Milestone project

Points

The entire project is worth 600 points. Milestone 3 is worth 225 points of this total.

Due Date

The Milestone 3 PowerPoint OR Poster assignment is due by Sunday at 11:59 pm MT, at the end of Week 6. Submit your completed assignment. You may consult the Policies section in the Introduction & Resources module for details regarding late assignments. Post questions about this assignment in the Course Q & A Forum.

Required Assignment Topic

Note: You will use the same scenario you developed and same mHealth app you identified in Week 2.

Directions

• Select a Microsoft PowerPoint OR a Poster presentation for this assignment. See the Guidelines below for each of the options. 
• You are required to complete this assignment using the productivity tools required by Chamberlain University, which is Microsoft Office 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)

PowerPoint Assignment Guidelines

• You are required to cite your source(s) as it relates to your application slide. Other citations are permitted, but this is not a requirement for the assignment.
• Title slide (first slide): Include a title slide with your name and the title of the presentation.
• Scenario Slide (one slide): This slide should include the approved patient scenario from Milestone 1 and 2. You will use the approved patient scenario and include a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness and who would benefit from an already developed and reliable mHealth app. Include the nurse’s assessment of learning needs and readiness to learn.
• mHealth application slide (one slide): Identify a developed and reliable mHealth app that could benefit the patient. Describe the app, including the following.

  Name of app
  Purpose of app
  Intended audience
  Mobile device(s) upon which the app will operate
  Where to download or obtain it (include a working link if it is to be downloaded from a website)
  Any other information you believe would be pertinent to this situation
  Be sure to cite all sources you use.

• Teaching slide(s) (one to three slides): Prepare slides that contain important points about the app that you want to teach to the patient, such as how to use the app safely and effectively (including how to interpret and act on the information that is provided).
• Evaluation slide(s) (one to three slides): Describe how you would determine the success of the patient’s use of this app. For example, include ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app and focus on specific ways that this app benefits the patient’s health and wellness.
• References (last slide): List any references for sources that were used and cited in the presentation.
• Number of PowerPoint slides: 6-10 slides total

Writing and design: There should be no spelling or grammatical errors. Writing is concise and clear. Avoid words that the patient may not understand. Slides are visually appealing, incorporating graphics, photographs, colors, and themes.

Review the section on Academic Integrity Policy found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.

Best Practices in Preparing PowerPoint Slideshows

• Be creative but realistic.
• Incorporate graphics, color, themes, or photographs to increase interest.
• Make each slide easy to read with short bullet points and large font. You may use speaker notes for full sentences.
• Review directions thoroughly.
• Cite all sources within the slides with (author, year), as well as on the reference slide.
• Proofread prior to final submission.
• Check for spelling and grammar errors prior to final submission.
• Abide by the Chamberlain academic integrity policy.
• Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx. (Links to an external site.) The Chamberlain Student Success Strategies (SSPRNBSN) offers a module on Computer Literacy that contains a section on PowerPoint. SSPRNBSN is a course tile on your dashboard.

Chamberlain

College of Nursing NR36

1

Course Project Milestone 2 Template

Directions: Carefully review Course Project Milestone 2 Guidelines and rubric requirements.

Name: Sama Maharjan__________________________

Define Approved Patient Scenario

A patient is a 49-year-old man who has complained of suffering from progressive headaches for the last month. The medication was provided to relieve the headache. He was directed to the emergency room with the following symptoms: vomiting, nausea, and visual disturbance. Records indicate that the patient had initially been diagnosed with hypertension (HTN) hereditary; Beta-blockers were prescribed. Imperatively, he had not taken any medication within the last 12 months for reasons best known to him. The patient smokes cigarettes and occasionally engages in alcohol consumption, but denies using drugs for recreational purposes. Imperatively, his smoking habit is dangerous as it can alleviate his HTN condition to extreme levels (Akbarpour et al., 2018). The patient’s blood pressure was captured at 180/110, with his brain’s MRI manifesting scattered lesions that intensified around the posterior and occipital lobes.

It is also evident from the history that the patient is a college-level graduate and eager to learn ways to modify the lifestyle to maintain a healthy lifestyle. The eagerness to learn would be beneficial as the patient will be taught to use the mHealth app to remind him to have a healthy lifestyle and maintain his blood pressure. With concerns placed to improve his condition and remind him to take his medicine on time, a mHealth application is needed. The application in concern for this assignment was CareClinic.

Identify Teaching Areas

· Information:

Technology can be used to achieve such a cause by giving the patient a mobile application called a CareClinic app that can monitor the progress of healing, the medication’s effectiveness, and provide guidelines on diet, exercise, medication, and other things. The information on CareClinic app (CareClinic Tracker & Reminder, 2020) are:

· CareClinic app is a symptom and medication tracker and a health journal that helps measure, learn, and improve your health.

· It is available for Android and iPhone.

· Download on Android from google play store and iPhone from Appstore.

· Benefits of the CareClinic app

· It helps to create your own care plan where you can track your daily symptoms.

· You can schedule your medication time, and the app will remind you to take medicine. 

· Manage acute, chronic, and preventive medical care in one app.

· Record and manage medications

· Manage health stats (i.e., blood pressure, weight, cholesterol)

· Find a nutritional plan

· Record activity log

· Safety:

· The mHealth app is used for general information and educational purpose: for medical advice, please visit the physician

(CareClinic Tracker & Reminder, 2020).

· It’s essential to Logout after each session in case your phone becomes lost or stolen.

· Put identification, authentication, and authorization measures in place (Wodehouse, 2019).

. Make sure your phone has a password that only you and trusted individuals may access.

· Create a strong password to access ‘CareClinic app’ (Uppercase, lowercase, symbols, or numbers).

· Another safety precaution that the patient needs to take is to ensure that one adheres to the application’s prescriptions and recommendations after feeding it with the correct information

· Interpretation:

The ways to interprete and act on the information that is provided by the mHealth app for this project are:

· It is easy to navigate the application and register a new account.

· After the registration, the user can add the existing health problem that will help connect to the symptoms.

· Users can go to “my care plan” tab in the app to add the medicine and supplements they are taking, nutritional plan, activity plan, symptom check, and measurement check. This tab allows the patient to add and delete different checks per the patient’s condition. By entering data of the patient’s blood pressure on the measurements, one can keep track of maintaining the blood pressure within normal limits. For instance, if the blood pressure is 160/90, and you have been in 120-130/80-90, it determines certain changes and might need medical help. This will help him to imrove his health status. Making the correct interpretation of medical terms and health circumstances is a critical point of the teaching area.

· The “check in” tab in the app reminds you if you have taken your medication.

· You can also turn on the notification from setting to notify the reminder to take medicine or for daily check-in. This will help a patient to know about his health stats daily.

(CareClinic Tracker & Reminder, 2020).

Determine and Evaluate Success (3)

· I would ask Mr. NB to demonstrate back how to use the app without any assistance. This will reveal the understanding of the usage of the app by the patient. The teach-back method of instruction is a great way to evaluate patients’ learning outcomes and the success of teaching (Farris, 2015). 

· I would ask him about his understanding of hypertension and the importance of taking medication. This will give me a clear picture of what more information is necessary for the patient and add data in his care plan in the CareClinic app.

· I would have Mr. NB check his blood pressure, blood glucose, weight, and waist measurements regularly, documenting them in the application. Entering his findings in the application will show that he successfully knows how to input his results in the application and manage his health by seeing his progress.

Citations and References

Akbarpour, S., Khalili, D., Zeraati, H., Mansournia, M. A., Ramezankhani, A., & Fotouhi, A. (2018). Healthy lifestyle behaviors and control of hypertension among adult hypertensive patients. Scientific reports, 8(1), 1-9.

CareClinic Tracker & Reminder (2020), Symptom Tracker & Medicine, Health Symptoms Diary (Version 2.0) [Google Playstore]. Retrieved from 

https://play.google.com/store/apps/details?id=com.careclinicsoftware.careclinic 

Farris, C. (2015). The Teach Back Method. Retrieved from Nursing Center: https://www.nursingcenter.com/journalarticle?Article_ID=3126832&Journal_ID=2695880&Issue_ID=3126647

Wodehouse, C. (2019). 8 Tips for Better Mobile Application Security. Retrieved from Upwork: https://www.upwork.com/hiring/mobile/mobile-application-security/

NR361 Course Project Milestone 2 Template x 03/20 JMJ

1

Chamberlain College of Nursing NR

3

61

Course Project Milestone 1 Template

Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 2 by 11:59 p.m. Mountain Time.

Name: __Sama Maharjan________________________

Assignment Criteria	NOTE: See Milestone 1 Rubric for details required in each area.
Scenario for Milestone Assignment: Scenario is clear and concise, including a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn. 50 points	Mr. NB, a 49 years old moderately obese man, came to the emergency department with a month’s history of progressive headache presented to the emergency department with nausea, vomiting, and visual disturbance. Headache was unrelieved by medication. It is noted that he was previously diagnosed with hypertension (HTN) and was prescribed with Beta-blockers but has not taken medicine for a year now for an unspecified reason. He is an active tobacco smoker and drinks alcohol occasionally. Denies of recreational drug use. He has family history of HTN to both father and mother. On arrival, his blood pressure was noted to be 180/110. MRI of the brain demonstrated scattered lesions with increased intensity in the occipital and posterior parietal lobes. But no acute CVA noted. The clinical presentation is suggestive of hypertensive emergency and hypertensive encephalopathy. He has a college-level education. After knowing about his current condition and future possibility of having stroke, the patient is more willing to learn about the ways to control his blood pressure and bring change in lifestyle.
Education: Describe in detail content planned for teaching this patient in the scenario. 40 points	As per the information obtained from Mr. NB’s assessment, it was revealed that he needs to modify his lifestyle, and proper education is necessary to the patient. Education will be more focused on lifestyle modification that includes encouraging exercise and reducing weight, dietary changes, and consultations with a dietician/nutritionist. It will be beneficial if the patient is taught about self-monitoring skills, provide information on their target blood pressure, and tell them about its importance to maintaining the targeted blood pressure. We will provide education on the medication regimen he will be in as the patient had previously stopped taking medication. He will be provided with educational materials like pamphlets about the disease condition, sample diet like low salt diet and cardiac diet, and encouragement to light exercise with walking. Mr. NB will also be discussed in detail about the medication regimens that include when and how to take medicine, how the drug works, and the adverse effect. The addition of hydrochlorothiazide 25mg daily three times a day and metoprolol 50mg twice a day.
Identify the mHealth application: Identify a mHealth app that could benefit the patient. Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it. Include a working link if it is to be downloaded from a website. Add any other information you believe would be pertinent to this situation. Make sure to add a citation for this mHealth app in APA format. 45 points	A mHealth app that could benefit Mr. NB would be the CareClinic App. It is a mobile app available on Android, iPhone, and iPad. This app can be downloaded from Apple Appstore and google play store for free of cost. You can also login through your computer to the CareClinic website. The app can be used to track symptoms, activity, dietary intake, and medication reminders (Careclinic.io, 2020). It is intended to assist anyone with management and monitoring for hypertension. It helps to help personalize your health monitoring and make it easier to see where you can adjust strategies to enhance your hypertension management. The app is rated for everyone it has been deemed that the content is generally suitable for all ages. This app will allow easy monitoring and management of hypertension, making people more apt to utilize. The app not only helps in tracking blood pressure but also has other features that includes a reminder to engage in physical activity, eat correctly, remind you to take medicines and much more through care plans. Reference CareClinic. (2020). CareClinic. Retrieved from The Best Hypertension Tracker App You Should Try
Statement from instructor on required assignment and topic: Accepted, Accepted with revisions needed, OR Not accepted. *Any required revision will not alter your grade for this assignment. *	· Accepted · Accepted with revisions · Not accepted

NR361 Course Project Milestone 1 Template x 09/19 JMJ

3

NR361 Milestone 3 – PowerPoint OR Poster Rubric

Scenario is very thorough, clear and concise with a description of a patient with a specific disease, diagnosis, or a person who wants to prevent illness and maintain or achieve good health. Clearly and thoroughly states that the patient is seeking information, including a detailed assessment of learning needs and readiness to learn.

44.0 pts

Scenario is good and concise. It includes a description of the patient with specific disease or diagnosis, or desire to maintain good health. Scenario generally describes the nurse’s assessment of learning needs and patient’s readiness to learn.

40.0 pts

Scenario includes a fair description of the patient with specific disease or diagnosis, or desire to maintain good health. Scenario may lack the nurse’s assessment of learning needs OR patient’s readiness to learn.

19.0 pts

Scenario includes a poor description of the patient with a specific disease, diagnosis, or desire to maintain good health. Scenario may lack both the nurse’s assessment of learning needs AND patient’s readiness to learn.

Scenario fails to describe the patient’s situation The nurse’s assessment of learning needs and readiness to learn are lacking.

50.0 pts

50.0 pts

50.0 pts

50.0 pts

Assignment has the following elements: Assignment is visually appealing incorporating graphics, photographs, colors and themes; Assignment has the correct number of slides for the PowerPoint assignment (6-10 slides) or the correct areas for the Poster, which is only one page; Grammar, punctuation, and spelling are correct; Citation present for application. There is APA reference information in the assignment.

22.0 pts

Good mechanics considering the elements listed in the first column.

20.0 pts

Fair mechanics considering the elements listed in the first column.

10.0 pts

Poor mechanics considering the elements listed in the first column.

0.0 pts

Very poor mechanics such that assignment is difficult to read.

25.0 pts

0.0 pts

0.0 pts

NR361 Milestone 3 – PowerPoint OR Poster Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeScenario is clear and concise, including a disease process, diagnosis, or identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn.					5 0.0 pts		0.0 pts
This criterion is linked to a Learning OutcomeApplication: Identify a mHealth app that could benefit the patient. Describe the app including its: Name, Purpose, Intended audience, Mobile device(s) upon which it will operate, and where to download or obtain it. Include a working link if it is to be downloaded from a website and any other information you believe would be pertinent to this situation. Make sure to add a citation for this mHealth app.	50.0 pts Describes the mHealth application in detail including its: Name, Purpose, Intended Audience, Mobile device upon which it operates, Download or where to obtain, other pertinent information. Sources that are used are cited. 44.0 pts Describes the mHealth application but is lacking one of the elements in the first column. 40.0 pts Describes the mHealth application but is lacking two of the elements in column. 19.0 pts Describes the mHealth application but is lacking three of the elements in the first column. 0.0 pts Provides a poor or confusing description of the mHealth application that lacks most of the elements in the first column.
This criterion is linked to a Learning OutcomeTeaching : Information to be taught to patient about the mHealth app including any safety guidelines, and how to interpret and act on the information that is provided.	50.0 pts Teach all pertinent details about how to use the app safely and effectively including how to interpret and act on the information that is provided. 44.0 pts Teach most of the information about how to use the app safely and effectively including how to interpret the information that is provided. 40.0 pts Teach minimal information that the patient needs to know to use the device, for example, lacking safety guidelines that may need to be followed. 19.0 pts Teaching section is confusing and does not convey useful information that the patient needs to know. 0.0 pts Teaching is not included in the presentation
This criterion is linked to a Learning OutcomeEvaluation: Describe how you would determine the success of the patient’s use of the mHealth app. For example, include the ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of app and focus on specific ways that this mHealth app benefits the patient’s health and wellness.	50.0 pts Describes in detail ways to evaluate the effectiveness of the teaching plan that are a good fit for the type of mHealth app or focus on specific ways that this app benefits the patient’s health and wellness. 44.0 pts Describes general or universal ways to evaluate the effectiveness of the teaching plan that considers the nature of the mHealth app. 40.0 pts Describes limited ways to evaluate the effectiveness of the teaching plan, which does not reflect the nature of the mHealth app. 19.0 pts Describes an evaluation plan but it is confusing and is unlikely to determine if the patient has learned what is necessary. 0.0 pts Does not include an evaluation plan.
This criterion is linked to a Learning OutcomeWriting and Design: Writing contains no spelling or grammatical errors. Bullets should be used instead of long sentences or paragraphs. Reading level is appropriate for patient described. Slides are visually appealing incorporating graphics, photographs, colors and themes. Sources that are used are cited. There is an APA reference information in the assignment. . Assignment has the correct number of slides for the PowerPoint assignment (6-10 slides) or the correct areas for the Poster, which is only one page.		25.0 pts
This criterion is linked to a Learning OutcomeUse of correct topic and Use of Power Point OR Correct Poster Template	0.0 pts 0 points deducted Use of correct topic and Power Point/Correct Poster Template used for the assignment 0.0 pts 22.5 points deducted (10%) Use of incorrect topic OR NO power point or Poster Template used results in a 22.5 point deduction (10%)
This criterion is linked to a Learning OutcomeLate Deduction	0.0 pts 0 points deducted Submitted on time 0.0 pts Not Submitted on Time – Points Deducted 1 day late =11.25 deduction; 2 days=22.5 deduction; 3 days=33.75 deduction; 4 days =45 deduction; 5 days = 56.25 deduction; 6 days =67.5 deduction; 7 days =78.75 deduction; Score of 0 if more than 7 days late
Total Points: 225.0