve their understandability (Awad et al., 2021). Additionally, the changes can include integrating mobile app-based diabetes to enhance self-care behaviors Jeffrey et al., 2019). Moreover, it can include diabetes management with the help of wearable technologies to monitor physical activity and provide reminders on improving overall healthy habits (Rodriguez-Leon et al., 2020). Influence of Health Policy in Planning and Implementation of Project  Various healthcare policies impacted the organizing,

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Summary of Patient’s Health Problem  This capstone project is focused on an in-depth analysis of my mother’s type 2 diabetes, which was recently diagnosed at Alhambra Hospital Medical Center, where I also work as a registered nurse. My mother is 60 years old and has been experiencing excessive thirst, unintentional weight loss, and tingling sensation in her toes and fingers. Upon laboratory investigation, her fasting blood glucose test of 280 mg/dL confirmed type-2 diabetes mellitus. Her past medical history revealed she was a hypertensive patient, which was under control due to consistent medication adherence. Delving into the lifestyle and personal history, it was found that my mother had been living a sedentary lifestyle with no adequate physical activity, frequent alcohol consumption, and intake of an unhealthy diet.  I selected this problem as the focus of my project because it is a global health issue, and half of the individuals with diabetes are older (Bellary et al., 2021). Moreover, this healthcare issue is particularly relevant to me both professionally and personally, as a large number of patients admitted to my hospital have chronic diseases, including diabetes. Diabetes kills 1.6 million people globally and is considered the top ten causes of death universally (Oguntibeju, 2019).  Additionally, this healthcare problem holds significant value as the patient, in this case, is my mother, and I want to deliver the best nursing practices to treat her diabetes. Therefore, I will strive to create the best solution tailored to her preferences and health needs.  Role of Leadership and Change Management in Treating Diabetes  Diabetes mellitus can be well treated healthcare professionals such as physicians and doctors exhibit leadership in providing patient-centered care treatments. This involves considering patients’ preferences and healthcare needs while devising care plans and interventions. Moreover, healthcare professionals such as nurses can take leadership roles such as diabetes educator roles in providing patient education on diabetes management such as guiding on lifestyle changes, including diet and physical activity, and supporting these changes (Mercer et al., 2019). Likewise, change in management is essential to treat diabetes, such as integrating technologies to facilitate diabetes care in terms of improving medication adherence and lifestyle changes. Furthermore, organizational changes such as fostering a culture of interdisciplinary collaboration, enhanced communication, and educating healthcare professionals on patient empowerment to promote diabetes self-care are essential roles of change management in diabetes (Barbosa et al., 2021).  NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution The proposed intervention developed for my mother includes remote monitoring of diabetes and the provision of Diabetes Self-Management Education and Support (DSMES) through telehealth. Leadership strategies such as transformational leadership influenced the development of this intervention as it directed nurses in making decisions considering patients’ health needs and preferences and led to delivering patient-centered care through the devised intervention plan (Mushtaq et al., 2021). The change management strategies, such as changes in lifestyle modification for diabetes management, informed me about providing DSMES for my mother (Kloss et al., 2022). Nursing ethics, such as beneficence and non-maleficence, also influenced the development of this intervention. Beneficence is related to a patient’s well-being and improved health through safe and effective care treatments. Non-maleficence directs healthcare providers not to cause deliberate patient harm and to be vigilant in delivering care treatments (Jokinen et al., 2020). These nursing ethics also guided me in preparing an intervention plan that promotes the well-being of my mother and improves her diabetes without causing her any harm (Jokinen et al., 2020).  Strategies for Communicating and Collaborating with Patients Chronic healthcare issues like diabetes require a vast patient engagement in regular glycemic control and to improve health outcomes by preventing diabetes-associated comorbidities (Hong et al., 2020). Therefore, healthcare professionals must devise strategies that promote communication with patients and enhance their buy-in to promote adherence to the proposed treatment plan. These strategies include actively listening to patients about their health concerns to build a bond of trust and rapport, which will further improve their collaboration. Furthermore, healthcare professionals must use plain and simple language to communicate with patients and make medical terms easily understandable by patients (Hong et al., 2020). This will educate patients about their disease and enhance their comprehension of the role of the proposed intervention in improving health outcomes for their diabetes (Ndjaboue et al., 2020). Additionally, shared decision-making enables patients to collaborate with healthcare professionals in promoting patient-centered care as their preferences on treatment options are valued along with their health needs (Lambrinou et al., 2019).  NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution The interdisciplinary teams, such as physicians, pharmacists, nurses, fitness experts, and nutritionists, will all play their roles in providing patient-centered care. Nurses will undermine patients’ health status and provide care treatments as per patients’ health demands and desires (Hong et al., 2020). A nutritionist will delve into the patient’s dietary preferences and tailor meal plans that include healthy nutrients and are palatable to the patient. Fitness experts will guide patients on weight management and exercises to maintain regular weight. Physicians and pharmacists will collaboratively plan a pharmacological plan for patients to manage diabetes (Hong et al., 2020).   These strategies will improve my mother’s collaboration when she is heard attentively and knows her diabetes and its treatment by communicating in simple language. This is necessary as my mother’s input in medication adherence and lifestyle modification must be obtained in achieving the desired outcomes of well-managed diabetes and prevention of diabetes complications such as peripheral neuropathy, blindness, and foot infections. The benefits of my mother’s input will lead to better glycemic control when a patient-centered care plan is developed per her preferences. Shared decision-making and patient-centered care will increase the chances of adherence to the treatment plan, leading to an enhanced probability of improving diabetes health outcomes (Kim et al., 2019).  State Board Nursing Practice Standards and/or Governmental or Organizational Policies

NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Introduction In this assessment of the capstone project, diabetes management in my mother’s case will be discussed, considering the use of technology, care coordination, and community resources. With the continuous breakthroughs in healthcare technologies, chronic diseases can be well managed using these technological tools. Likewise, care coordination is essential to providing holistic care to diabetic patients to ensure their blood glucose levels are consistently regulated. Additionally, diabetics can improve their health by leveraging community resources, which will be highlighted in the assessment. Impact of Healthcare Technology on Diabetes  Healthcare technology or digital health technology tools are playing a vast role in enhancing diabetes management and prevention. Mobile health (m-health) is one example of healthcare technology impacting diabetes positively by delivering health services to diabetics through mobile phones or wireless devices. This is possible by providing reminders through instant messaging, using applications tailored to diabetes management, and wearable technologies to monitor vital signs, blood glucose levels, and physical activity estimation. Healthcare providers are connected with patients through technologies, providing diabetes care and monitoring remotely. They can also provide diabetes education, self-management, and lifestyle modification intervention through telehealth, enhancing remote access to care and patient engagement (Shan et al., 2019).  Advantages and Disadvantages of Remote Monitoring and Telehealth Teleconsultation and remote monitoring enhance clinical efficacy and patient accountability by improving access to remote care. These technologies also overcome geographical barriers and provide access to care for patients in distant areas. This is important in my mother’s case as she is living far from the central city and needs to commute to access care in the hospital (Kelly et al., 2020). Other benefits of m-health (using apps and reminders) include better monitoring and management of diabetes through mobile apps made for diabetes, such as reminder apps to stay consistent in lifestyle modification and promote medication adherence (Shan et al., 2019).  However, some studies present opposing views. The disadvantages of these technologies are the high costs associated with enabling the use of m-health and telehealth which pose social inequalities to patients who are financially weak and are unable to utilize them (Khilnani et al., 2020). The financial resources are required to obtain mobile phones and a strong internet connection. Moreover, connectivity issues may occur on either side of providers and patients, hindering the effective use of these technologies. These technologies create a gap in in-person consultation, and patients may become unsatisfied due to a lack of face-to-face interactions with healthcare providers (Sharma et al., 2022). Current Professional Practice In my professional practice of nursing care, healthcare providers have leveraged the use of these technologies and provided remote monitoring services and teleconsultations. The nurses delegated to endocrinology departments are mainly involved in providing telehealth sessions for diabetics who cannot commute to healthcare systems. These strategies have resulted in improved health outcomes such as better glycmeic control, prevention of cardiovascular problems, and diabetes-associated complications.  I have seen similar benefits and drawbacks of telehealth, m-health, and remote monitoring. Patients and healthcare providers encounter several barriers, including poor affordability due to financial constraints, and cannot leverage the benefits of these technologies enabling home healthcare. They also encounter technological barriers, such as weak connections that hinder patient-provider engagement (Phillip et al., 2020). Lastly, the patients need more knowledge on utilizing these phone technologies. Remote monitoring and telehealth also incur considerable costs in the initial integration and maintenance of these technologies associated with obtaining smartphones, enabling high-width internet and educational training and programs to use these technologies and apps effectively (Walker et al., 2021). Despite the negatives, my mother can utilize these technologies to manage her diabetes as she has been an active user of smartphones. However, she needs further education on using specific apps in the initial phase. This can be done by collaborating with nurse informaticists who can guide her on using new applications for diabetes management such as utilizing apps on lifestyle modifications or medication adherence. This will enable her to use these applications efficiently with adequate knowledge and maintain healthy lifestyle and promote medication adherence. Ultimately, my mother’s self-care and empowerment will improve, enhancing diabetes management.  Use of Care Coordination and Community Resources to Improve Diabetes Care coordination and community resources are essential for addressing diabetes and present multiple benefits to patients with diabetes. Care coordination is the delivery of joint and collaborated care to patients to provide holistic care and enhance recovery. Likewise, community resources are the tools that diabetics and healthcare providers can utilize to improve diabetes management. These community resources are the American Diabetes Association, local diabetes support groups, and DSMES programs provided by healthcare facilities and clinics.  Benefits of Care Coordination and Use of Community Resources   In diabetes, care coordination is pivotal as patients require multidisciplinary care comprising medication therapy from physicians, pharmacists, and nurses, dietary management from dieticians, and lifestyle modification, including education on self-management and physical activity from nurses and physiotherapists. By inculcating coordinated care, healthcare professionals can deliver patient-centered care, essential for improving diabetes through self-management.  Developing care coordination plans through joint efforts of healthcare professionals also leads to better glycemic control, reduced diabetes-associated problems, and improved quality of life. This occurs when patients are receiving appropriate medication therapy for diabetes from the interdisciplinary collaboration of physicians, pharmacists, and nurses, resulting in regulated blood glucose levels. Furthermore, lifestyle modification through nurses’ educational programs and practical assistance from dieticians and fitness experts, results in improved quality of life in diabetics. Since coordinated care plans are based on patient-centeredness, it will likely result in patient adherence to medication and treatment plans, eventually improving blood glucose regulation. NURS FPX 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations Such a result prevents diabetic complications such as blindness, peripheral neuropathy, and cardiovascular problems, ultimately saving the additional costs associated with treating these complications (McLendon et al., 2019). However, some critics have

NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Introduction This assessment of the capstone project discusses the case of my mother, who recently got diagnosed with diabetes, and how it impacts the quality of care, costs to hospital setting, and patient and patient safety. The discussion will proceed to policies from nursing state board practice and government that impact diabetes care, patient safety, and cost. Furthermore, the assessment includes strategies to improve the quality of care and patient safety and reduce costs to healthcare systems and patients. Diabetes’ Impact on Quality of Care, Patient Safety, and Costs to System and Individual Type 2 diabetes is a chronic health disorder that requires ongoing care and adherence to medication and treatment.  The nurses and other healthcare professionals are expected to monitor patients’ blood glucose levels intricately for effective management. Furthermore, it requires consistent modification to a healthy lifestyle where patients must intake healthy food and practice physical activity. When healthcare professionals fail to educate and convince patients about diabetes care, the quality of care is badly impacted. Diabetes effective care requires care coordination from a multidisciplinary team of physicians, nurses, dieticians, endocrinologists, pharmacists, and fitness experts, This is necessary for providing comprehensive care to diabetics to avoid gaps in treatments (Bilous et al., 2021). In the case of my mother’s diabetes, the quality of care was due to fragmented care coordination while she had not been instructed about diabetes self-management, as she wasn’t monitored at her home.  NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Patient safety is another paramount factor that is impacted by diabetes. If left untreated, diabetes can lead to hyperglycemia, which causes peripheral neuropathy, blindness, and life-threatening conditions such as ketoacidosis (ADA, n.d.). Hence, poorly managed diabetes impacts patient safety. In the case of my mother, her safety is at stake as her unhealthy lifestyle and poor control of blood glucose levels can lead to these complications. Similarly, patients suffering from diabetes may bear direct medical costs, including medications and medical supplies for monitoring blood glucose levels. Furthermore, a healthcare organization can incur indirect costs due to the need for specialized care for diabetes emergency room visits and increased hospitalization visits. About $237 billion is spent on direct medical costs annually, and a further $90 billion is incurred by the US nation due to reduced productivity (CDC, 2020). This shows the financial burden of diabetes on healthcare organizations and patients cumulatively. My mother is suffering from considerable costs due to medications, monitoring devices, and purchasing healthy food. This is leading to financial constraints, requiring monetary assistance for managing healthcare expenditures. State Board Nursing Practice Standards and/or Organizational/ Governmental Policies and Their Impact on Care Quality, Patient Safety, and Costs The California Board of Registered Nursing has provided standard guidelines in the Nursing Practice Act Section 2725, guiding nurses in improving quality of care and patient safety. The standard guidelines state that registered nurses must collaborate with healthcare providers to care for patients with chronic diseases like diabetes. Furthermore, they must monitor the patient’s health records for outcome evaluation and further treatments. This will enable them to monitor diabetics’ consistent fluctuations of blood glucose levels that can be regulated accordingly, improving the quality of care provided (California Board of Registered Nursing, n.d.). The American Diabetes Association also provides guidelines on diabetes, such as measuring blood glucose levels through A1C tests and estimating their status of standard, pre-diabetes, and diabetes. These guidelines help nurses evaluate the current diabetes condition in patients based on regularly monitored blood glucose levels (ADA, n.d.). Furthermore, it provides resources on diabetes education, which nurses can avail to provide education and support to patients for diabetes self-management. These guidelines help improve the quality of care and enhance patient safety as patients strictly adhere to treatment plans and control their diabetes (Alshammari et al., 2021). The Affordable Care Act (ACA) helps patients manage their financial burden due to diabetes as it has policy provisions on providing health insurance coverage to low-income people through Medicaid and Medicare expansion. NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Moreover, the ACA has provisions in policies about pre-existing conditions like diabetes, which bound health insurers not to charge higher premium prices to these patients. Consequently, they can obtain medication for diabetes at a low price (Furmanchuk et al., 2021). This is helpful in the case of my mother’s diabetes, as exorbitant costs can be alleviated through this policy. This also facilitates hospitals as more and more diabetics will be able to manage their condition without worrying about financial constraints. The healthcare systems will tolerate less diabetes burden, leading to better allocation of resources for managing other patients and contributing to lowering costs overall in the organization.  Nursing scope of practice describes nurses on their responsibilities, duties and activities towards patient care. These activities are governed by certain guidelines and policies. The aforementioned policy and guidelines will impact the nursing scope of practice as nurses will acquire better knowledge of managing diabetes and improve the quality of care, ultimately enhancing patient safety. The guidelines from the ADA will inform them about choosing a particular intervention that can manage diabetes and guide patient-centered care. Furthermore, the availability of financial assistance will enable patients to seek care treatment from nurses and can select an intervention for them based on their health needs and preferences.  Strategies to Improve Quality of Care, Enhance Patient Safety, and Reduce Costs The evidence-based strategies to treat diabetes in my mother, which will ultimately improve quality of care, enhance patient safety, and reduce costs, must be investigated and implemented. These strategies include diabetes self-management education and support (DSMES) program and adherence to medication therapy. Diabetes self-management education and support program is an evidence-based strategy that can potentially improve the quality of care among patients and enhance safety. The DSMES program involves nurses

NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Identification of Patient Healthcare Issue  This capstone project aims to tackle type 2 diabetes in my mother case. My mother is 60 years old patient, who experienced excessive thirst, tingling sensation in his toes and fingers, and unintentional weight loss around a year ago. After that, I took her to the laboratory for a fasting blood glucose test. Her laboratory investigations were conducted, and her fasting blood glucose was 280 mg/dL (higher than the normal range of 70-100 mg/dL) with HbA1c 10%. This showed that my mother was suffering from type 2 diabetes. Her treatment occurred in Alhambra Hospital Medical Center, where I worked as a registered nurse. Her history showed she was a hypertensive patient, effectively controlled by medication medication adherence was the only factor that maintained his blood pressure. However, her sedentary lifestyle, lacking physical activity, alcoholism, and unhealthy diet is a crucial factor that needs to be addressed. Another important issue in my mother’s case is our middle-class background, where financial responsibilities doesn’t allow her to effectively manage the disease condition.  NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Type 2 diabetes is a common health problem experienced by older people. In 2019, about 19.3% of the population aged 65-99 suffered from diabetes. Moreover, the incidence rates of type 2 diabetes in elderly people will increase to 195.2 million and 276.3 million by 2030 and 2045, respectively (Sinclair et al., 2020). This shows that type-2 diabetes is highly relevant to our professional practice, which many older people experience later in their aging lives. Furthermore, diabetes is a significant healthcare issue that impacts patients’ quality of life.  Diabetes, if left untreated, leads to various complications, such as eye blindness, peripheral neuropathy, kidney damage, and mental health issues (Centers for Disease Control and Prevention, 2022). As a baccalaureate-prepared nurse, this problem is relevant to my nursing practice personally and professionally. Many diabetes cases are admitted regularly due to their high prevalence, and I provide nursing care treatment to them daily. Moreover, it relates to me personally as my mother is a diabetic patient. Therefore, I am on a grave mission to provide care, treatment, and support to my mother in improving his diabetes.  Evidence-Based Approach to Guide Nurses Nurses play a significant role in managing chronic conditions like diabetes as they are primary caretakers who monitor consistent changes in patients’ health, deliver medication, and provide supportive care. Managing diabetes requires a multifaceted approach of medication adherence, lifestyle modification, and constant monitoring of blood glucose levels. Nurses can educate patients on modifying their lifestyles, particularly patients like my mother, who indulge in unhealthy eating habits and alcohol consumption. This is possible by providing counseling sessions and educating patients on self-management behaviors where they are actively involved in improving their lifestyles, such as enhancing their intake of fruits and vegetables instead of processed food (Hermanns et al., 2020). Additionally, they can collaborate with dieticians to create healthy meal plans that consider patient preferences to make a patient-centered care plan. These actions can be introduced into my mother’s life, and her lifestyle can be modified by providing her with DSMES programs. This will educate her about the harmful impact of consuming alcohol and processed food in her daily life and empower her to take care of her health. Furthermore, her meal plans can be created considering her preferences and cravings to deliver patient-centered care.  NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Nurses can manage patients’ diabetes by regularly monitoring their blood glucose levels. They can monitor their glucose levels remotely by using a remote monitoring approach. In remote monitoring, patients and healthcare providers coordinate remotely to manage their health conditions. Remote monitoring of blood glucose levels can facilitate patients and nurses as patients need to update their HbA1c levels at home without visiting the hospital (Shehav-Zaltzman et al., 2020). Moreover, nurses can use their time productively by caring for more patients when the monitoring is conducted remotely. Additionally, nurses can engage with diabetic patients in promoting medication adherence to anti-diabetic drugs to regulate their blood glucose levels. By supporting my mother in providing her medication regularly on time, I can help my mother promote medication adherence to her anti-diabetic drugs. Lastly, nurses can provide supportive care to chronic patients of diabetes by connecting them with social support groups for diabetes and physical activity platforms like fitness centers and gyms to improve their physical activity and health conditions (Saffari et al., 2019). This will help my mother be physically more active by engaging her with fitness clubs or support groups where she can connect with people who are also fighting with diabetes and increase her motivation and dedication in managing her diabetes.  Criteria to Evaluate Evidence These sources of evidence can be evaluated based on CRAAP criteria. These criteria test sources’ currency, relevance, authority, accuracy, and purpose. All the sources of evidence used fulfill the CRAAP criteria, as all articles were published in the past five years and are relevant to diabetes care. Furthermore, the authors mainly specialize in chronic care and have sound medical knowledge. Lastly, the results are accurate and statistically proven to draw valuable outcomes in improving diabetes. Moreover, these evidence-based sources aim to improve health outcomes in diabetics and long-term management of diabetes. Barriers to Evidence-Based Practices In implementing the aforementioned evidence-based practices, several potential barriers may be encountered. For instance, the patients may show indifferent attitudes or negligent behavior in practicing self-management of diabetes. They may lack the motivation to quit alcohol and implement a healthy lifestyle (Adu et al., 2019). Moreover, nurses and patients may experience technological barriers in conducting remote monitoring, and they may experience communication barriers due to glitches in technology. Patients may need help to comply with medication