NURS FPX 6080 Assessment 3 Person-Centered Self-Care Management Interview and Video Presentation
Student name
Capella University
NURS- FPX6080
Professor Name
Submission Date
Person-Centered Self-Care Management Interview and Video Presentation
Chronic disease management needs to be patient-centered, enabling the patient to be responsible for his/her own health. The latter is a technique called motivational interviewing.” The focus will be on using motivational interviewing techniques to assist in developing a client’s ability to self-care and manage a client with hypertension. As well as this assessment, exploring strategies for building empathetic relationships, having sensitive conversations, and determining the adequacy of resources to provide equitable and inclusive care is explored. This allows the client to be more involved in their care and the care they receive, and thus improve their outcomes.
Identified Client
The identified client is a 58-year-old male named Mr. James H, and has been diagnosed as suffering from Hypertension for the past three years. He has problems with self-care, particularly with taking antihypertensive medication, and has a sodium-restricted diet. His blood pressure hasn’t reached normal levels (120/80 mmHg), and it is an average measurement of 150/95 mmHg. He expresses concern about the possible future problems that can arise from a background of high blood pressure, but admits to irregularly taking his medicine a few times a week and being questioned on his need to make steady improvements in his diet. He can use a home blood pressure monitor that can be linked to a mobile follow-up app, a reminder app for his medication, and follow-up at home through telehealth to help him adhere to and manage his blood pressure.
Strategies to promote and foster caring relationships
Building and sustaining healthy relationships is a key part of achieving the best health outcomes, particularly for clients who have chronic diseases, such as hypertension. I engaged Mr. James H using some of the motivational interviewing techniques, open-ended questioning, reflective listening, affirmations, and summarizing to build trust and rapport and demonstrate empathy. These approaches created an environment that was non-judgmental, and the clients there were respected and valued, and the patient engagement and adherence to treatment were increased. I listened to Mr. James’ concerns about taking medication and his dietary concerns, showing him I understood, reducing resistance, and establishing a partnership. We created (SMART) goals with him that he was ready to achieve, and this helped us to increase shared decision-making.
MI increases the likelihood of clients’ own motivation when it comes to sustaining the behaviour change when compared to directive approaches, as shown by evidence. In addition, the incorporation of technology – such as a home blood pressure monitor and medication reminders apps, for instance – follows the professional guidelines of prioritizing approaches that are focused on the patient and supporting self-management. I used a combination of caring communication with evidence-based strategies to set up a relationship of trust and functional systems in order to achieve positive outcomes for Mr. James’ hypertension.
Strategies for Facilitating Difficult Conversations and Disclosure of Sensitive Information
Helping to facilitate difficult conversations and disclosure of private information can be a combination of honesty, empathy, and respect to maintain the therapeutic relationship. Effective strategies include using simple and easy-to-understand language, listening attentively, talking quietly, and talking about the client, giving them a chance to talk through their problems without being interrupted. One model that is recommended as an evidence-based approach to giving bad news in an empathetic manner is the setting, perception, invitation, knowledge, emotions, strategy (SPIKES) model. The parts of the model I used in my interview with Mr. James H included creating a non-judgmental environment, establishing confidentiality, and asking Mr. James H about his experience of managing his hypertension. I gave him relief from his irritations through the prescription of antihypertensive drugs and guided him towards an understanding of the potential health risk of failing to take his antihypertensive medications.
Reflective listening and affirmation worked very effectively in that it helped to encourage honesty without defensiveness. These communication methods support patient-centered communication, reduce anxiety, and increase compliance with patient self-care. I was able to build a safe, respectful relationship with Mr. James that was also empathetic to his needs and was able to speak about his inconsistencies in self-management, using evidence-based counseling. The approach has been adopted to engage patients to address challenging, but necessary, health-related difficulties.
Strategies that Promote Self-Care Management
Educational, behaviour support, and technology are some of the successful methods for self-care management. Goal setting, motivational interviewing, and using self-monitoring technologies such as home blood pressure monitors and mobile health apps are used for hypertensive clients. Special literacy-level adapted education is essential as it will enable the person to make a choice/decision about the information (Cao et al, 2022). Besides, there are reminders and systematic follow-ups that reinforce taking medications and making lifestyle changes. Multicomponent interventions with self-monitoring and communications with patients have been shown to have a significant effect in reducing blood pressure.
They also promote equitable and inclusive health services if they are adapted to the client’s particular culture, socio-economic status, and needs. For example, making use of technology that is available on the client’s device ensures that it is inclusive, and culturally relevant dietary guidance is relevant and sustainable. MI builds up respect for the client’s autonomy and for his or her point of view, which avoids paternalism. Incorporating patient involvement in the decision-making process and tailoring interventions to the readiness to change of individual patients can help reduce health disparities and ensure interventions are accessible, relevant, and effective for a variety of patients. In sum, these comprehensive therapies promote trust and improve self-care results.
Current and emerging technologies to support self-care management
Creating client-centric health management solutions that incorporate current and future technologies will provide them with the necessary tools to help them achieve better health results and increased compliance. One of the key approaches in the case of Mr. James is for him to have a home blood pressure monitor that is connected to a mobile app that he can use to track his blood pressure. This technology enables you to automatically capture the reading, view trends, and share with healthcare professionals, saving you the time and effort of having to track these manually. Compliance with antihypertensive treatment can also be ensured by having timely reminders and education reminders sent to patients via mobile apps, such as Medisafe (Hartch et al., 2023). Digital reminders and/or self-monitoring devices effectively increase blood pressure control and patient activation.
New opportunities for further customisation are available thanks to the use of new technologies. Smart watches that have health monitoring features can provide continuous data on heart rate, activity, and even blood pressure. Artificial Intelligence (AI) based coaching tools are also coming to the market that will give real-time lifestyle information and motivational messages depending on individual progress. Moreover, by allowing frequent virtual visits without a trip to a healthcare centre, telehealth systems also help to overcome the time and travel restrictions. By incorporating current and emerging technologies, clients like Mr. James can take an active part in their health management and increase their autonomy, accountability, and health outcomes.
Current and Emerging Technology Useful for Clients in Achieving Self-Care Management.
Incorporating emerging and current technologies must be integral to supporting clients—like Mr. James—to effectively manage self-care for hypertension. Many of the technologies being utilized today are home blood pressure monitors with connectable Bluetooth, mobile health applications like Medisafe to remind patients to take their medicines, and patient portals where they can communicate with providers and see their health records. All these technologies will improve compliance, help patient-provider communication, and provide real-time data that can be used for clinical decisions. Self-monitoring, based on technology, has a significant impact on controlling blood pressure.
This is promising even more with newer technologies. Smart watches that contain blood pressure monitors and other wearables allow for real-time monitoring and targeted feedback and can be controlled by artificial intelligence–powered health apps that can provide tailored support based on the habits of the individual. The benefits of telehealth platforms are even greater when it comes to follow-up after the initial care and counseling, which can also take place remotely, reducing transportation or scheduling logistics. For diversified populations, these technologies can help mitigate health inequities by providing technologies that are flexible, accessible, and user-friendly, and are customized to fit a specific population’s needs (Hosseini et al., 2023). For example, using multilingual application screens and culturally competent information about diet can help to make health care more inclusive, and telehealth reduces geographic barriers to health care. Technology combines existing and new tools to provide patient access to their health records, options for shared decision-making, and improved outcomes.
Counseling Techniques to Advance Wellness and Self-Care Management
Motivational interviewing is a patient-centered counselling approach that helps patients identify their own motives for change and supports them in making their own choices to take action when needed, and is particularly effective in health promotion and self-management of care. Open-ended questions, affirmations, reflective listening, and summarizing are effective in establishing an encouraging, nonjudgmental climate when used in MI strategies with Mr. James, who has hypertension and is 58 years old. Asking such questions as “What are some good things that you saw when you took your blood pressure medicine on time?,” or asking him to “Tell me more about your reasons for taking your blood pressure medicine every day?,” helps him to verbalize his reasons to take the medicine; reflective statements such as “It sounds like you don’t want to have more health problems?,” confirm his concerns and reinforce his motivation to take the medicine. MI has been demonstrated to increase treatment adherence, patient engagement, and promote the treatment of chronic diseases (Bischof et al., 2021). Benefits to Mr. James might include better adherence to medication, better understanding of his blood pressure, and reduced risk for cardiac problems.
Evaluating Adequacy of Resources Available to Support Self-Care Management
The effectiveness of resource availability for clients to manage self-care involves looking at clients’ use of the resources provided as well as the outcome of the resources on clients’ health status. By keeping track of Mr. James’ utilization of the reminders app regarding health, his adherence to medication and follow-ups will be continuously evaluated. (Hartch et al., 2023). There will be both process measures (frequency of use of technology, adherence to SMART goals) and outcome measures (control of blood pressure, reduced missed doses) that will be included in this assessment. A formal follow-up at four weeks will help determine if the resources provided are easily accessible, easy to use, and helpful for him.
If it is identified that the resources are not available, for instance, if Mr. James finds the app too difficult to use, doesn’t have internet, or shows little improvement, then alternative resources will be discussed. This might be something as simple as making the technology more accessible to the tools and resources available, like pill box alarms, or having another form of support provided by family members, a community health worker, or nurse-coached coaching. Tele-health and/or local hypertension programs can also fill the gap with low-cost services. I can tailor resources to fit with the client’s needs and situation and ensure that support is fair, realistic, and can enable the client to manage extended self-care.
Conclusion
The use of motivational interviewing along with personalized goal setting and technologies can prove very useful to support client self-care management, particularly for individuals with chronic health issues, such as hypertension. Careful relationships when addressing adult issues and sensitive topics, and the use of individual resources to respond to the client’s particular needs can help provide equity and desired health outcomes. The use of existing technology and new technologies also extends clients’ ability to own their wellness, and systematic assessment ensures that there are adequate resources and that support is available at all times. Last, but not least, this approach increases client engagement, supports clients to make lifestyle changes, and boosts the quality of care.
References
Bischof, G., Bischof, A., & Rumpf, H.-J. (2021). Motivational interviewing: An evidence-based approach for use in medical practice. Deutsches Aerzteblatt Online, 118(7), 109–115. https://doi.org/10.3238/arztebl.m2021.0014
Braillon, A., & Taiebi, F. (2020). Practicing “reflective listening” is a mandatory prerequisite for empathy. Patient Education and Counseling, 103(9), 1866–1867. https://doi.org/10.1016/j.pec.2020.03.024
Cao, W., Milks, M. W., Liu, X., Gregory, M. E., Addison, D., Zhang, P., & Li, L. (2022). MHealth interventions for self-management of hypertension: Framework and systematic review on engagement, interactivity, and tailoring. JMIR MHealth and UHealth, 10(3), e29415. https://doi.org/10.2196/29415
Hare, A. J., Chokshi, N., & Adusumalli, S. (2021). Novel digital technologies for blood pressure monitoring and hypertension management. Current Cardiovascular Risk Reports, 15(8). https://doi.org/10.1007/s12170-021-00672-w
Hartch, C. E., Dietrich, M. S., Lancaster, B., Stolldorf, D. P., & Mulvaney, S. A. (2023). Effects of a medication adherence app among medically underserved adults with chronic illness: A randomized controlled trial. Journal of Behavioral Medicine, 47(3), 389–404. https://doi.org/10.1007/s10865-023-00446-2
Hosseini, M. M., Hosseini, S. T. M., Qayumi, K., Hosseinzadeh, S., & Tabar, S. S. S. (2023). Smartwatches in healthcare medicine: Assistance and monitoring; A scoping review. BioMed Central Medical Informatics and Decision Making, 23(1), 248. https://doi.org/10.1186/s12911-023-02350-w
Huter, K., Krick, T., Domhoff, D., Seibert, K., Ostermann, K. W., & Rothgang, H. (2020). Effectiveness of digital technologies to support nursing care: Results of a scoping review. Journal of Multidisciplinary Healthcare, 13(1), 1905–1926. https://doi.org/10.2147/jmdh.s286193
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FAQs
Q1: What is the main goal of NURS FPX 6080 Assessment 3?
The main goal is to conduct a self-care interview that revolves around the patient and to prepare a professional video presentation.
Q2: Why is person-centered care important in self-care management?
Person-centered care helps to promote active involvement of patients, improve customized care plans, and improve health results.
Q3: What topics should be addressed in the self-care management interview?
The topics include the patients’ problems, issues associated with self-care, health management objectives, communication, and self-management.
Q4: How should the students prepare a video presentation for the assignment?
The process involves collecting required information from an interview, using appropriate communication strategies, maintaining professionalism, and making sound recommendations.
Q5: What skills can students develop in completing NURS FPX 6080 Assessment 3?
Skills associated with self-care interviews and video presentations will help develop various skills, such as communication and patient education.