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    PICOt Question

    State your PICOt question here. Use the elements of the PICOt in separate sections below to describe each component.

    · Population – Provide the description of the targeted population.

    · Intervention – Describe your evidence-based intervention.

    · Comparison – What is currently happening?

    · Outcomes – List at least two (2) measurable outcomes.

    · time – What duration of the study for the project? (e.g., usually 6 months or 3 months)

    Changing healthcare environments is a needed avenue in exploring numerous approaches that might help patients achieve better health outcomes and maintain their normal activities after being admitted to the hospital or receiving other medical interventions. Despite the fact that science is always evolving, certain medical disorders will worsen with age and cannot be avoided. One of these medical diseases, chronic congestive heart failure (CCHF), is defined as the heart's inability to function properly. The causes can be many, such as an obstruction of blood flow in the body be caused by a failing heart or by the ventricles not being able to fill with appropriate amount of blood. Many other medical issues, such as hereditary faults or the reluctance of the patient to comply with treatment directions, might exacerbate this situation. One must adhere to the physician's recommendations in order to live a longer and healthier life. This must be done even after the patient has been released from the hospital. Failure to do so is considered inadequate medical compliance with examples such as failure to change eating habits, or failure to exercise at least three times per week are the most common. For this project, the patients' education, from both the inpatient and outpatient setting, will be the focus on this Picot statement. This statement will investigate education methods to reduce the likelihood of patients' noncompliance with treatment and, therefore, the likelihood of a patients readmission to the hospital. In addition, other observations will be examined whether specific post-discharge treatments effectively prevent hospital readmission. The goal of this paper is to determine if hospital readmission within 30 days can be prevented. This information is critical to the everyday operations of the inpatient oncology unit because of the inherent risk of this patient population. In addition to being cardiotoxic, chemotherapy administered to patients has the potential to cause harm to other organ systems. Therefore, finding the best intervention is essential to ensure that patients are able to recuperate adequately for their next treatment and have time to be with their family outside of the hospital.

    PICOT Question:

    "In elderly patients over the age of 64 with chronic Congestive Heart Failure, will being complaint to medications and preventative educational measures, versus usual daily care, reduce the occurrence of hospital readmission due to exacerbation of symptoms within 30 days of discharge?"

    PICOT Statement

    Population (P): Newly diagnosed cases of congestive heart failure are hospitalized for the first time.

    Intervention (I): During the 30 days after discharge cancer patients, who have been diagnosed with congestive heart failure, are given daily instruction about the condition and how to improve their health via a balanced diet and lifestyle. There is a great deal of data and information that most cancer patients with CHF need to understand, that their condition or therapy may alter over time (Castillo et al., 2018).

    Comparison (C): Traditional care and education are used as a contrast. As patients are not often open to training, and stress might induce cardiovascular crises in the traditional oncology environment, education for CHF patients and cancer as an underlying condition does not begin upon diagnosis. Intensive instruction is recommended if a patient is in stable condition and has begun to adjust to life with heart failure (Rosano et al., 2022).

    Outcome (O): Because of the high readmission rate in the CHF oncology patient group, the objective is to keep patients out of the hospital.

    Time (T): Finally, 30 days is being examined as the benchmark. Even though readmissions are prevalent within six months studies, on a shorter time frame, show educational interventions' immediate impact. Several characteristics are linked with an increased risk of readmission between 7- and 30-days following discharge from a hospital having Heart Failure services. Further research on the relationship between increased early readmission rates and home health care is needed (Toukhsati et al., 2019).

    Week 6

    P (Target Population)

    [75 to 100 words]

    Address the following questions/bullets in completing this section:

    · Who is your target population?

    · Describe your population, i.e., age, ethnicity, gender, condition/diagnosis, etc.?

    · Describe the setting where this project be implemented?

    Week 7

    I (Intervention)

    [100 to 200 words]

    Address the following questions/bullets in completing this section:

    · What are you planning to investigate or implement as a policy/process or program?

    · What are you doing that is different than what is currently happening?

    · List 2-3 potential actions that will be applied in this practice change.

    NOTE: Be very specific in your description.

    *For purposes of this Proposal Project Form the assumption will be that the C (Comparison Group) is ‘traditional care or current care’

    Week 8

    O (Outcomes to be measured)

    [100 to 150 words]

    Every project is required to have an evaluation plan. Address the following questions/bullets in completing this section:

    · Which 2-3 outcomes are expected for your project?

    · What outcomes will be measured?

    · How do you plan to do this?

    · What tool will you be using to measure your outcome(s)?

    · What data will be used to validate success of the project?

    Be sure your outcomes link to the identified problem.

    · How will you know if your intervention resulted in change?

    Week 9 & References

    9.1 Conclusion

    [200 to 250 words]

    · Provide a summary for your MSN Capstone Project.

    · Select and provide the rationale for three (3) competencies or specialty standards that you would expect to use in implementing this project [List of your specialty competencies are listed in the Week 9 Reflection Post]

    9. 2 References

    [Minimal of 5 research articles and references are paged on the last page.]

    · Add your references in APA formats on the last page.

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