Category: Capella University

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

Capella 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 Good afternoon, everyone! My name is ——–, and I appreciate you all for joining me for this video presentation. Today, I’ll discuss the evidence-based intervention I developed and implemented in my capstone project. This intervention plan was designed explicitly for Jonathan Thompson, a middle school teacher recently diagnosed with Type 2 Diabetes (T2D), who faced challenges in managing his condition effectively. Let’s explore how this intervention plan significantly improved Jonathan’s health outcomes and overall quality of life. Contribution of an Intervention to Patient Satisfaction and Quality of Life The intervention for Jonathan Thompson’s Type 2 Diabetes included a comprehensive diabetes education program, Continuous Glucose Monitoring (CGM) systems, telemedicine, and enhanced care coordination among his healthcare team and community resources. This intervention implemented for Jonathan Thompson to manage Type 2 Diabetes (T2D) significantly enhanced his satisfaction and quality of life, as well as that of his family. Jonathan shared that the comprehensive diabetes education program greatly empowered him and his family by increasing their understanding of T2D and equipping them with essential self-management strategies, lifestyle modifications, and medication adherence techniques. They particularly appreciated the Continuous Glucose Monitoring (CGM) systems and telemedicine, which made managing the condition more convenient and less stressful by enabling remote monitoring and virtual consultations. The improved care coordination among Jonathan’s healthcare team ensured a holistic, patient-centered approach that addressed his unique needs and preferences, leading to more effective and personalized care. This approach was instrumental in improving Jonathan’s health outcomes and overall well-being. However, Jonathan also mentioned difficulty with the initial setup and learning curve associated with the new CGM system. It took him some time to become comfortable with the technology and integrate it seamlessly into his daily routine. Despite this initial challenge, Jonathan and his family found that the ongoing support and education provided by the healthcare team helped them overcome this hurdle, ultimately enhancing their ability to manage T2D effectively. Overall, the intervention’s focus on comprehensive, personalized, and accessible care significantly improved Jonathan’s and his family’s satisfaction and quality of life, as evidenced by their positive feedback and increased confidence in managing his condition. Use of Evidence and Peer-Reviewed Literature to Plan and Implement a Capstone Project In planning and implementing my capstone project for Jonathan Thompson’s Type 2 Diabetes (T2D) management, I extensively used evidence and peer-reviewed literature to ensure the intervention was grounded in the latest and most effective practices. The principles of evidence-based practice were integral to every phase of the project, guiding the development of a comprehensive and personalized care plan for Jonathan. Firstly, I reviewed numerous peer-reviewed articles and clinical guidelines on T2D management, focusing on the most effective self-management strategies, lifestyle modifications, and medication adherence techniques. Research studies highlighted the benefits of diabetes education programs in improving patient knowledge and self-management skills (Powers et al., 2020). This evidence-informed the creation of a tailored diabetes education program for Jonathan and his family, ensuring it was comprehensive and aligned with best practices. Additionally, I examined the efficacy of Continuous Glucose Monitoring (CGM) systems and telemedicine in enhancing diabetes management. Studies demonstrated that CGM systems significantly improve glycemic control and reduce complications by providing real-time glucose readings and enabling timely interventions (Lin et al., 2021). Similarly, telemedicine increased access to care and support, particularly in managing chronic conditions like T2D (Ju, 2020). These findings led to the inclusion of CGM and telemedicine as key components of Jonathan’s intervention plan, ensuring he had continuous monitoring and remote access to his healthcare team. The principles of evidence-based practice were also reflected in the emphasis on care coordination and the use of community resources. Literature on interdisciplinary collaboration and community-based interventions indicated that these approaches improve patient outcomes by providing holistic, patient-centered care and addressing social determinants of health (Chen et al., 2022). By integrating these elements into the intervention, I ensured that Jonathan received coordinated care that leveraged the expertise of various healthcare professionals and community support systems. Leveraged Health Technology in Improving Outcomes and Communication in Capstone Project In my capstone project for managing Jonathan Thompson’s Type 2 Diabetes (T2D), healthcare technology was pivotal in enhancing patient outcomes and facilitating communication. The strategic use of Continuous Glucose Monitoring (CGM) systems and telemedicine significantly improved Jonathan’s diabetes management, providing real-time data and enabling remote consultations. The CGM system was instrumental in continuously tracking Jonathan’s blood glucose levels, offering him and his healthcare team immediate insights into glucose trends and patterns. This real-time monitoring allowed for timely adjustments to his treatment plan, reducing the risk of hyperglycemia and hypoglycemia. Jonathan reported feeling more in control of his condition and appreciated the immediacy and accuracy of the data provided by the CGM. The system also alerted him to any dangerous fluctuations, improving his overall safety and health outcomes. Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection Telemedicine was another crucial component that enhanced communication and access to care. Regular virtual consultations with healthcare providers allowed Jonathan to receive ongoing support and education without the need for frequent in-person visits. This was particularly beneficial given Jonathan’s busy schedule as a middle school teacher. The convenience and flexibility of telemedicine enabled more consistent follow-ups and better adherence to his management plan, ultimately leading to improved glycemic control and overall health. While these technologies were largely successful, future practice has opportunities for further improvement. One potential enhancement could involve integrating more comprehensive telehealth platforms that offer chat functionalities and automated reminders for medication and appointments. These features could give patients a more holistic support system, increasing engagement and adherence (Ganapathy et al., 2020). Influence of Health Policy on Planning and Implementation of Capstone Project Health policy significantly shaped my capstone project’s planning and implementation phases on managing Type 2 Diabetes (T2D) for Jonathan Thompson. Specifically, policies related to telehealth and reimbursement for remote monitoring technologies influenced the intervention’s

Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Patient, Family, or Population Health Problem Solution Diabetes Mellitus (DM) is a prevalent health condition marked by high blood sugar levels; millions of people are affected globally. There are serious health dangers associated with it, including cardiovascular complications, neuropathy, and kidney disease. Jonathan Thompson, a 45-year-old middle school teacher, grapples with the emotional, physical, and socioeconomic burdens associated with his recent diagnosis of Type 2 Diabetes (T2D). Despite these challenges, Jonathan can successfully leverage technology, care coordination, and community resources to navigate his diabetes management journey effectively. Recognizing the importance of addressing Jonathan’s unique needs, this intervention aims to develop a personalized, evidence-based plan to optimize his health outcomes and quality of life. Role of Leadership and Change Management Leadership and change management are crucial in tackling diabetes mellitus (DM). In healthcare, effective leadership involves guiding teams and mobilizing resources to improve patient outcomes. For diabetes management, leaders raise awareness, advocate for policy changes, and implement evidence-based interventions. Change management focuses on systematically planning, implementing, and evaluating healthcare practices and systems changes to enhance care delivery. Leaders communicate the vision for change, build consensus, and support the transition to new care models. In addressing Jonathan’s Type 2 Diabetes (T2D), leadership played a pivotal role in guiding healthcare teams and implementing effective interventions. Nursing leaders inspired and motivated interdisciplinary teams to work collaboratively towards common goals, such as improving patient outcomes and enhancing the quality of care for individuals with T2D. Employing transformational and participative leadership strategies fostered a culture of shared decision-making, innovation, and continuous improvement within healthcare organizations (Olesen et al., 2020; Weiss et al., 2023). These leadership approaches empowered healthcare professionals to develop comprehensive care plans tailored to Jonathan’s needs, ensuring that interventions were patient-centered and evidence-based. Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution Change management also played a critical role in addressing the complexities of T2D management for Jonathan. Effective change management strategies were essential for overcoming resistance to change, implementing new practices or technologies, and fostering a culture of continuous learning and improvement within healthcare organizations. By engaging stakeholders, providing education and training, and establishing feedback mechanisms, nurse leaders facilitated the successful implementation of interventions to improve T2D management for Jonathan and other patients (Dankoly et al., 2020). Furthermore, nursing ethics guided the development and implementation of interventions for individuals like Jonathan with T2D. Ethical considerations, such as goodwill, nonmaleficence, and respect for patient autonomy, informed decision-making processes and ensured that interventions were in the patient’s best interest (Dankoly et al., 2020). Nurses upheld ethical principles throughout the intervention process, from assessment and planning to implementation and evaluation, to ensure that Jonathan received compassionate, high-quality care that respected his values, preferences, and cultural beliefs. Intervention Plan for Jonathan’s Diabetes Management The intervention I proposed for Jonathan’s Type 2 Diabetes (T2D) management encompasses multiple components aimed at improving his overall health outcomes. Firstly, implementing a comprehensive diabetes education program for Jonathan and his family will empower them with essential self-management strategies, lifestyle modifications, and medication adherence techniques. Additionally, Continuous Glucose Monitoring (CGM) systems and telemedicine will enable remote monitoring, consultations, and education, enhancing accessibility to care. Furthermore, improving care coordination among Jonathan’s healthcare team and community resources will ensure a holistic, patient-centered approach to T2D management, addressing his unique needs and preferences while promoting optimal health outcomes. This multifaceted intervention plan seeks to provide Jonathan with the necessary tools, support, and resources to manage his condition and improve his quality of life effectively. Strategies for Communicating and Collaborating with the Patient In Jonathan’s case, effective communication and collaboration are vital for improving outcomes associated with his Type 2 Diabetes (T2D). Clear and evidence-based strategies facilitate meaningful dialogue between Jonathan, his family, and healthcare providers. Firstly, Making decisions with Jonathan’s desires and preferences can be achieved using a patient-centered approach.  (American Association of Diabetes Educators, 2020). This involves actively listening to Jonathan and his family’s concerns, values, and goals regarding his T2D management. Utilizing techniques such as motivational interviewing can help uncover Jonathan’s perspective, fostering a collaborative relationship based on trust and mutual respect (Steffen et al., 2021). Additionally, leveraging technology enables continuous communication and engagement, providing timely support, education, and monitoring (Ju, 2020). By involving Jonathan and his family as active participants in his care team, healthcare providers can enhance treatment adherence, satisfaction, and overall health outcomes, ultimately leading to better management of T2D and improved quality of life for Jonathan. Capella 4900 Assessment 4 Patient Family or Population Health Problem Solution In healthcare, obtaining input from patients, families, or groups is crucial for achieving positive outcomes, and Jonathan’s case underscores this importance. When patients and their families actively participate in decision-making processes, interventions are enhanced in relevance and effectiveness. Their input provides valuable insights into their preferences, values, and lived experiences, which can significantly influence the success of treatment plans (Steffen et al., 2021). For Jonathan, involving him and his family in discussions about his Type 2 Diabetes (T2D) management ensures that interventions align with his unique needs and circumstances. By considering their input, healthcare providers can tailor interventions to address Jonathan’s concerns, cultural preferences, and treatment goals, fostering a collaborative and patient-centered approach to care (Stubbe, 2020). This improves treatment adherence and enhances patient satisfaction, engagement, and overall health outcomes. This highlights the tangible benefits of obtaining patient and family input in healthcare decision-making. Impact of Nursing Practice Standards and Governmental Policies on Intervention Development The American Nurses Association (ANA) standards provided valuable guidance in developing the proposed intervention for Jonathan’s Type 2 Diabetes (T2D) management. These standards emphasized the importance of patient-centered care, interdisciplinary collaboration, and evidence-based practice, all of which were foundational principles incorporated into the intervention plan (ANA, 2021). By prioritizing patient-centered care, the intervention focused on tailoring Jonathan’s care plan to his needs, preferences, and cultural background. This ensured that he received personalized

Capella 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 Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations In tackling chronic diseases like diabetes mellitus, it is crucial to utilize technology to facilitate ongoing monitoring and regular follow-ups. Moreover, care coordination cannot be overemphasized in managing diabetes, which requires interdisciplinary collaboration. Lastly, community resources play a significant role in managing type 2 diabetes as they help patients become more vigilant about their disease and promote mindfulness and health literacy. This assessment will further delve into the case of Jonathen, a 45-year-old middle school teacher who has been recently diagnosed with type 2 diabetes, by taking the massive role of technology, care coordination, and community resources in managing his diabetes into consideration.  Impact of Healthcare Technology on Type-2 Diabetes The impact of healthcare technology on managing Type 2 Diabetes (T2D) for patients like Jonathan is profound, offering both advantages and disadvantages. Continuous glucose monitoring (CGM) systems, for instance, give Jonathan access to real-time blood glucose data to make appropriate adjustments to his diet, exercise, and medication. This technology enhances his self-management and offers peace of mind for Jonathan and his family by reducing the risk of severe hypoglycemic or hyperglycemic episodes (Lin et al., 2021). However, the cost of CGM devices and sensors and the learning curve associated with their use may present barriers for some patients, including Jonathan (Lin et al., 2021). Moreover, the accuracy and reliability of CGM systems can vary, necessitating careful calibration and interpretation by healthcare providers to ensure optimal outcomes. Telemedicine also plays a significant role in T2D management, allowing Jonathan to remotely consult with his healthcare providers, track his symptoms and medication adherence, and access educational resources. These technologies enhance convenience and accessibility, particularly for patients like Jonathan, who may face barriers to in-person healthcare services due to distance or mobility issues (Agastiya et al., 2022). Nonetheless, digital health literacy and access to reliable internet connectivity can be limiting factors for some patients, potentially exacerbating healthcare disparities. Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations In professional practice, real-time blood glucose information is provided by Continuous Glucose Monitoring (CGM) devices for patients like Jonathan with Type 2 Diabetes (T2D). However, the initial cost of CGM devices and ongoing expenses for sensors can be barriers to access. Additionally, variations in accuracy and reliability require thorough patient education and provider oversight for optimal utilization. Telemedicine is increasingly used to facilitate remote consultations and education for T2D management, improving access to care for patients like Jonathan (Anderson et al., 2022). Yet, challenges such as limited internet access and digital literacy can impede its effectiveness. Addressing these barriers is crucial to harness the potential of telemedicine in enhancing patient outcomes and accessibility to care (Ju, 2020). Care Coordination and Community Resources for Diabetes Care Utilizing community resources and coordinating care is essential to resolve the complex challenges of Type 2 Diabetes (T2D) for patients like Jonathan. Jonathan’s healthcare team can enhance his T2D management and overall well-being by effectively coordinating care among various healthcare providers and leveraging community resources. Evidence suggests that care coordination raises patient satisfaction, lowers healthcare costs, and improves patient outcomes (Wang et al., 2020). For Jonathan, care coordination involves collaboration between his primary care provider, endocrinologist, nurse practitioner, dietitian, and other specialists to create a thorough care plan suited to his particular requirements and preferences. In professional practice, care coordination often involves regular communication among healthcare providers, shared decision-making with the patient, and electronic health records to ensure continuity of care. Jonathan’s healthcare team can work together to monitor his blood glucose levels, adjust his medication regimen, provide education on lifestyle modifications, and address any psychosocial factors impacting his T2D management. Furthermore, community resources, including support groups and diabetes education initiatives can complement Jonathan’s medical treatment by providing additional support and resources to manage his condition effectively (Powers et al., 2020). Despite the benefits of care coordination and community resources, several barriers may hinder their effective implementation. Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations These barriers include fragmented healthcare systems, limited access to specialty care or community resources, lack of communication between healthcare providers, and socioeconomic factors such as transportation or financial constraints (Campbell & Egede, 2019). For Jonathan, barriers to accessing community resources include limited availability of diabetes education programs in his area or challenges in affording healthy food options. Overcoming these barriers requires proactive efforts from Jonathan’s healthcare team, including advocacy for expanded access to community resources, patient education on available services, and assistance navigating the healthcare system (Campbell & Egede, 2019). By addressing barriers and leveraging available resources, Jonathan’s healthcare team can empower him to manage his condition effectively, improve his quality of life, and reduce the burden of T2D on both him and his family. State Board/ Nursing Standards/Organizational Measures for Diabetes In considering state board nursing practice standards, such as those set forth by the American Nurses Association (ANA), alongside governmental policies like the Health Information Technology for Economic and Clinical Health (HITECH) Act, healthcare professionals gain a framework for ethical and professional practice in utilizing health technology, coordinating care, and leveraging community resources to address complex issues such as Type 2 Diabetes (T2D) management, exemplified by Jonathan’s case. The ANA’s standards emphasize the importance of interprofessional cooperation, patient-centered treatment, and evidence-based practice. Nurses adhering to these standards ensure that Jonathan receives high-quality, holistic care, considering his unique needs, preferences, and cultural background. By incorporating health technology into Jonathan’s care, nurses can meet ANA’s standards for utilizing resources effectively to enhance patient outcomes while respecting patient autonomy and privacy (American Nurses Association, 2021). Capella 4900 Assessment 3 Assessing the Problem Technology Care Coordination and Community Resources Considerations Similarly, the HITECH Act was passed to encourage the adoption of electronic health records (EHRs) and other health information technologies. It

Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Name Capella university NURS-FPX 4900 Capstone project for Nursing Prof. Name Date Assessing the Problem: Quality, Safety, and Cost Considerations This paper discusses smoking cessation from quality, safety, and cost perspectives among a group of boys suffering from the consequences of long-term tobacco use at California Hospital Medical Center. The group of boys was eager to quit their smoking addiction and improve their health outcomes. Therefore, I aim to explore how smoking tobacco affects the care quality, the safety of patients, and financial implications for individuals and the system. The assessment also delves into policies and strategies that impact quality, cost, and safety considerations. Tobacco Use and Smoking Cessation Impact on Quality, Safety, and Costs Tobacco use in the form of smoking and other products is a significant community health problem that is affecting a vast population, particularly the young generation. This problem is a significant health threat to the development of respiratory and cardiovascular diseases and other lethal ailments like cancers (Siddiqi et al., 2020).  The higher incidence of smoking and a reduced frequency of smoking cessation plans lead to a higher burden of these diseases (Siddiqi et al., 2020). This requires extensive and complex care treatments to manage these diseases and chronic conditions, impacting the overall quality of care. Furthermore, smokers present complex health status due to higher risks of diseases associated with tobacco use (Cornelius, 2022). The incidence of high blood pressure, respiratory problems, chronic cough, and lung cancer. This complexity of the health profile makes it challenging for healthcare professionals to deliver optimal, streamlined care. This results in poor quality of care for smokers and increases further health risks (Elton-Marshall et al., 2020). Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Smoking tobacco also impacts patient safety due to the risks of developing lethal diseases like cancer and requiring surgical procedures for treatment. The dangerous compounds in smoking affect wound healing and increase the risk of infections and other adverse outcomes. This threatens patient safety during medical treatments (Alqahtani et al., 2020). Additionally, exposure to secondhand smoke impacts patient safety in healthcare settings, and non-smokers experience respiratory problems, exacerbations of pre-existing conditions, and enhanced susceptibility to infections. This ultimately impacts the patient safety of non-smokers (CDC, 2019).  According to the Centers for Disease Control and Prevention (CDC), the healthcare systems incur a considerable amount of costs in treating diseases related to tobacco use (greater than $600 billion). These costs are relevant to hospitalization medical and surgical interventions (exceeding $240 billion) (CDC, 2022). Moreover, integrating smoking cessation programs has upfront costs but can be cost-effective in the long run (Farsalinos et al., 2020). By promoting smoking cessation, patients can recover from the harms of tobacco use and smoking-related diseases, leading to lower healthcare costs (Ugalde et al., 2021). Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations Tobacco use also increases the financial burden on individuals due to the cost of medications and frequent hospitalization. Moreover, the long-term use of tobacco products affects the quality of life, which leads to low productivity and social isolation, contributing to personal costs ($180 billion) ((CDC, 2022; John et al., 2020). The supportive evidence is consistent with my nursing practice, and tobacco users endure poor care quality, reduced safety among patients, and higher costs.  Nursing Practice Standards and Organizational/ Governmental Policies The American Nurses Association (ANA) has provided standard practices for nurses on smoking cessation and prevention by guiding nurses on how to engage with smokers and providing tailored interventions such as implementing the five A’s (Ask, Advise, Assess, Assist, Arrange) strategy (ANA, 2020). Moreover, ANA guides nurses in developing cessation treatment plans considering each patient’s physical, emotional, social, and vocational needs. These practices enhance the quality of care for smokers. ANA also advocates for combining pharmacotherapy and behavioral and counseling support when required. This leads to providing holistic care for smoking cessation, improving the quality of care and patient safety (ANA, 2020). The American Lung Association (ALA) improves patient safety among smokers by devising policies on increasing federal cigarette tax to reduce the purchasing of cigarettes. This will enable people to avoid tobacco use and enhance patient safety as they will not engage in the addictive habits of smoking tobacco. Ultimately, the consequences of tobacco use will be prevented, and patient safety will be enhanced (ALA, 2022). The Affordable Care Act provides policy provisions that cover health insurance for smoking cessation programs and permit individuals of low-income backgrounds and the elderly to acquire these programs for free. Capella 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations This leads to reduced costs inflicted upon tobacco users for enrolling and attaining smoking cessation programs and treatment plans (American Lung Association, 2022). These practice standards and policies facilitate me in improving my scope of practice in nursing. By following ANA guidelines, I will be attentively implementing tobacco use cessation programs and interventions and delivering high-quality care. This will increase patient safety by improving smoking cessation. The ACA policies help me reduce the cost burden on individuals and communities of smoking cessation, and more people can join tobacco cessation plans (American Lung Association, 2022).  Strategies to Address Smoking Cessation and Improve Safety, Quality, and Reduce Costs Various evidence-based strategies can be adopted to promote smoking cessation and facilitate patients engaged in chronic use of tobacco. One such widely implemented practice is to develop and adopt comprehensive smoking cessation programs that consider behavioral and counseling support and the use of pharmacotherapy. The use of nicotine replacement therapy can be advocated as a smoking cessation aid. Smoking cessation interventions such as using text messages for reminders and sustained quitting-and-win competition will improve the quality of care and patient safety (Villanti et al., 2020). Moreover, this strategy reduces the costs incurred by patients and healthcare organizations due to adverse health implications such as cardiovascular diseases and lung cancer. These conditions require heavy finances to treat and

Capella 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 Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations In this assessment, I will assess the population health problem of smoking cessation. This paper will mainly discuss the leadership necessary for promoting smoking cessation and the need for collaboration and communication to obtain desired results. Additionally, the change management strategy will be highlighted to drive smoking cessation among tobacco smokers. Lastly, the policies that impact tobacco use and improve health outcomes are emphasized. Tobacco Use and Smoking Cessation: A Population Health Concern This capstone project will delve into a population health concern of smoking cessation due to the significant use of tobacco products. A group of young boys who have been using tobacco products for a long time are admitted to the Dignity Health- California Hospital Medical Center due to emphysema. I approached these boys as it was my regular duty in the respiratory ward, and they all had a strong history of tobacco use in the past. Now, as their health condition is worsening, they are willing to quit smoking and have a healthier lifestyle. Their keen interest in smoking cessation led me to work with this group to improve their health and restore lung function. The group of boys informed that they indulged in smoking tobacco in their teenage and got addicted, resulting in significant damage to their lungs. When their respiration was severely impacted, and their cough worsened due to continuous smoking for years, the group of boys wanted to get rid of this addiction and improve their health. Capella 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations Tobacco smoking is a global issue that kills almost 8 million people every year. About 22.3 % of the entire world population is engaged in the use of tobacco products, with 7.8 % of women and 36.7% of men being active users (World Health Organization, 2023). Tobacco smoking causes significant damage to the immune system, enhances inflammation, Chronic Obstructive Pulmonary Disease (COPD), and emphysema. This increases their chances of bacterial and viral infections (Cattaruzza et al., 2020). It is also the driving factor of lung cancer in people due to consistent damage to the lungs. It has caused 610,000 deaths due to lung cancer in China and contributed to 17% of the incidence of cancer due to smoking (Parascandola & Xiao, 2019). These data show the presence and relevance of this healthcare issue and its significance in reducing prevalent tobacco use rates. This problem is particularly relevant to my practice because I see people in my hospital suffering from the harmful impacts of smoking, such as lung cancer cases, COPD cases, and cardiovascular cases. Moreover, this issue is relevant to me personally as my father was an active smoker, and I lost him due to lung cancer as a result of continuous smoking. Therefore, I am responsible for working with this group to promote smoking cessation and improve their health outcomes. The Guiding Nursing Actions for Smoking Cessation Nurses play a broad role in promoting health within hospitals and communities. Nurses can be the right leaders for supportive care and inspiring patients to improve their health. One significant nursing action can be smoking cessation training by nurses in promoting smoking cessation. This training, along with smoking cessation interventions by nurses, such as self-efficacy, can promote smoking cessation among smokers (Li et al., 2021).  The interventions for nurse-led smoking cessation training programs will include implementing the 5As (Ask, Advise, Assess, Assess, and Arrange) approach to address smoking and its cessation (Grech, 2021). Nurses can also provide online courses on smoking behaviors and how to promote smoking cessation through cognitive behavior management. The course will comprise four lessons on smoking, its cessation plan, and interventions.  In the last lesson, the nurse will introduce pharmacological and non-pharmacological treatments for nicotine addiction (La Torre et al., 2019). Additionally, nurses can also connect smokers with smoking cessation programs through community support groups where they can implement smoking cessation interventions (Tsoh et al., 2022). Capella 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations These evidence-based resources describe the practices consistent with our nursing practices within our healthcare organization. The hospital has appointed nurses to educate smokers on the harms of tobacco smoking and ways to overcome addiction. These sources of evidence are authentic and reliable as they were published in recent years and provide accurate information substantiated by results and appropriate references. The unreliability of these sources can be estimated by using CRAAP criteria. It stands for Currency, Relevance, Authority, Accuracy, and purpose. When the evidence-based source meets all these metrics, it showcases its credibility and authenticity (Muis et al., 2022). The potential barriers to the application of these evidence-based practices can be as follows: Lack of adequate training on promoting smoking cessation education. Lack of resources to enable smoking cessation practices. Lack of motivation and consistency. Inadequate collaboration due to negative nurses’ attitudes and perceptions regarding smoking and quitting.  Negative social influences include peer pressure to smoke (Li et al., 2021). Effect of Nursing Board Standards, Organizational/ Governmental Policies   The American Nursing Association (ANA) has proposed its statement on preventing tobacco use and promoting a tobacco-free community. For nurses, it is imperative to be tobacco-free role models for their patients, workplaces, homes, and overall communities. This will motivate others to stick to healthy habits and quit smoking (American Nurses Association, n.d.). Moreover, they should be trained on culturally competent strategies to prevent tobacco use and claim leadership roles to provide enhanced access to quality care. They must assess the tobacco users in their nursing practices and address their concerns by implementing the five A’s strategy. They must also contribute to research tobacco control and advocate for prospective continuous funding and research (American Nurses Association, n.d.). These nursing standards can reduce the rates of

Capella 4060 Assessment 4 Health Promotion Plan Presentation Name Capella university NURS-FPX 4060 Practicing in the Community to Improve Population Health Prof. Name Date Health Promotion Plan Presentation Good afternoon, everyone. I hope you’re all doing well. My name is —– and I work as a community nurse in San Francisco, California.  Thank you for taking the time to join this session. Today, I’ll be presenting a health promotion plan. We’ll have a Q&A session at the end to address any questions, so please hold onto your queries until then. Before we dive into today’s topic, I’d like to get to know you all better. I have introductory questionnaires for you to fill out, which will help me understand your background. The questionnaire includes your name, gender, age, educational qualifications, hobbies, employment status, and personal learning needs related to our discussion topic: tobacco cessation. Once we’ve completed this introductory activity, we can start with our main topic. Health Promotion Plan – Cessation of Tobacco Products The focus of my presentation today is on developing a health promotion plan for quitting the use of tobacco products. These products include cigarettes, electronic vaping devices, hookah, and chewable tobacco. Roughly 4.7 million middle and high school children use tobacco products, including e-cigarettes, and about 28.3 million adults in the United States smoke cigarettes. Approximately 1600 American teenagers smoke their first cigarette (CDC, 2023). These statistics highlight the widespread issue of tobacco use in our communities and the significant health implications for our young generation. Heavy use of tobacco products often leads to a dependency on medical care due to health deterioration.  In California, 10.9% of adults aged 18 and older use various tobacco products—6.3% smoke cigarettes, 3.5% use vapes, 1.4% smoke cigars, 1.3% use little cigars and cigarillos, 0.7% use smokeless tobacco products, and 0.5% use hookah (California Department of Public Health, 2023). Smoking is a leading cause of preventable diseases in the state, including lung cancer, COPD, cardiovascular diseases, and various other cancers. The financial toll is high because of the high cost of healthcare, lost productivity, and early mortality brought on by tobacco use. Therefore, there is a pressing need for tobacco cessation programs to improve the health of our community members and enhance the community’s economy by reducing the extensive costs associated with medical treatments. Some of you might currently use these tobacco products, which is why this health promotion plan is designed to meet your needs and support you in your journey to quit tobacco use. The Plan Based on Specific, Identified Health Needs and Goals Given the health consequences and statistics on tobacco use, developing a health promotion plan tailored to participants’ specific health needs and goals is crucial. Evidence-based plans for tobacco cessation interventions are available, and one effective method is the 5A intervention. This method includes five components: Ask, Advise, Assess, Assist, and Arrange.  – The “Ask” component involves engaging participants to identify their tobacco use, frequency, and willingness to quit. – The “Advise” step involves encouraging individuals to quit tobacco use. – The “Assess” stage evaluates participants’ needs and readiness to quit. – The “Assist” phase helps them find suitable methods for quitting. – The “Arrange” step involves monitoring the cessation efforts and their effectiveness during follow-up meetings (Chai et al., 2018). Other community-based health plans for promoting tobacco cessation include educational campaigns through mass media, increasing tobacco product prices, and school-based programs that identify social factors promoting tobacco use and educate on reducing them. Increasing awareness and knowledge of the negative consequences of tobacco use through community health workers can also bridge gaps between primary healthcare providers and the community, leading to positive outcomes in tobacco cessation (Zulkiply et al., 2020). These strategies are effective in preventing tobacco use and fostering healthier communities. SMART Goals Setting We utilized the SMART goal approach to establish objectives with the members of the Joseph Community. The agreed-upon SMART goals with the community members are as follows: -Goal 1: By the end of this educational session (time-bound), we will identify (attainable) two major reasons (measurable, realistic) that promote tobacco use in teenagers to prevent them from becoming tobacco users in the future (specific). This goal was attained by the end of the session. – Goal 2: By the end of this session (time-bound), we will identify (attainable) two practical ways (measurable, realistic) to overcome addiction to tobacco products (specific). -Goal 3: By the end of the session (time-bound), we will develop three (measurable) customized plans (specific) to help ourselves make informed, wise, and healthy decisions (attainable and realistic) to prevent the use of tobacco products. Evaluation of Educational Session Outcomes & SMART Goals Once the SMART goals were established and the educational session concluded, the evaluation process began. Participants were given questionnaires to assess their progress on the SMART goals and whether they had achieved them. The results indicated that all of the participants successfully met goal #1, identifying two significant factors that promote tobacco use among teenagers: peer pressure and media influence. Regarding goal #2, most participants were still determining, with only 10% able to identify two strategies to overcome tobacco addiction. The strategy mentioned included using alternatives like chewing gum and setting self-reminders about the benefits of quitting tobacco. All participants successfully achieved goal #3 and created personalized plans to prevent tobacco use. Some planned to engage in physical activities to feel more active and less stressed. Teenagers specifically mentioned plans to associate with non-smokers and avoid tobacco users to steer clear of tobacco products. Other participants developed individualized plans tailored to their needs and lifestyles. Future Revisions Considering that the community participants barely achieved goal #2, future educational sessions need revisions. These revisions will include sessions focused on understanding tobacco addiction, the dangers of tobacco-related diseases, and strategies to reduce tobacco use. Enhanced awareness of these diseases will help maintain consistency in avoiding tobacco products and overcoming addiction (Szymański et al., 2022).  The educational sessions will be held every two months, involving all willing

Capella 4060 Assessment 3 Disaster Recovery Plan Name Capella university NURS-FPX 4060 Practicing in the Community to Improve Population Health Prof. Name Date  Disaster Recovery Plan Hello everyone, I hope you are doing well. I’m [Your Name], a registered nurse and currently the senior nurse at Valley City Regional Hospital. Today, I’m here to present a comprehensive disaster management and recovery plan to address the anticipated threat of severe tornadoes in our community. Our hospital administrator, Jennifer Paulson, recently informed us that the National Weather Service has issued a warning about an elevated risk of severe tornadoes this season. This urgent situation highlights the need for us to prepare thoroughly to minimize potential mass casualties and ensure that our hospital remains fully operational during and after any such disaster. This plan outlines a structured and effective response to potential tornado-related emergencies. Drawing from lessons learned from past events, such as the catastrophic train derailment and explosion two years ago, it is evident that we need a well-coordinated and detailed plan to prevent the chaos and inefficiencies experienced during that incident (Capella University, n.d.). Our goal with this plan is to mobilize our resources, assess our needs and strengths, and implement concrete action steps to protect our community and enhance our recovery efforts. Let’s now delve into the specifics of our disaster management and recovery plan. Determinants of Health and Related Barriers Impacting Disaster Recovery Efforts Health is shaped by a variety of interconnected factors, including cultural, social, and economic elements. These encompass the conditions in which we live, our environmental surroundings, our religious and customary beliefs, genetics, education levels, and our relationships with peers and families. Collectively, these factors are known as the determinants of health. When developing a disaster recovery plan, it’s essential to consider these determinants and any potential barriers to ensure the plan’s effectiveness in disaster preparedness and recovery (Rahmani et al., 2022). Now, let’s explore some challenges that can impact our disaster recovery efforts. Cultural Barriers Cultural barriers can significantly impact disaster recovery efforts. They can also influence how individuals perceive and respond to disaster warnings and recovery efforts. For example, certain cultural groups may prioritize collective decision-making, which can delay immediate action during emergencies, leading to slower response times and increased vulnerability (Rahmani et al., 2022). Valley City has a predominantly white population (93%), with small percentages of Latino (3%), African-American (2%), Native American (1%), and other races (1%). Additionally, the number of unauthorized migrant laborers with limited English proficiency is unknown. This diversity implies that some community members may encounter communication difficulties during emergencies, resulting in misunderstandings and delayed responses (Capella University, n.d.). Social Barriers Social factors, such as community networks and social cohesion, are crucial in disaster recovery. In Valley City, 17.1% of the population is under 18, 22% are 65 or older, and many have special needs, including 204 elderly residents with complex health conditions and 147 physically disabled individuals who depend on lip-reading or American Sign Language for communication (Capella University, n.d.). The city’s homeless population cannot be accommodated at the shelter due to its limited capacity, highlighting a vulnerable segment that may struggle to receive timely information and assistance during a disaster. Additionally, the city’s financial crisis has strained the social structure, resulting in layoffs at the police and fire departments and weakening emergency response capabilities (Finucane et al., 2020). Economic Barriers Economic factors are vital to disaster recovery efforts. Valley City is currently facing a financial crisis, with the threat of insolvency and layoffs in essential services like fire and police departments. This economic instability means that many residents and the city need more resources to adequately prepare for or recover from a disaster. For example, the Valley City Regional Hospital, a 105-bed facility currently housing 97 patients, requires significant infrastructure and equipment upgrades, including the replacement of aging ambulances (Capella University, n.d.). Ongoing deficits have prevented these necessary upgrades, and the hospital may even need to downsize its nursing staff. This economic hardship exacerbates social and cultural barriers, as those with fewer resources may have limited access to information, support networks, and essential services, further hindering recovery efforts (Finucane et al., 2020). These interconnected factors significantly impact safety, health, and disaster recovery efforts. Cultural factors, including unique customs and social dynamics, also play a synergistic role in these efforts. Addressing cultural factors with cultural sensitivity principles, alongside tackling social issues related to living conditions, environmental factors, and individual characteristics such as age and genetics, can enhance disaster recovery efforts. Additionally, economic support can help mitigate social and cultural barriers, improving overall disaster recovery outcomes (Rouhanizadeh et al., 2020). Proposed Disaster Recovery Plan The disaster recovery plan for preparing and managing the upcoming tornadoes follows the MAP-IT approach, which includes the steps of Mobilizing, Assessing, Planning, Implementing, and Tracking. Mobilize Effectively managing disaster recovery in Valley City requires mobilizing a diverse group of collaborative partners. This involves Valley City Regional Hospital staff, local government entities such as the City Council and Emergency Management, and various community organizations, including the Valley City Homeless Shelter and local religious groups. Additionally, volunteer groups, non-profit organizations, educational institutions, and local businesses play crucial roles. By bringing these stakeholders together, we can combine resources, share expertise, and ensure a comprehensive and coordinated disaster response (American College Health Association, 2023). Assess Assessing the community needs in Valley City involves a detailed analysis of demographic data and specifics related to potential disasters like severe tornadoes. Physical needs include medical services for the injured, safe shelters for displaced residents, and essential supplies such as food, water, and medication. Emotional needs are also critical, requiring psychological support and counseling services for trauma-affected individuals. Addressing cultural needs involves providing translation services for non-native English speakers and implementing culturally sensitive communication strategies. Financial needs include assistance for those economically impacted by the disaster and support for the unemployed. Specific data highlights the diverse age distribution and the presence of special needs populations, including 147 individuals with physical disabilities and

Capella 4060 Assessment 2 Community Resources Name Capella university NURS-FPX 4060 Practicing in the Community to Improve Population Health Prof. Name Date Community Resources Community resources encompass governmental or non-profit organizations dedicated to enhancing the welfare of communities by improving safety, health, and security. This paper focuses on the Federal Emergency Management Agency (FEMA), a vital community resource. FEMA, a non-profit organization, was founded in 1979 by President Jimmy Carter. Since March 1, 2003, it has been incorporated into the Department of Homeland Security (FEMA, 2021). Mission and Vision of Federal Emergency Management Agency (FEMA) The FEMA supports the public by assisting before, during, and after disasters. This mission is carried out by more than 20,000 employees nationwide who work together to help communities recover from disasters such as hurricanes, floods, windstorms, earthquakes, wildfires, and pandemics. FEMA’s vision is to save lives during disasters and enhance safety and health in catastrophic events, whether natural or man-made. This is achieved through a coordinated government operational response in areas affected by disasters with the goals of saving lives, reducing suffering, and quickly and effectively protecting property (FEMA, 2023). FEMA plays a crucial role in improving public health and safety, as disaster recovery requires prompt and continuous efforts.  One example of an initiative that aligns with FEMA’s mission and vision is its Natural Disaster Preparedness and Response Efforts during the COVID-19 pandemic. FEMA coordinated the entire government response to COVID-19 and initially served as the pandemic’s principal federal agency. It ensured the recruitment of personnel from various agencies to coordinate effective response and recovery efforts at both local and national levels. This included roles such as increasing hospital surge capacity, managing critical shortages of medical supplies like PPE, and distributing equipment from the Strategic National Stockpile (SNS) (FEMA, 2021). Through these efforts, FEMA helped the U.S. government prepare for and respond effectively to the COVID-19 pandemic, supporting its mission and vision. Provision of Equal Opportunity and Improved Quality of Life   Social, Cultural, Economic, and Physical Barriers Various factors impede health equity in disaster preparedness and recovery, including social, cultural, economic, and physical barriers. These barriers encompass poverty, discrimination, lack of education, poor socioeconomic conditions, limited access to healthcare, food and housing insecurity, diverse cultural customs, stigma around seeking medical and non-medical help, lack of transportation, and inadequate community infrastructure, all of which hinder access to assistance after disasters (Chang, 2019). These obstacles prevent FEMA from fully realizing its mission to support disaster-affected individuals and delay community recovery by prolonging the state of distress due to ineffective disaster management. FEMA is actively working to overcome these barriers, ensuring that all community members are treated equally before, during, and after disasters in terms of saving lives and providing security. By offering equal opportunities for safety, shelter, healthcare, and non-medical services, FEMA aims to improve everyone’s quality of life. To achieve this, FEMA has developed an Equity Action Plan as part of the federal equity initiative. This plan seeks to use federal assistance to advance racial fairness and assist underprivileged areas, improving the quality of life for all disaster-affected individuals. The plan includes actions such as ensuring inclusiveness to maintain equity, embedding equity as a foundation for public health, achieving equitable outcomes for disaster survivors, and building resilience (FEMA, 2022). Impact of Funding Sources, Policy, and Legislation For the effective functioning of any governmental or non-profit organization, funding sources, policy-making, and legislation implementation are essential. FEMA, a federal agency, receives its budget from the Congressional Budget Office (CBO). This funding allows FEMA to offer financial grants to disaster survivors, such as the Hazard Mitigation Grant Program (HMGP) and the Public Assistance Grant Program (PA), based on their needs and eligibility (Congressional Budget Office, 2022). Adequate funding ensures FEMA can deliver its services effectively, as disaster preparedness requires thorough planning and sufficient staffing. FEMA’s policies, such as the State Mitigation Planning Policy, Tribal Mitigation Planning Policy, and Local Mitigation Planning Policy, guide hazard mitigation planning tailored to specific geographical areas. These policies facilitate disaster mitigation services through hazard and risk assessments, mitigation strategies development, and implementation (FEMA, 2020). The Code of Federal Regulations (44 CFR Part 201) outlines the federal rules and regulations for hazard mitigation planning, which FEMA follows when preparing and planning for state, local, tribal, and regional governments. These regulations, authorized under the Stafford Act, the Homeland Security Act, and the National Flood Insurance Act, ensure that FEMA’s disaster preparedness and mitigation efforts provide immediate and customized support to those in need (FEMA, 2020).  The combination of CBO funding, policy development, and legislation aims to improve the security, safety, and quality of life for those impacted by catastrophes and the communities they live in. Impact of FEMA on Community Health and Safety FEMA’s primary goal is to restore safety and quality of life for disaster-affected individuals, which requires collaboration with healthcare systems and professionals. FEMA has sought consent from the U.S. Department of Health and Human Services to access the Health and Social Services Recovery Support Function (HSSRSF), which aims to restore public health and social services. Through this collaboration, FEMA has assisted in health and safety recovery efforts, such as aiding those affected by Hurricane Irma. Together, FEMA and HSSRSF address public health, food safety, regulated pharmaceuticals, long-term responder health issues, and healthcare services, setting and achieving goals like assessing health needs, restoring healthcare capacity, and improving the resilience and sustainability of healthcare systems (FEMA, 2021).  Nurses play a crucial role in FEMA’s disaster response efforts by providing essential healthcare services. They may offer first aid, perform CPR, and stabilize the mental health of disaster survivors. Given the behavioral changes and mental health challenges faced by disaster victims, particularly children and adults, nurses can establish rehabilitation camps to support mental and emotional recovery, significantly contributing to the overall restoration of the affected community. Conclusion Community resources play a vital role in enhancing the welfare, security, safety, and quality of life within communities. The FEMA is a key resource that aids disaster recovery

Capella 4060 Assessment 1 Health Promotion Plan Name Capella university NURS-FPX 4060 Practicing in the Community to Improve Population Health Prof. Name Date Health Promotion Plan The mental illness such as depression is pervasive, affecting millions globally across diverse demographics. Its origins lie in a complex interplay of biological, psychological, and social factors, including genetic predispositions, psychosocial stressors, and socio-economic inequalities. According to the World Health Organization, depression was identified as the primary cause of global disability, impacting approximately 322 million individuals and accounting for 7.5% of total years lived with disability (Agostino et al., 2021). While evidence-based treatments like therapy and medication exist, uncertainties persist regarding their long-term effectiveness and integration into diverse community settings. Structural barriers to accessing care, coupled with cultural stigma, further complicate efforts to address depression at the community level. Despite promising approaches such as integrating mental health care into primary settings and leveraging social support networks, questions remain about scalability and cultural competence. To effectively promote mental health within communities, interventions must address underlying assumptions and uncertainties while tailoring strategies to diverse cultural and social contexts. Need for Health Promotion of Mental Illness in Florida In Florida, tackling the pervasive issue of depression is critical for effective health promotion within the population, supported by current and relevant data. With 17.8% of adults reporting a diagnosis of depressive disorder, the state faces a significant mental health challenge (America’s Health Rankings, n.d.). This prevalence underscores the importance of addressing depression to ensure the well-being of Florida’s diverse population, considering factors such as socioeconomic status, ethnicity, and age. Moreover, depression’s impact on health outcomes cannot be understated, as it often exacerbates chronic conditions prevalent in the state, such as diabetes and heart disease (Najafi et al., 2022). Compounded by limited access to mental health services, particularly in rural and underserved areas, the burden of depression is further heightened, contributing to health disparities. Florida’s unique social and environmental factors, including climate-related disasters and economic instability, also play a role in exacerbating mental health challenges (Abukhalaf et al., 2023). Therefore, tailored health promotion initiatives are imperative to address depression comprehensively, reduce disparities, and enhance access to care, ultimately fostering improved well-being for all residents of Florida. Individual Demographics Olivia is a 35-year-old Caucasian woman of Irish and Italian descent residing in Miami, Florida. She is unmarried and lives alone in a small apartment in the urban area of Miami. Olivia holds a bachelor’s degree in marketing and works as a mid-level manager in a marketing firm. Her annual income falls within the middle-income bracket for Miami, but she often struggles to make ends meet due to the high cost of living in the city. Despite her education and professional success, Olivia faces numerous stressors in her life, including demanding work deadlines, financial pressures, and strained interpersonal relationships. She leads a busy lifestyle, juggling work responsibilities, household chores, and occasional social outings with friends. As a middle-aged woman living in an urban area with a moderate income, Olivia represents a demographic group that is particularly vulnerable to mental health issues like depression. Her high-stress job, coupled with financial challenges and social isolation, exacerbates her susceptibility to depression, highlighting the importance of tailored health promotion efforts to address the unique needs of individuals like Olivia within the Florida population. Establishing SMART Goals for the Target Individual Following three SMART goals were obtained on collaborating with Olivia considering her health concern and needs: Goal #1: By the end of three months, Olivia will reduce her frequency of engaging in negative rumination and self-criticism (Time-Bound) as she actively participates in cognitive-behavioral therapy (CBT) sessions (Attainable), ultimately decreasing her symptoms of depression (Relevant). Olivia will aim to reduce the frequency of negative thoughts from five to two times a day (Measurable) through CBT techniques such as cognitive restructuring and mindfulness exercises (Specific) (Roberts et al., 2021). Goal #2: Over three months, Olivia will increase her engagement in regular physical activity (Time-Bound) by attending a fitness class twice a week and incorporating daily walks into her routine (Attainable). This increased physical activity will contribute to the release of endorphins, promoting improved mood and reducing symptoms of depression (Relevant). Olivia will aim to gradually increase her weekly exercise duration from 60 minutes to 120 minutes (Measurable) through structured exercise sessions and outdoor activities (Specific) (Pearce et al., 2022). Capella 4060 Assessment 1 Health Promotion Plan Goal #3: Within three months (Time-Bound), Olivia will enhance her social support network by attending a support group for individuals experiencing depression to seek understanding and connection with others facing similar challenges (Relevant). Olivia will commit to attending at least one support group meeting per week and actively participating in discussions (Attainable). By the end of the three months, Olivia aims to increase her social connectedness and reduce feelings of isolation, as evidenced by self-reported assessments and increased social interactions outside the support group (Measurable) (Czaja et al., 2021). The evaluation process for Olivia’s goals involves regular assessments to measure progress and effectiveness. For Goal #1, Olivia will keep a weekly mood journal to track the frequency of negative thoughts, aiming for a reduction from five to two times a day after three months of CBT sessions. Goal #2 will be evaluated through weekly tracking of exercise sessions using a fitness tracker to gradually increase total exercise duration from 60 to 120 minutes per week. Lastly, for Goal #3, monthly self-assessment surveys will gauge Olivia’s feelings of social connectedness and participation in support group meetings, ensuring regular engagement and involvement. These evaluation methods will provide Olivia and her healthcare provider with valuable insights to adjust the intervention plan and support Olivia’s journey toward improved mental health and well-being. Conclusion In conclusion, the discussion highlights the pervasive impact of depression, particularly in Florida, where 17.8% of adults report a diagnosis of depressive disorder. Olivia Alexander represents many challenges, including balancing work, finances, and social isolation. Through collaborative efforts, three SMART goals were established to address Olivia’s depression, focusing on coping skills, physical activity, and