Category: BSN

NURS FPX 4905 Assessment 5 Reflection Questions Name Capella university NURS-FPX4905 Capstone Project for Nursing Prof. Name Date Reflection Questions Wellness and Disease Prevention Reflect on the health promotion and disease prevention interventions you witnessed in your practicum site, as it relates to the social determinants of health most prevalent in your community. What did you see? What does this time mean to you as a professional nurse in your role? During my practicum at The Longevity Center, I observed a strong emphasis on preventive health practices and individualized wellness strategies, particularly within the scope of regenerative medicine. The facility prioritized early detection of health risks, including hormonal imbalances, autoimmune triggers, chronic inflammation, and nutrient deficiencies. These health risks were often linked to prevalent social determinants of health in the community such as financial hardship, poor nutrition, and varied levels of health literacy. The organization implemented comprehensive intake assessments and encouraged patients to adopt lifestyle modifications while tailoring treatment plans to prevent disease onset. However, one noticeable limitation was the lack of system-level interventions to address broader social inequities, such as community-wide access to health resources. This highlighted the need for greater collaboration between healthcare systems and public health agencies to bridge disparities. This practicum significantly shaped my nursing perspective. I realized that disease prevention and clinical outcomes are inseparably linked, especially in regenerative medicine where proactive care is crucial. I learned that prevention strategies must extend beyond medical factors to also consider social, psychological, and environmental influences. My role as a nurse was not confined to bedside care but expanded to educator, advocate, and collaborator, promoting health equity and interagency cooperation. This experience reinforced the idea that nursing care should blend scientific knowledge with compassionate, preventive thinking. Chronic Disease Management Reflect on the integration of interprofessional team-based care as it relates to chronic disease management in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role? At The Longevity Center, I encountered a multidisciplinary approach to managing chronic diseases such as metabolic syndrome, autoimmune disorders, and hormonal dysfunction. Patients received personalized care plans designed and executed collaboratively by physicians, nurse practitioners, nutritionists, wellness coaches, and laboratory specialists. The team coordinated care through shared electronic health records and engaged in frequent interdisciplinary meetings to review patient progress, lab results, and care adjustments. This ensured proactive management, especially in therapies like hormone optimization or peptide protocols that demanded continuous monitoring. Despite these efforts, challenges persisted, particularly in standardizing communication protocols and ensuring timely responses to critical updates. For me as a nurse, this was a transformative learning opportunity. It emphasized that nurses act as a central link in team-based care, bridging communication gaps, educating patients, and monitoring symptoms. I recognized the value of nurses as connectors who align treatment goals across disciplines while safeguarding continuity of care. This experience deepened my appreciation for coordination, trust, and consistency as pillars of chronic disease management and strengthened my confidence in leading patient-centered initiatives to improve long-term outcomes. Table 1: Team-Based Chronic Disease Management at Practicum Site Discipline Involved Role in Care Delivery Collaborative Outcome Physicians Diagnose, prescribe, oversee treatment plans Clinical accuracy in diagnosis and intervention Nurse Practitioners Ongoing assessment, patient education Early detection of changes in condition Nutritionists Develop diet and lifestyle modifications Improved dietary adherence and disease management Wellness Coaches Support motivation and behavioral changes Enhanced patient engagement in self-care Laboratory Professionals Conduct tests and provide diagnostic support Informed decisions based on accurate lab reporting Regenerative and Restorative Care Reflect on the acute management of illnesses such as stroke, mental illness, and falls in your practicum site. What did you see? What does this time mean to you as a professional nurse in your role? Although The Longevity Center primarily focused on regenerative and preventive practices, I was able to witness elements of restorative care for patients in acute health situations. These included cases of chronic fatigue, fall-related injuries, and mood disturbances. While the facility did not directly manage acute stroke or psychiatric emergencies, it supported recovery by employing interventions such as platelet-rich plasma therapy, peptide protocols, hormone balancing, and stem cell treatments. Mental health care was addressed through neurotransmitter assessments and referrals for counseling, though psychiatric pathways lacked the structured framework often present in physical health management. For fall-related injuries, regenerative strategies aimed to restore mobility and improve independence, aligning with the clinic’s mission of functional recovery. NURS FPX 4905 Assessment 5 Reflection Questions This experience broadened my understanding of acute care within the lens of long-term recovery and healing. I realized that acute management extends beyond crisis stabilization to include planned restorative interventions that emphasize physical, mental, and emotional well-being. As a nurse, I learned to evaluate not just the clinical symptoms but also the psychosocial context of recovery, reinforcing the need to guide patients with both expertise and empathy. Hospice and Palliative Care Reflect on end-of-life nursing and advanced illness and hospice care in your practicum site. While hospice and palliative care were not central services at The Longevity Center, I observed cases where patients with progressive, irreversible illnesses such as severe autoimmune conditions or advanced fatigue syndromes shifted toward comfort-focused care. In these situations, the care model transitioned from curative goals to supportive measures emphasizing symptom relief, dignity, and quality of life. The clinic applied elements of palliative nursing, including comfort, dignity, and shared decision-making, but lacked a formal structure for hospice care. Discussions about advanced illness planning occurred inconsistently and could be improved through earlier and systematic communication. The clinic’s culture of vitality occasionally posed challenges in shifting toward end-of-life acceptance. This experience profoundly shaped my nursing practice. I learned that palliative care is not about giving up but about prioritizing what matters most to the patient—comfort, autonomy, and peace. I realized that even in environments centered on rejuvenation, nurses must be equipped to provide compassionate, flexible, and patient-centered end-of-life care. It reaffirmed the nursing responsibility to guide these delicate conversations and ensure dignity for individuals facing terminal illness. References American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). ANA. National Academies of Sciences, Engineering, and Medicine. (2021). The future of nursing 2020–2030: Charting a path to achieve health equity. The National Academies Press. https://doi.org/10.17226/25982 NURS FPX 4905 Assessment 5 Reflection Questions World

NURS FPX 4905 Assessment 4 Intervention Proposal Name Capella university NURS-FPX4905 Capstone Project for Nursing Prof. Name Date Intervention Proposal The Longevity Center is a wellness-oriented clinical practice that emphasizes regenerative medicine by offering therapies such as hormone replacement, advanced diagnostics, cellular rejuvenation, and preventive interventions. Its patients represent a diverse population seeking individualized and proactive health solutions. However, a major concern within the practice involves diagnostic delays, particularly in complex cases where timely recognition and treatment are critical. This proposal outlines a comprehensive intervention that utilizes technological integration and workflow restructuring to minimize diagnostic delays and optimize patient outcomes (Sierra et al., 2021). Identification of the Practice Issue Delays in diagnosis often occur when patients present with multiple or ambiguous symptoms. In regenerative medicine, this lag can reduce treatment efficacy in procedures like peptide therapy, bioidentical hormone replacement, and stem cell-based interventions. Timely identification of hormonal imbalances, nutrient deficiencies, and autoimmune triggers is vital for successful treatment. Assessments at the site revealed fragmented communication and lack of prioritization protocols, which resulted in delayed interpretation of lab results and prolonged treatment planning (Sierra et al., 2021). Current Practice At present, The Longevity Center depends heavily on manual and paper-based processes. Patient intake relies on handwritten forms, which are later entered into the electronic health record (EHR), raising the risk of incomplete or lost information. Lab results are reviewed manually without an automated alert system, which means urgent abnormalities may be overlooked. Moreover, the absence of a Clinical Decision Support System (CDSS) forces staff to rely on non-standardized workflows, creating inconsistencies in diagnostic accuracy and timeliness. Table 1 Current Practice vs. Gaps Area of Practice Current Method Identified Gaps Patient Intake Paper-based, manually entered into EHR Risk of data loss, delays Lab Result Review Manual review, no alerts Critical values missed Clinical Decision-Making Based on clinician judgment alone No CDSS to support decisions Workflow Standardization Non-standardized, varies by provider Care variability, inefficiency Proposed Strategy The primary solution involves implementing a standardized diagnostic intake system integrated with a CDSS. This approach directly addresses issues of delayed lab interpretation, inconsistent documentation, and unstructured decision-making. Standardized intake will ensure uniform, complete data collection, while CDSS integration will provide automated alerts, evidence-based recommendations, and prioritized case management (Wolfien et al., 2023). Key elements of the strategy include: Digitalized intake process integrated into the EHR. Staff training to recognize red flags and document patient history systematically. CDSS integration to flag abnormal labs, suggest evidence-based pathways, and prompt timely interventions. Regular interprofessional huddles to review flagged alerts and coordinate treatment plans. IT support to maintain seamless integration with minimal disruption (Khalil et al., 2025). Impact on Quality, Safety, and Cost The implementation of this strategy will enhance quality, safety, and financial sustainability of care delivery. Table 2 Impact of Intervention Dimension Expected Improvement Quality Accurate, timely diagnosis; reduced omissions; alignment with evidence-based regenerative medicine Safety Automated alerts for abnormal results (e.g., cytokine spikes, hormonal deficiencies); improved interdisciplinary communication Cost Reduced unnecessary tests (\$100–500 per test avoided); prevention of costly acute episodes (\$8,000–\$15,000 per case); long-term savings outweigh initial investment This system ensures patient outcomes are improved while reducing unnecessary procedures and increasing patient satisfaction (White et al., 2023). Role of Technology The CDSS-EHR integration is the cornerstone of this intervention. This technology allows for: Real-time guidance by flagging abnormal lab results and offering tailored recommendations. Seamless access to patient records to prevent duplication and improve diagnostic precision. Shared dashboards that enhance communication during interdisciplinary rounds. Analytics tools for identifying workflow bottlenecks and continuously improving processes (Derksen et al., 2025). By minimizing human error and reducing cognitive burden, the CDSS ensures that regenerative protocols—such as PRP injections, cellular therapies, or hormonal optimization—are guided by timely, accurate data (Klein, 2025). Implementation at Practicum Site A phased implementation plan is recommended. Initially, a pilot phase will introduce standardized intake and CDSS for a small group of providers. Feedback will be collected, and workflows will be refined before full deployment (Klein, 2025). Anticipated Challenges and Solutions Challenge Description Solution Staff Resistance Staff may prefer current manual methods Leadership buy-in, interactive training, peer champions Financial Limitations High upfront cost for CDSS integration Grants, phased licensing, partnerships with academic institutions Technical Integration EHR-CDSS compatibility issues Early IT involvement, test environments before full rollout Interprofessional Collaboration The proposed intervention requires robust interprofessional cooperation. Nurse practitioners and nurses: Manage intake, document history, identify red flags. Physicians: Define regenerative diagnostic pathways and oversee clinical integration. IT staff: Ensure smooth CDSS-EHR integration and customize features. Administrative personnel: Organize training sessions and monitor compliance. Daily interdisciplinary huddles using shared dashboards will promote real-time discussions on flagged results, ensuring patient safety and precision in regenerative care (Makhni & Hennekes, 2023). Table 3 Team Roles in Implementation Professional Group Primary Role in Intervention Nurses/NPs Standardized intake, patient history documentation Physicians Clinical oversight, diagnostic criteria definition IT Staff CDSS-EHR integration, system maintenance Administrators Scheduling, training, compliance monitoring Conclusion The intervention—centered on standardized intake procedures and CDSS integration—addresses diagnostic delays by improving accuracy, timeliness, and communication at The Longevity Center. It enhances patient safety, lowers costs, and supports individualized regenerative medicine. Success depends on strategic planning, staff engagement, and interdisciplinary collaboration. This project highlights the leadership role of BSN nurses in promoting evidence-based clinical change. References Derksen, C., Walter, F. M., Akbar, A. B., Parmar, A. V. E., Saunders, T. S., Round, T., Rubin, G., & Scott, S. E. (2025). The implementation challenge of computerised clinical decision support systems for the detection of disease in primary care: Systematic review and recommendations. Implementation Science, 20(1), 1–33. https://doi.org/10.1186/s13012-025-01445-4 Ghasroldasht, M. M., Seok, J., Park, H.-S., Liakath Ali, F. B., & Al-Hendy, A. (2022). Stem cell therapy: From idea to clinical practice. International Journal of Molecular Sciences, 23(5), 2850. https://doi.org/10.3390/ijms23052850 Hermerén, G. (2021). The ethics of regenerative medicine. Biologia Futura, 72(1), 113–118. https://doi.org/10.1007/s42977-021-00075-3 Khalil, C., Saab, A., Rahme, J., Bouaud, J., & Seroussi, B. (2025). Capabilities of computerized decision support systems supporting the nursing process in hospital settings: A scoping review. BMC Nursing, 24(1), 1–15. https://doi.org/10.1186/s12912-025-03272-w Klein, N. J. (2025). Patient blood management through electronic health record [EHR] optimization. In EHR Optimization for Patient Care (pp. 147–168). Springer Nature. https://doi.org/10.1007/978-3-031-81666-6_9 Makhni, E. C., & Hennekes, M. E.

NURS FPX 4905 Assessment 3 Technology and Professional Standards Name Capella university NURS-FPX4905 Capstone Project for Nursing Prof. Name Date Technology and Professional Standards Technology and professional standards are central to improving healthcare quality, safety, and efficiency. In regenerative medicine—where diagnostic procedures are complex—effective use of modern technologies combined with adherence to nursing standards ensures timely, accurate, and patient-centered care (Kantaros & Ganetsos, 2023). This discussion highlights the contributions of BSN-prepared nurses in addressing diagnostic delays at The Longevity Center. It explores how process improvement, professional standards, and interprofessional collaboration can mitigate delays. Additionally, it reviews the role of government guidelines, current technologies, literature-based solutions, and the challenges of implementing new diagnostic tools in clinical practice. Role of the BSN-Prepared Nurse in Process Improvement and Professional Standards BSN-prepared nurses at The Longevity Center are key players in ensuring diagnostic precision and timely care delivery. Their role emphasizes compliance with professional standards while actively engaging in process improvement initiatives. Nurses contribute by: Conducting comprehensive patient intake assessments. Accurately interpreting blood panels. Thoroughly evaluating patient histories. Identifying diagnostic process gaps and suggesting ethical, evidence-based improvements. These actions align with the American Nurses Association (ANA) Code of Ethics, which emphasizes accountability, patient advocacy, and the promotion of safe, effective care (American Nurses Association, 2025). Example of Nursing Interventions Failure to promptly interpret Longevity blood panels or inconsistent documentation may result in missed treatment opportunities. To address this, BSN-prepared nurses help standardize patient history collection, monitor diagnostic workflows, and communicate clinical concerns directly to providers. Even though they may not always have decision-making authority, their involvement strengthens continuity of care and fosters improved patient outcomes. Interprofessional Collaboration in Regenerative Healthcare At The Longevity Center, interprofessional collaboration significantly enhances diagnostic accuracy and treatment outcomes. This collaboration involves nurses, nurse practitioners, physicians, and administrative personnel. During the practicum experience, collaboration included reviewing patient charts, discussing diagnostic findings, and evaluating patient readiness for regenerative procedures such as platelet-rich plasma (PRP) or stem cell injections. Nurses play an integral role in these discussions by providing input on clinical observations and patient intake data. Strengthening Collaboration Future improvements include: Interdisciplinary case huddles for real-time decision-making. Shared digital platforms for seamless care coordination. Consistent follow-up protocols to reduce diagnostic errors and communication gaps. Structured communication reduces delays, enhances diagnostic precision, and increases patient satisfaction. Research also shows that interprofessional integration supports safer practices by preventing overlooked data and fragmented communication (Kantaros & Ganetsos, 2023). Government Agency Recommendations Government and regulatory bodies provide essential guidance on addressing diagnostic delays. Agency Recommendations Relevance to The Longevity Center The Joint Commission (2021) Promote accurate and timely diagnosis, effective caregiver communication, and standardized intake processes. Helps address lack of uniform patient intake and diagnostic clarity. Agency for Healthcare Research and Quality (2024) Advocate clinical decision support tools, evidence-based protocols, and data-driven care. Encourages adoption of decision-support technology to reduce diagnostic variability. National Database of Nursing Quality Indicators (Montalvo, 2020) Stress timely assessments, accurate documentation, and collaboration. Reinforces nursing responsibility in preventing diagnostic delays and ensuring quality outcomes. Collectively, these agencies emphasize early intervention, standardized workflows, and collaborative care as vital strategies for reducing errors and improving patient outcomes. Current Technology Utilized The Longevity Center currently uses three primary technologies for diagnostics and patient care: Technology Application Limitations Ultrasound Imaging Guides regenerative procedures such as PRP and stem cell injections with precision. Limited integration with diagnostic records. Electronic Health Records (EHRs) Store patient histories, lab results, and progress notes. Lack of interoperability; requires manual data entry and verification. Longevity Blood Panel Assesses inflammation, hormones, micronutrient levels, and metabolic health. No automated alerts for abnormal results; delays in analysis. While these tools provide baseline support, their lack of integration and absence of decision-support features contribute to delays and missed opportunities for early intervention (Yamada et al., 2021). Literature-Based Technology Recommendations for Improving Diagnostic Delays Current literature highlights innovative tools to enhance diagnostic efficiency in regenerative medicine. Technology Pros Cons Clinical Decision Support Systems (CDSS) Real-time alerts, automatic abnormal result flagging, evidence-based recommendations. High costs, customization needs, alert fatigue. AI-Assisted Diagnostics Rapid analysis of large datasets, improved pattern recognition, higher accuracy in complex cases. Costly, privacy concerns, limited staff familiarity. Remote Patient Monitoring (RPM) Tracks ongoing health data, detects early warning signs, enables personalized care adjustments. Patient adherence issues, technical glitches, EHR integration challenges. Studies confirm that while these tools improve accuracy and speed, their effectiveness depends on adequate training, funding, and careful integration into workflows (Nosrati & Nosrati, 2023; Petrosyan et al., 2022). Potential Implementation Issues and Solutions for New Diagnostic Technologies Introducing CDSS, AI diagnostics, and RPM devices at The Longevity Center may face challenges such as cost, staff resistance, and system compatibility. Issue Challenge Solution Financial Cost High investment for software, licensing, and hardware. Seek grants, phased implementation, or partnerships with tech vendors. Staff Resistance Unfamiliarity with tools, fear of workload increase. Conduct structured training, provide technical support, and encourage staff involvement in pilot testing. Data Integration EHR incompatibility with new systems. Upgrade systems or adopt third-party integration solutions. Privacy & Compliance Concerns with AI and large data sets. Ensure HIPAA compliance, adopt secure data management practices. Gradual implementation, pilot testing, and phased rollouts will help overcome barriers while maintaining regulatory compliance and staff confidence (Petrosyan et al., 2022). Conclusion BSN-prepared nurses are vital in reducing diagnostic delays by applying professional standards, advocating for process improvement, and ensuring accurate data interpretation. At The Longevity Center, interprofessional collaboration fosters holistic care and timely treatment decisions. While current technologies provide a foundation, their lack of integration and decision-support capacity limits efficiency. Adoption of CDSS, AI, and RPM tools—supported by structured training, financial planning, and regulatory compliance—will advance diagnostic precision and patient outcomes in regenerative medicine. References Agency for Healthcare Research and Quality. (2024, November). Clinical decision support. https://www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html American Nurses Association. (2025). Code of ethics for nurses. https://codeofethics.ana.org/home NURS FPX 4905 Assessment 3 Technology and Professional Standards Kantaros, A., & Ganetsos, T. (2023). From static to dynamic: Smart materials pioneering additive manufacturing in regenerative medicine. International Journal of Molecular Sciences, 24(21). https://doi.org/10.3390/ijms242115748 Montalvo, I. (2020). The National

NURS FPX 4905 Assessment 2 Define and Analyze Your Healthcare Process Problem or Issue of Concern Name Capella university NURS-FPX4905 Capstone Project for Nursing Prof. Name Date Define and Analyze Your Healthcare Process Problem or Issue of Concern The practicum experience at The Longevity Center provides an opportunity to gain exposure to integrative and regenerative medicine with an emphasis on natural interventions and patient-centered approaches. This placement allows for hands-on involvement in exploring how regenerative therapies can address chronic conditions by targeting underlying causes rather than just symptoms. The focus is on skill development, participation in clinical decision-making, and observation of how innovative medical models can enhance diagnosis, treatment, and long-term outcomes. This assessment explores the practicum setting, clinical and operational decision-making processes, and a central process challenge—diagnostic delays—that affects both care quality and regenerative medicine outcomes. Practicum Setting Overview The practicum site, The Longevity Center, is an integrative medical facility combining traditional practices with advanced regenerative medicine. Its mission is to optimize wellness and restore health by using approaches such as stem cell therapy, platelet-rich plasma (PRP) injections, and anti-aging strategies. The center serves a diverse clientele: some patients seek preventive and wellness-focused care, while others present with chronic health conditions requiring regenerative interventions (The Longevity Center, 2024a). The clinical team consists of three full-time providers who operate in a collaborative, team-based structure. Despite its small size, the staff engages in personalized care planning, frequent case discussions, and troubleshooting of treatment responses. The center also emphasizes continuous learning, offering resources such as literature reviews, podcasts, and practical experiences. This supportive environment strengthens clinical judgment, critical thinking, and patient management skills. Table 1 Overview of Practicum Setting Aspect Details Facility Type Integrative and regenerative medicine clinic Patient Population Preventive/anti-aging clients and chronically ill patients Care Approach Patient-centered, evidence-informed, natural and regenerative therapies Clinical Team Three full-time providers; collaborative treatment planning Learning Environment Access to podcasts, research, and experiential clinical training Clinical and Operational Decision-Making at The Longevity Center Clinical and operational decisions are intertwined at the center. Clinically, providers determine whether regenerative therapies such as PRP or stem cell treatments are suitable, the timing of interventions, and the dosage required. These choices depend on thorough diagnostics, including specialized blood panels and imaging technologies (The Longevity Center, 2024b). Operational decisions, on the other hand, focus on patient flow, scheduling efficiency, supply management, and accurate documentation. As a practicum participant, I observed and contributed to case discussions, learning how providers balance diagnostic information with real-time patient responses. For example, ultrasound feedback during PRP injections may require immediate procedural adjustments to ensure accuracy (Majewska et al., 2025). Clinical monitoring outcomes include reduced inflammation, faster tissue repair, and improved musculoskeletal function. Patient-reported outcomes, such as pain scores, mobility testing, and satisfaction surveys, guide treatment effectiveness and quality improvements (The Longevity Center, 2024a). Identifying a Process Issue Related to Diagnosis and Outcomes in Regenerative Care A major process challenge at The Longevity Center is the delay and inconsistency in diagnosing complex conditions—particularly those related to autoimmune disorders, chronic pain, and fatigue syndromes. Unlike conventional hospitals with structured diagnostic protocols, the center often treats patients who have already visited multiple specialists without success. These patients typically arrive without a definitive diagnosis but with persistent symptoms that significantly reduce their quality of life. The issue is compounded by the fact that conventional care models often treat symptoms rather than root causes, leading to misdiagnosis or partial diagnosis. For example, a patient with chronic joint pain may have previously been prescribed long-term pain medication or advised surgery, overlooking regenerative alternatives such as PRP therapy that could restore joint function (Dutra et al., 2025). Table 2 Diagnostic Process Issue at The Longevity Center Problem Area Description Diagnostic Delays Time-consuming intake and reassessment required for most new patients Inconsistent Evaluations Lack of standardized diagnostic protocols compared to conventional hospitals Patient History Gaps Many patients arrive without accurate or complete prior assessments Impact on Care Slower initiation of regenerative therapies, delayed relief, and reduced trust This diagnostic gap is a critical concern because it leads to longer suffering, reduced mobility, higher psychological stress, and mistrust of the healthcare system. Slawomirski et al. (2025) highlight that misdiagnosis or delayed diagnosis can consume up to 17.5% of healthcare expenditures in OECD nations. For The Longevity Center, resolving this process gap is essential to improving patient outcomes and ensuring efficient care. Impact Analysis of Diagnostic Delays on Quality, Safety, and Cost Delays in diagnosis significantly affect care quality, patient safety, and healthcare costs. Without standardized protocols, new patients experience delays that postpone regenerative interventions. This affects quality, as regenerative therapies must be precisely matched to patient conditions to be effective (Popescu et al., 2021). From a safety perspective, delayed or incorrect diagnoses may result in untreated inflammation, worsening autoimmune conditions, or permanent tissue damage. Patients who have already undergone multiple failed treatments elsewhere may also be at higher risk for side effects and complications when entering regenerative care (Kvarnström et al., 2021). Financially, the cost burden is high for both the clinic and patients. Additional diagnostics, prolonged care, and repeat assessments strain clinic resources. Patients also face high out-of-pocket expenses, as many regenerative procedures are not covered by insurance. PRP procedures can cost between \$707–\$1,797, while bone marrow–derived therapies can exceed \$4,000, creating significant financial stress (Charnoff et al., 2022). Table 3 Impact of Diagnostic Delays Dimension Effect Quality Reduced accuracy in treatment selection; slower initiation of care Safety Risk of untreated chronic conditions, worsening inflammation, or damage Cost Higher expenses for repeat testing, prolonged treatment, and uninsured care Addressing this issue requires streamlined intake processes, standardized diagnostic guidelines, and faster evaluation procedures. These changes would not only improve clinical efficiency but also reduce financial burden and enhance patient trust. Conclusion The practicum at The Longevity Center highlights the transformative role of regenerative medicine in providing patient-centered and minimally invasive care. However, diagnostic delays represent a significant process issue that negatively impacts care delivery, patient safety, and overall efficiency. Streamlining diagnostic protocols is essential to improving outcomes, lowering costs, and maintaining patient trust. By addressing these gaps, the clinic can better fulfill its mission of

NURS FPX 4905 Assessment 1 BSN Practicum Conference Call Worksheet Name Capella university NURS-FPX4905 Capstone Project for Nursing Prof. Name Date BSN Practicum Conference Call Worksheet Learner Name: Preceptor Name and Credentials: Clinic: Longevity Center Phone: Email: Practicum Location: Florida Call Date: July 18, 2025 Attending Call: Meeting Topic The focus of this meeting was on mental wellness healthcare issues, particularly in identifying the most pressing mental health concerns among the aging population. The discussion emphasized integrative and evidence-based strategies aimed at improving patient well-being and promoting positive outcomes through education and targeted interventions. Practicum Goals The practicum goals are designed to assess, educate, and evaluate mental wellness strategies in the aging population. Goal Description Completion Date Goal 1 Assess and identify the most common mental health problems experienced by adults visiting the Longevity Center in Florida. July 20, 2025 Goal 2 Design and deliver an evidence-based wellness education program personalized to patient needs, focusing on reducing stress, addressing anxiety, and promoting lifestyle modifications. August 2, 2025 Goal 3 Measure the effectiveness of implemented mental wellness strategies using patient feedback and follow-up assessments. August 10, 2025 Notes The preceptor highlighted concerns about untreated anxiety and depression among older adults. Mindfulness and behavioral activation strategies were suggested for integration into care plans. Commitment was made to provide screening tools and resources to patients. An additional evaluation is planned for early August to review patient engagement and progress. Practicum Schedule To meet practicum objectives, collaboration with clinical staff and consistent use of validated screening tools are essential. Notes Coordination with staff is required for patient referrals and data collection. Tools such as the PHQ-9 and GAD-7 will guide assessment and follow-up. The preceptor supports a holistic model that considers mental, physical, and emotional health together. Action Items Review patient records to identify wellness trends by July 24, 2025. Develop draft educational materials and submit for preceptor review by August 5, 2025. Schedule a mid-point review meeting with the preceptor by August 7, 2025. Clinical Documentation All documentation will be completed through the clinic’s electronic health record (EHR) system. Mental health screenings, education provided, and interventions will be logged promptly and reviewed for accuracy and quality. Notes Documentation will follow HIPAA standards and confidentiality rules. Evidence-based terminology and validated tools will be consistently applied. A reflective journal will capture learning insights and challenges during the practicum. Action Items Begin EHR documentation training with staff by June 24, 2025. Submit the first documentation log for review at the beginning of August. Maintain a weekly intervention log for inclusion in the final practicum report. Expectations During the practicum, professionalism, collaboration, and evidence-based practice will guide clinical interactions. Notes Regular progress reports must be provided to the preceptor. Active participation in team meetings and case discussions is encouraged. The preceptor will provide structured feedback every two weeks. Action Items Develop a tracking system (Google Docs/Sheets) for monitoring goals. Schedule bi-weekly meetings with the preceptor. Review clinic policies and procedures before engaging with patients. Summary The practicum at the Longevity Center in Florida, under the supervision of [Insert Preceptor’s Name], will emphasize mental wellness care for the adult and aging population. The practicum will include identifying prevalent mental health concerns, implementing evidence-based education programs, and evaluating their effectiveness through patient feedback and follow-up assessments. Documentation will be managed using the clinic’s EHR system in alignment with ethical, legal, and professional standards. Continuous communication with the preceptor, systematic progress monitoring, and bi-weekly feedback will support the successful completion of goals. Ultimately, this practicum will enhance the learner’s ability to deliver comprehensive, patient-centered care with a focus on improving mental health outcomes. References American Psychiatric Association. (2023). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). APA Publishing. Centers for Disease Control and Prevention. (2024). Mental health and aging. https://www.cdc.gov/aging/mental-health Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x NURS FPX 4905 Assessment 1 BSN Practicum Conference Call Worksheet Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092 NURS FPX 4905 Assessment 1 BSN Practicum Conference Call Worksheet

NURS FPX 4065 Assessment 5 Final Care Coordination Strategy Name Capella university NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Final Care Coordination Strategy Care coordination is an essential framework that ensures patients receive continuous, comprehensive, and integrated services across different points of the healthcare system. It is particularly significant for individuals with complex conditions such as mental illness, where fragmentation of care can worsen outcomes. Effective coordination fosters improved health status, reduces inequities, minimizes duplication of services, and enhances patient satisfaction (Garfin et al., 2022). This paper presents a care coordination strategy designed for adults living with mental illness in Florida, a state where approximately 2.9 million adults are impacted by psychiatric conditions (Garfin et al., 2022). The strategy focuses on patient-centered interventions, community partnerships, ethical dilemmas, relevant policy frameworks, and alignment with the Healthy People 2030 objectives. Patient-Centered Health Interventions and Timelines Adults with mental illness in Florida frequently experience comorbid physical conditions, cultural barriers, and psychosocial challenges that hinder recovery. Addressing these concerns requires interventions that are patient-focused, evidence-based, and supported by local resources. Below are three major strategies with community support and measurable timelines. Comorbid Physical Illnesses Adults with serious mental illness (SMI) often suffer from chronic diseases such as diabetes and cardiovascular problems, leading to a reduced life expectancy of 15–20 years (Nielsen et al., 2021). Integrating physical screenings into mental health care is vital to improving overall health. Intervention Plan for Physical Health Screening Focus Area Action Steps Community Partners Timeline Physical Health Monitoring BMI, blood pressure, blood glucose, lipid profile, and smoking status measured regularly Care Resource (sliding-scale services); Caron Florida (integrated screenings); MHACF (linkage to providers) Initiated at intake; follow-up every 3 months Lifestyle Modification Nutrition counseling, exercise planning, and smoking cessation support Care Resource wellness programs Begins within 1 month; ongoing throughout treatment Cultural Stigma and Mental Health Literacy Stigma remains a major barrier to care, particularly in diverse communities where cultural and linguistic barriers discourage treatment (Ahad et al., 2023). Addressing stigma through culturally relevant education promotes early care-seeking and treatment adherence. Intervention Plan for Cultural Stigma Reduction Focus Area Action Steps Community Partners Timeline Culturally Tailored Education Biweekly workshops with multilingual materials and culturally relatable examples NAMI Florida (public awareness programs); MHACF (community outreach); Care Resource (awareness campaigns) Start 2 weeks after diagnosis; every 2 weeks for 6 months Evaluation Pre- and post-session surveys to measure change in knowledge and stigma reduction Program facilitators and peer educators Ongoing during 6-month cycle Emotional Dysregulation Conditions such as depression and anxiety often involve emotional dysregulation. Mindfulness-Based Cognitive Therapy (MBCT) has proven effective in reducing symptoms and preventing relapse. Intervention Plan for Emotional Regulation Focus Area Action Steps Community Partners Timeline MBCT Sessions Weekly group sessions combined with cognitive-behavioral tools Caron Florida (psychological programs); MHACF Outlook Clinic (free MBCT); NAMI Florida (mindfulness initiatives) Initiate within 1 month of diagnosis; weekly for 6 months Outcome Tracking Monitor PHQ-9 depression scores for measurable progress Coordinated care team Goal: 40% improvement over 6 months Ethical Decisions in Designing Patient-Centered Health Interventions Designing interventions for individuals with mental illness requires balancing ethical principles of autonomy, cultural respect, and justice. How do we ensure truly informed consent in individuals who may struggle with comprehension due to their mental state? Patients with psychiatric conditions may have impaired judgment. To maintain autonomy, providers should use simplified language, decision aids, and ongoing consent checks. This ensures patients understand their care choices before agreeing to MBCT, screenings, or lifestyle modifications (Nagaoka et al., 2023). How do we make interventions culturally competent and respectful in a way that does not make patients feel labeled or marginalized? While culturally tailored programs reduce stigma, they may also unintentionally reinforce stereotypes. To avoid this, providers must include patient perspectives in planning, employ peer educators, and adapt programs to local community needs (Ahad et al., 2023). How do we ensure equitable access for all patients? Justice requires that uninsured and underinsured individuals have equal access to care. Partnerships with organizations like Care Resource and MHACF, which offer services on a sliding scale or free of charge, ensure inclusivity and reduce inequities (Care Resource, 2025; MHACF, 2025). Relevant Health Policy Implications Supportive policies reinforce coordinated care: Mental Health Parity and Addiction Equity Act (MHPAEA): Requires mental health coverage equal to physical health care, reducing financial barriers for services like therapy and MBCT (CMS, 2024). Affordable Care Act (ACA): Classifies mental health and substance use treatment as essential benefits, encouraging routine physical screenings for individuals with SMI (Nielsen et al., 2021). Healthy People 2030: Prioritizes mental health promotion, stigma reduction, and equitable access, directly aligning with the outlined care strategy (Healthy People 2030, 2020). Priorities for Care Coordinators in Patient and Family Discussions on Mental Illness Care coordinators should emphasize: Transparent Communication: Explain diagnosis, prognosis, and the importance of routine physical health checks (Nielsen et al., 2021). Cultural Sensitivity: Address cultural stigma respectfully and provide translated educational resources (Ahad et al., 2023). Patient Empowerment: Set measurable goals such as MBCT attendance or stigma-reduction participation, while tracking improvement using tools like PHQ-9 (Liu et al., 2024). Learning Session Content with Best Practices and Healthy People 2030 Learning sessions such as MBCT and stigma-reduction workshops reflect best practices in care. Research recommends supplementing sessions with follow-ups and peer facilitators to improve sustainability (Gkintoni et al., 2025). Cultural relevance is strengthened by peer-led education, where individuals from similar backgrounds share lived experiences, reducing stigma more effectively (Ahad et al., 2023). These methods align with Healthy People 2030 objectives of promoting equity, reducing disparities, and enhancing mental health literacy. Need for Change The initial plan lacks structured feedback systems and peer-led facilitation. Without these, interventions risk being less culturally responsive. Incorporating community-based peer leaders, routine surveys, and open feedback forums will improve patient engagement and ensure alignment with Healthy People 2030 goals (Healthy People 2030, 2020). Conclusion This care coordination strategy for adults with mental illness in Florida emphasizes holistic wellness through physical health integration, stigma reduction, and emotional regulation. By leveraging policies like the ACA and MHPAEA and aligning with Healthy People 2030, the plan ensures ethical, equitable,

NURS FPX 4065 Assessment 4 Care Coordination Presentation to Colleagues Name Capella university NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Care Coordination Presentation to Colleagues Care Coordination (CC) plays a vital role in enhancing patient outcomes and ensuring smooth healthcare delivery across different settings. Nurses act as the connecting link between patients, families, and healthcare teams, fostering communication and continuity of care (Karam et al., 2021). This presentation highlights evidence-based strategies that strengthen collaboration with patients and families, promote positive experiences, and ensure ethically sound care. Nurses remain at the forefront of patient-centered approaches, and CC enables fair, safe, and effective treatment across diverse populations. Evidence-Based Strategies Shared Decision-Making One of the central evidence-based practices in CC is Shared Decision-Making (SDM). This process allows patients and providers to work together when choosing treatment plans. According to Resnicow et al. (2021), SDM requires flexibility since patients differ in how much guidance they need from healthcare providers. Nurses can support SDM by applying practical tools such as: Strategy Nursing Role Patient Impact Decision aids Guide patients through treatment choices Improves clarity and understanding Teach-back method Ensure patients can repeat care instructions Reduces errors and builds confidence Plain language communication Simplify medical information Enhances autonomy and engagement These methods not only foster patient independence but also encourage them to be active participants in their care journey. Cultural Competence in Care Cultural competence is another key factor in effective CC. Nurses must be aware of how cultural traditions, beliefs, and language barriers influence patients’ healthcare behaviors. The U.S. Department of Health and Human Services (HHS) has established standards for addressing the needs of Culturally and Linguistically Diverse (CALD) groups, ensuring equity in healthcare delivery. Examples include: By tailoring care to cultural values, nurses reduce disparities and foster stronger patient-provider relationships. Family-Centered Approaches Family involvement is especially important for patients with chronic conditions such as diabetes, heart failure, or asthma. Nurses can empower families by teaching them disease management, self-care techniques, and preventive strategies. When families receive culturally relevant and easy-to-understand education materials, they can provide consistent support at home, reducing complications and hospital readmissions (Karam et al., 2021). Collaboration with community health workers further enhances the sustainability of this education. Change Management Applying Lewin’s Model Change management in CC is about preparing healthcare teams, especially nurses, to lead improvements that directly benefit patients. Lewin’s Change Model consists of three stages: Phase Description Nursing Application Unfreezing Recognizing the need for change Identify gaps in transitions and prepare staff Changing Implementing new practices Introduce team care models and revise discharge protocols Refreezing Embedding the new norm Ensure permanent adoption through policies and training This model enables nurses to lead change with confidence while maintaining patient safety (Barrow, 2022). Improving Patient Transitions One of the most frequent problems during transitions is poor communication, leading to missed instructions, medication errors, and repeated diagnostic tests. To address this, nurses use tools like SBAR (Situation, Background, Assessment, Recommendation) and provide discharge instructions early in the care process. Unlike older models that focused on satisfaction surveys alone, coordinated care now considers patients’ lived experiences—such as clarity of instructions, pain control, and responsiveness of providers. Small but impactful changes—like simplifying scheduling systems, reducing call-back delays, and ensuring follow-up calls—have been shown to enhance trust and satisfaction more effectively than large organizational overhauls. Rationale for Coordinated Care Coordinated care is grounded in ethical nursing values that emphasize justice, safety, respect, and dignity. The American Nurses Association (ANA) Code of Ethics obliges nurses to safeguard patient rights while providing compassionate, evidence-based care (ANA, 2025). Key ethical principles in CC include: Nurses address barriers such as transportation challenges and language differences by arranging interpreter services, providing accessible discharge instructions, and connecting patients with community resources. Such strategies promote patient compliance, minimize errors, and align care with personal values (Ilori et al., 2024). Ethical decision-making also strengthens trust, reduces conflicts, and builds integrity in nursing practice. Nurses feel more confident and less morally distressed when guided by clear ethical frameworks. Impact of Health Care Policy Provisions Affordable Care Act (ACA) The ACA has transformed healthcare access by expanding Medicaid, requiring coverage for preventive services, and supporting Accountable Care Organizations (ACOs). These changes have allowed more patients to receive care earlier, reducing hospitalizations and improving chronic disease management (Ercia, 2021). Nurses in ACOs coordinate discharge planning, provide patient education, and ensure effective follow-up. HIPAA The Health Insurance Portability and Accountability Act (HIPAA) provides patients with privacy protection. For nurses, HIPAA ensures secure communication while maintaining patient trust. Clear boundaries in data sharing promote respect, encourage patient openness, and enhance coordinated care efforts. Telehealth Policies Following the COVID-19 pandemic, telehealth policies expanded access to care, especially for patients in rural or underserved areas. Nurses now use telehealth for remote symptom monitoring, medication support, and chronic disease follow-ups. This model increases accessibility and strengthens the nurse-patient relationship (Moulaei et al., 2023). Nurse’s Role in Coordination Nurses are the backbone of CC, ensuring patients transition smoothly across care settings. Their responsibilities include: Policy initiatives, such as value-based care models and the CMS Chronic Care Management (CCM) program, place nurses at the center of coordinated efforts. These programs not only improve patient health outcomes but also reduce costs by supporting long-term, nurse-led interventions (Karam et al., 2021). Conclusion Care coordination ensures safer, more effective, and patient-centered care. Nurses serve as leaders in managing transitions and applying evidence-based strategies that enhance quality outcomes. Change management frameworks support sustainable improvements. Ethical principles ensure dignity and autonomy, while policies like the ACA, HIPAA, and telehealth reforms expand access and trust. Ultimately, effective CC empowers patients, strengthens families, and positions nurses as vital advocates within an evolving healthcare system. References ANA. (2025). Ethics and human rights. American Nurses Association. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/ Barrow, J. M., & Annamaraju, P. (2022). Change management in health care. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459380/ Ercia, A. (2021). The impact of the Affordable Care Act on patient coverage and access to care: Perspectives from FQHC administrators in Arizona, California and Texas. BMC Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9 NURS FPX 4065 Assessment 4 Care

NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination Name Capella university NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Ethical and Policy Factors in Care Coordination Hello, I am ——-, and I am honored to present today. I currently work as a care coordinator at the Longevity Center, where we provide education, psychosocial support, and access to essential services for individuals living with mental health conditions. Agenda This discussion explores ethical and policy considerations in coordinating mental health care at the Longevity Center. It covers the significance of multidisciplinary teamwork, examines federal and state policies such as the Baker Act and HIPAA, and highlights the ethical framework provided by the American Nurses Association (ANA) Code of Ethics. Ethical dilemmas, including equity in access and cultural sensitivity, are also examined. Furthermore, the importance of reducing disparities through community collaboration and developing sustainable systems of care is emphasized. Significance of Care Coordination in Chronic Disease Management Care coordination plays a pivotal role in the management of mental health conditions at the Longevity Center. It ensures that patients receive timely, comprehensive, and continuous care across different service areas. Adults with psychiatric conditions often require services from multiple professionals and community-based organizations (Bury et al., 2022). When care is fragmented, patients face increased risks such as worsening symptoms, recurring crises, and elevated healthcare expenditures. In Florida alone, approximately 2.8 million adults are affected by mental illness, and in 2021, nearly 40.9% reported symptoms of depression (NAMI, n.d.). This highlights the pressing need for structured and coordinated interventions. At the Longevity Center, care coordination strengthens access to care, enhances treatment adherence, and reduces avoidable hospitalizations. Governmental Policies’ Effect on Care Coordination Government policies at both state and federal levels shape how mental health care is coordinated at the Longevity Center. Key Policy Influences Policy/Act Purpose Impact on Care Coordination Florida Mental Health Act (Baker Act) Provides crisis intervention and guidelines for psychiatric care Protects patient rights during involuntary psychiatric treatment (Florida DCF, 2024) HIPAA Protects patient health information privacy Allows secure sharing of patient records across care teams (Subbian et al., 2021) Value-Based Care Reforms Promotes preventive care and cost efficiency Encourages early intervention and coordinated behavioral health (Pincus & Fleet, 2022) Additionally, community organizations such as NAMI Florida support patients by offering education, peer navigation, and advocacy services, complementing the work of the Longevity Center. Ethical Questions or Dilemmas for Care Coordination National Policy Provision The Affordable Care Act (ACA) expanded healthcare access and improved quality of care nationwide. However, ethical challenges arise when financial limitations and standardized pathways compromise patient autonomy. For example, value-based models emphasize cost-effectiveness, which may restrict individualized interventions crucial for complex psychiatric cases (Braun et al., 2023). This creates a tension between cost control and personalized care. State Provision Policy Florida’s Medicaid behavioral health programs provide coverage for low-income populations. While they expand access, they also create challenges: delays in referrals, limited specialist availability, and administrative barriers. These issues compromise beneficence and result in health disparities, particularly for Medicaid recipients compared to privately insured patients (Patel et al., 2025). At the Longevity Center, provider shortages exacerbate this ethical dilemma. Local Provision Policy At the local level, community-based initiatives aim to expand access through free screenings, peer counseling, and educational programs (NAMI Florida, 2025). However, the issue of resource allocation persists. When demand outweighs resources, decisions about who receives support raise questions of justice and fairness. Inconsistent funding for community programs often leads to fragmented services, diminishing public trust. Impact of the Code of Ethics for Nurses The ANA Code of Ethics guides ethical mental health practice at the Longevity Center. Provision 2: Emphasizes the nurse’s duty to advocate for patient dignity and individualized needs. Provision 8: Highlights collaboration to promote human rights, cultural sensitivity, and equity (ANA, 2025). Core ethical principles—justice, beneficence, non-maleficence, and autonomy—guide decision-making. For example, when facing staff shortages, nurses are still obligated to ensure equitable distribution of available services. By adhering to these provisions, nurses foster trust and strengthen care continuity. Social Determinants of Health and Health Equity Social determinants significantly shape health outcomes at the Longevity Center. Determinant Challenge Ethical Concern Economic Stability Low income and unemployment Barriers to accessing continuous care Transportation Access Limited mobility to clinics Inequitable service access Health Literacy Limited patient understanding of conditions Reduced treatment adherence Housing Security Unstable living conditions Stressors worsen psychiatric symptoms Nurses guided by the ANA Code of Ethics are expected to address these inequities by providing culturally responsive and socially tailored care, thus advancing equity and improving adherence. Recommendations for Support and Collaboration To strengthen ethical coordination at the Longevity Center: Expand partnerships with NAMI Florida and the Mental Health Association of Central Florida (MHACF) to enhance patient navigation and peer support (MHACF, 2025). Advocate for equitable policies that reduce disparities in Medicaid behavioral health coverage. Promote culturally sensitive training among staff to address diverse community needs. Leverage technology (telehealth, electronic health records) to reduce barriers in communication and access. By aligning these strategies with the ANA Code of Ethics, nurses can ensure patient-centered and ethically sound care. Conclusion Ethical and policy-driven coordination is indispensable in addressing mental health challenges at the Longevity Center. By leveraging laws, community partnerships, and the ANA Code of Ethics, nurses can navigate ethical dilemmas, reduce disparities, and advocate for equitable access. The integration of culturally sensitive practices and policy reforms ensures that mental health care is not only clinically effective but also ethically just and socially inclusive. References ANA. (2025). Code of ethics for nurses. American Nurses Association. https://codeofethics.ana.org/home Braun, E., Scholten, M., & Vollmann, J. (2023). Assisted suicide and the discrimination argument: Can people with mental illness fulfill beneficence‐ and autonomy‐based eligibility criteria? Bioethics, 38(1), 61–68. https://doi.org/10.1111/bioe.13243 Bury, D., Hendrick, D., Smith, T., Metcalf, J., & Drake, R. E. (2022). The psychiatric nurse care coordinator on a multi-disciplinary, community mental health treatment team. Community Mental Health Journal, 58(7), 1354–1360. https://doi.org/10.1007/s10597-022-00945-7 NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination Florida Department of Children and Families. (2024). Baker act | Florida DCF. Www.myflfamilies.com. https://www.myflfamilies.com/crisis-services/baker-act MHACF. (2025). About us. Mental Health Association of Central Florida. https://mhacf.org/learn-more/ NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/ National Alliance on Mental Illness. (n.d.). Mental health in Florida. National Alliance on Mental Illness.org. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf Patel, R., Baser, O., Waters, H. C.,