This capstone project focuses on managing type 2 diabetes in a 60-year-old patient through remote monitoring and telehealth-delivered DSMES programs. These interventions improved her glycemic control, treatment adherence, and lifestyle modifications, enhancing patient satisfaction and quality of life. Evidence-based literature supports the effectiveness of these digital health technologies in reducing HbA1c levels and promoting self-management (Amante et al., 2021; Drobycki & Roseman, 2021).
Healthcare policies, including the California Board of Nursing guidelines and the HITECH Act, guided ethical, patient-centered implementation. The project also fostered the nurse’s professional growth, highlighting leadership in applying evidence-based interventions, leveraging technology, and advocating for patient-centered care. Overall, the capstone demonstrates how telehealth and remote monitoring can effectively support patients with chronic diseases, especially in home-based or geographically isolated settings.
• Introduce the clinical issue or topic • Explain its relevance to nursing practice • State the purpose of the assessment
• Describe databases and search strategies used • Explain criteria for selecting credible sources • Discuss evaluation of source quality and relevance
• Summarize key findings from research sources • Compare and contrast different perspectives • Identify patterns and themes in the evidence
• Explain how research informs clinical decisions • Provide specific examples of practice applications • Discuss implications for patient outcomes
• Summarize key points and findings • Reinforce the importance of evidence-based practice • Suggest areas for future research or practice improvement
Hello everyone, I’m a registered nurse at Alhambra Hospital Medical Center. In this video donation, I aim to contemplate a capstone design for addressing my man’s diabetes. She’s 60 years old with a medical history of hypertension, which is under control with medicine. Her current symptoms of devilish thirst, weight loss, and jingling sensations in her toes and galettes made us doubtful of diabetes.
Witnessing an HbA1c test, she vindicated her opinion of diabetes when her fasting blood glucose position appeared to be 280 mg/dL. Her unhealthy life, genetics, and old age were presumably the reasons for acquiring type 2 diabetes mellitus. This capstone design’s assessment will illuminate how the intervention plan developed for my ma contributed to her diabetes operation, along with the details of the complete trip of addressing her diabetes.
The restorative strategy proposed for my ma in diabetes treatment was remote monitoring of her condition together with a telehealth-predicated Diabetes Tone Operation Education and Support program. These two interventions played a significant part in lowering my ma’s blood glucose situations. DSMES enhances the health knowledge position of diabetes in cases and empowers them to take care of their diabetes, leading to enhanced satisfaction and better quality of life (Rauh, 2020). Also, remote monitoring permits healthcare professionals to track and cover a case’s health conditions, treatment adherence, and symptom operation.
This leads to advanced quality of care and quality of life. Ultimately, the case’s satisfaction increases as his health issues are bettered (Rhoden et al., 2022). My ma, who was recently diagnosed with diabetes, demanded education and awareness on what diabetes is and how it can be managed by life variations. Her life demanded intricate changes in diet and physical exertion. She reported that remote monitoring helped her constantly improve her physical exercise.
Likewise, it bettered her adherence to the specified medicine plan. My ma’s health knowledge on diabetes was poor, and upon taking the DSMES program from nurses on telehealth, she claimed that this program helped her enhance her knowledge of her health condition. This prevented her from eating reused food and replacing it with healthier druthers. She also set it up to allow access to admit care treatments through telehealth, as she lived far from the sanatorium, and the quotidian commute would be delicate for her in this old age. Overall, the experience of this care treatment plan enhanced case satisfaction and bettered her quality of life.
The proposed remote monitoring intervention and DSMES program delivery via telehealth are theoretical and substantial. Various authors in disquisition have claimed the effectiveness of remote monitoring in diabetes to be practical (Su et al., 2019). Others have positive reviews on the advanced quality of life by DSMES programs with telehealth in diabetes. In one study, the effectiveness of remote monitoring in diabetes was conducted for cases with inadequately managed type 2 diabetes (Amante et al., 2021).
The cases were connected to glucose measures, transferring data to pall-predicated databases that healthcare professionals snappily analyzed. The results indicated that remote monitoring bettered HbA1c situations in enrolled cases and enhanced treatment satisfaction (Amante et al., 2021). This literature resource inspired me to take advantage of digital health technologies and indeed cover my ma’s diabetes when I am on nursing duty at the sanatorium.
Likewise, another validation-predicated study shoveled into using telehealth in navigating care for diabetes and its education. The composition stressed the telehealth-predicated DSMES programs and how they helped cases with diabetes (Drobycki & Roseman, 2021). The findings showed that virtual education in diabetes care with the DSMES program resulted in more effective care than traditional care.
The benefits of this strategy included that cases didn’t need to change, and scheduling healthcare sessions was easy. Likewise, the cases could acquire substantiated care, significantly reducing the profitable burden. The overall services of telehealth-predicated DSMES programs showed positive case satisfaction (Drobycki & Roseman, 2021).
Another systemic review on using DSMES apps to manage diabetes through education and support was done by the authors. The results showed that using mobile apps for DSMES bettered cases’ adherence to treatment plans, and diabetes was well managed in cases (Nkhoma et al., 2021). This hand of telehealth informed me to deliver the DSMES program by using telehealth services to my ma, following this approach as her old age wanted home-predicated care where she didn’t have to travel regularly. Using these validation-predicated studies as substantial resources, I drafted the proposed plan, considering their implicit benefits in perfecting diabetes.
This section entails the degree to which I maximized the use of healthcare technology to manage my man’s diabetes. With further outstanding advancements in digital technologies, healthcare systems aren’t lagging. Digital technologies have better health knowledge and advanced care strategies (Dunn & Hazzard, 2019). Telehealth and remote monitoring are the considerably used healthcare information technologies that have increased cases’ provocation to stick to watch plans and enable them to be further empowered to ameliorate their habitual health conditions (Randall et al., 2020).
Therefore, I decided on these healthcare technologies to manage my ma’s condition and manage her complaint symptoms by regular monitoring of her medicine adherence tests and compliance with treatment plans and life variations.
Further advancements can be brought with healthcare technologies, including making digital healthcare user-friendly, analogous to adding paraphrases to ameliorate their inscrutability (Awad et al., 2021). Also, the changes can include integrating mobile app-predicated diabetes to enhance self-care conduct. Jeffrey et al., 2019). Also, it can include diabetes operation with the help of wearable technologies to cover physical exertion and give moments on perfecting overall healthy habits (Rodriguez-Leon et al., 2020).
Colorful healthcare programs impacted the organizing, execution, and practical operation of this capstone design to manage my ma’s diabetes. For illustration, nursing practice morals by the California Board of Nursing Practices illuminate delivering high-quality care treatments considering the case’s health and preferences. These morals and regulations convinced me to produce a plan for my ma that suits her healthcare conditions and preferences (California Board of Registered Nursing, 2019).
Also, the Health Information Technology for Economic and Clinical Health Act of 2009 emphasizes using healthcare information technologies to grease case care and enhance productivity in providers’ work routines. Using digital health platforms analogous to telehealth and mobile-predicated apps to deliver care makes case-centered care possible. This approach also improves patient satisfaction (Lin et al., 2019). This leads to advanced quality of life. Considering this policy, I suppose it’s perfect to integrate technology used to treat and manage my mom’s diabetes in the early stage to help diabetes-associated complications.
The proposed remote monitoring intervention led to policy development within our healthcare setup. The policy was mainly designed for diabetics who face geographical walls to healthcare services (Sahoo et al., 2023). The policy included that these cases could admit diabetes care with the help of telehealth services. Through this policy, pastoral-predicated diabetes cases can consult with their healthcare providers using digital tools and enable harmonious diabetes care. The positive issues of this policy will be lower diabetes-associated complications, increased patient satisfaction, cost reduction, and reduced sanatorium readmission rates (Drobycki & Roseman, 2021).
Baccalaureate-prepared nurses play a significant part in developing and administering programs within healthcare systems. Nurses have a deeper understanding of the healthcare conditions of cases, as they primarily interact with them and can endorse programs that promise better health issues and overall well-being (Anders, 2020). Likewise, nurse leaders, with their leadership part, can ply their sweat in policy development and performance.
Nurses also help apply programs by educating cases and neophyte nurses on lately developed programs to improve patient health and satisfaction. They can communicate complex policy information easily and understandably, which reduces resistance to change and imparts wider acceptability (Rasheed et al., 2020).
While the capstone design was under construction, the original prognostications were a relative reduction in blood glucose situations in my mom (Rasheed) from the early diagnosed results. Also, the vaccination was estimated to mean that my ma may face challenges in attaining life variations, and the results may not appear as asked. – Perpetration of the proposed plan redounded in matching the first vaccination. My man’s blood glucose situation declined to 95 mg/dL from 260 mg/dL.
The primary reason for including it was that the remote monitoring and education on diabetes management positively influenced her care and conduct, leading to a more active lifestyle and better health. The intervention plan matched my man’s auspicious prophecy of lowered blood glucose situations.
The proposed intervention plan isn’t only anticipated for my ma as a case. In fact, this proposed plan can apply to generalized community members who are native to pastoral areas and have difficulty transporting more constantly. These interventions can be considered swish practice strategies with the eventuality of perfecting diabetes care, delivering case-centered care, and enhancing patient safety and satisfaction. Also, the proposed interventions have proven effective in diabetes care by researchers in the literature. This further progresses towards its generalizability as a Swiss practice for managing diabetes.
I have proved the total of nine hours spent with my ma agitating the diabetes operation and treatment plan in the Capella Academic Portal Experience Form.
This capstone design significantly contributed to my personal and professional growth. Witnessing my mother’s struggle with this chronic condition increased my awareness of the challenges faced by individuals with similar health issues. From life variations to medicine adherence, I saw her sweat in managing her diabetes. This made me more compassionate and kinder towards my ma and all diabetics living in this world. I also acquired a healthy life, which bettered my health to help prevent the onset of diabetes in the afterlife. Before this capstone design, I was monstrously involved in an unhealthy life where I ate reused food daily—the afterlife. I also consumed alcohol occasionally in the past.
Also, I wasn’t aware of the struggles of diabetic cases before this capstone design. Watching my man struggle to maintain a healthy life helped me grow tête-à-tête in attaining a healthy lifestyle. This trip from the RN to the BSN program helped me professionally as I continued to serve diabetics with further care and followed the ethical principles of beneficence and non-maleficence. I became more available to cases that demanded my help in extremities and handed it to them.
In summary, this capstone design concentrated on my ma’s diabetes, and I cooked up a care plan that included remote monitoring and DSMES through telehealth. The reflections from this design included that the proposed intervention bettered my ma’s satisfaction and quality of life as she handed home-predicated care. Likewise, the healthcare information technologies and health programs significantly impacted the conformation of this intervention plan. Apropos, I conducted a relative analysis of the issues of capstone systems with starting prognostications, followed by an estimate of particular and professional growth after this capstone design.
Amante, D. J., Harlan, D. M., Lemon, S. C., McManus, D. D., Olaitan, O. O., Pagoto, S. L., Gerber, B. S., & Thompson, M. J. (2021). JMIR Diabetes, 6(1), e25574. https://doi.org/10.2196/25574
Anders, R. L. (2020). The article titled “Engaging nurses in health policy during the COVID-19 period” was published in the Nursing Forum, volume 56, issue 1, on pages 89–94. https://doi.org/10.1111/nuf.12514
Awad, A., Trenfield, S. J., Pollard, T. D., Ong, J. J., Elbadawi, M., McCoubrey, L. E., Goyanes, A., Gaisford, S., & Basit, A. W. (2021). Connected healthcare The study focuses on enhancing case care through the use of digital health technologies. Advanced Drug Delivery Reviews, 178(113958). https://doi.org/10.1016/j.addr.2021.113958
| Criteria | Excellent (A) | Satisfactory (B-C) | Needs Improvement (D-F) |
| Intervention Implementation | Clearly explains interventions, rationale, and patient outcomes. | Interventions mentioned but lack detail. | Interventions unclear or incomplete. |
| Patient Outcomes & Satisfaction | Demonstrates measurable improvements and patient-centered results. | Outcomes mentioned but not fully supported. | Outcomes missing or vague. |
| Evidence-Based Practice | Integrates multiple studies to support interventions. | Limited or partially applied evidence. | Evidence not included or irrelevant. |
| Technology Utilization | Explains how technology was leveraged to enhance care and monitoring. | Technology mentioned but lacks depth. | Technology use unclear or missing. |
| Policy & Ethical Considerations | Clearly applies nursing guidelines, HIPAA/HITECH, and ethical standards. | Policies referenced but limited application. | Policies and ethics not addressed. |
| Professional Growth Reflection | Provides personal and professional insights gained from the project. | Reflection present but shallow. | Reflection missing or irrelevant. |
| Organization & Presentation | Clear, professional structure with APA references and logical flow. | Minor organization or citation issues. | Poorly organized; references missing. |
A reflection is a critical step in the nursing process. It allows you to anatomize your conduct, estimate their issues, and identify areas for improvement. This assessment shows that you aren’t just a doer but a critical thinker who can learn from a clinical experience and use that knowledge to be a better nurse.
A BSN-prepared nurse is a leader who uses validation-predicated practice to ameliorate patient issues. This design demonstrates this aspect by relating it to a specific problem, similar to the opinion on the diabetes operation for your mother. Conducting a literature review to find validation-predicated interventions. enforcing a plan that leverages technology and aligns with health policy.
The main takeaway is that using digital health technologies like remote monitoring and telehealth can significantly ameliorate patient postoperative tone, health issues, and overall quality of life, especially for cases that face geographical or mobility walls. It also highlights the vital part nurses play in backing for and administering programs that support patient-centered care.
Instant access • No credit card
You cannot copy content of this page
Fill out the form below.