Week 10 project

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Week 10 Project – MSN Capstone Proposal PowerPoint PosterFor this last project assignment you will create an academic poster based on your MSN Capstone Project Proposal. Using the information from your Project Proposal form, you will use the South University PowerPower Capstone Poster Template to complete this assignment. Use the instructions below and review the Exemplar MSN Capstone Poster.

How to use the template to complete this assignment:

  • Open the template and save on your computer. Rename the PowerPoint file with your First and Last Names.
  • Refer to the Exemplar Capstone Poster Example.
  • Using your MSN Capstone Project Proposal Form complete the sections on the PowerPoint:
    • Abstract – In this section provide an abstract of your proposal. This is only a proposal and is not a project to be implemented. Only provide the information you have actually completed on your MSN Capstone Project Proposal Form.
    • Background Information – In this section provide the background information on the problem. Why is this project important?
    • PICOt Question – In this section provide your PICOt question from Week 5 section on the MSN Capstone Project Proposal Form.
    • Literature Review – In this section provide a review of the literature. What were the themes?
    • Evidence-Based Intervention – In this section describe the evidence-based intervention. What will be done?
    • Outcome Measures – In this section provide your outcome measures and definition. What do you plan to measure to demonstrate success.
    • References – In this section provide no more than two (2) top references you used in the literature review to support your proposal.

    I have attached my project and a sample of the power point she wants. please follow the instructions because this teacher is very meticulous when it comes to any work being turned in. 

NP Adherence to Practice Protocol:
Management of Persistent Pain in Older Adults

George Peraza-Smith, APRN, DNP, FAANP1; DNP Chair2, GNP, DNP, FAANP
1South University, 2Case Western Reserve University

Even though persistent pain is highest among
older adults, they have been insufficiently
represented in clinical trials and studies on the
management of persistent pain. Agism has had
a negative impact on the adequate assessment
and management of pain in older adults.
Evidence has emerged indicating serious risk for
cardiovascular, gastrointestinal and renal
dysfunction with consistent use of NSAIDs and
COX-2 analgesics. Other evidence supports the
efficacious use of opioid analgesic in the
treatment of moderate-to-severe persistent pain
in older adults. Updated guidelines recommend
more reliance on opioid analgesia.. This
proposal aim is to implement an evidence-based
practice protocol on the pharmacological
management of persistent pain in older adults.

Background Information
An estimated 25% to 50% of older adults living
in the community and up to 80% of those in
nursing homes experience significant pain at
least some of the time. Undertreated persistent
pain in older adults has been linked to
depression, anxiety, cognitive impairment,
delirium, sleep disturbances, functional decline
and increased healthcare utilization and cost.
This project will implement a best practice so
that each older adult in a clinic will be assessed
and treated more effectively.

Persistent pain is a personal emotional and physical
Untreated or Inadequate Pain Management
• Persistent pain is under-recognized and under-treated
in older adults in many settings.
• Those with dementia have a greater risk for
inappropriate and inadequate pain treatment.

Pain Assessment with Older Adults
• Many older adults under-report their pain so as not to
be a burden.
• Numeric Rating Scale (1-10) has been shown
ineffective with older adults.
•IPT has high validity and reliability.

Opioid Use with Older Adults
• Guidelines support for persistent pain.
• Prescribing practice of opioids in older adults is mixed.

Literature Review

1.GSA. (2009). Pharmacological management of
persistent pain in older persons. Pain
Medicine, 10(6), 1062-1083.

2. Flaherty, E. (2021). Pain assessment for older
adults. ConsultGeri, 7.


Population (P): NP providers who make rounds in a 50-
bed skilled nursing facility
Intervention (I): Implementation of an evidenced-Based
Protocol on the management of persistent pain in adults
50 years and older
Comparison (C): Current practice of no protocol
Outcomes (O): 20% improvement in self-report pain
relief, 90% compliance rate of providers with protocol,
50% reduction on the use of NSAID with adults 50 years
and older
time (t): 60-days

PICOt Question
Implementation of a best practice protocol from
the American Geriatrics Society on the
pharmacological management of persistent pain
in older adults.
• Standardized pain assessment tool
• Initial treatment – Acetaminophen
• NSIDs and COX-2 used rarely
• For pain scores at moderate or greater, opioid

therapy is considered.

Evidence-Based Intervention

© 2021 South University. All rights reserved.

Outcome 1 – Iowa Pain Thermometer (IPT) self
report on pain intensity related to a thermometer.

Outcome 2 – NP compliance rate with
implementing protocol.

Outcome 3 – Filled NSAIDs per day compared
to prior to implementation of protocol.

Outcome Measures





Type Your Title Here

John Smith, MD1; Jane Doe, DNP2; Frederick Smith, APRN, PhD1,2

1South University, 2Medical Center of Affiliation


In this section provide an abstract of your proposal. This is only a proposal and is not a project to be implemented. Only Provide the information you have actually completed with is the MSN Capstone Project Proposal Form.

Background Information

In this section provide the background information on the problem. Why is this project important?

In this section provide a review of the literature. What were the themes?






Literature Review


Population (P):

Intervention (I):

Comparison (C):

Outcomes (O):

time (t):

PICOt Question

In this section describe the evidence-based intervention. What will be done?

Evidence-Based Intervention

© 2021 South University. All rights reserved.

In this section provide your outcome measures and definition

Outcome 1 – Survey – used to measure….

Outcome 2 – Compliance Rate is the percent…

Outcome 3 – Fall rate is the overall falls within the last ….

Outcome Measures


[Provide at least 5 References]

Carroll D, Kearney LK, Miller MA. Addressing Suicide in the Veteran Population: Engaging Public Health Approach. Front Psychiatry. 2020 Nov 23;11:569069. doi: 10.3389/fpsyt.2020.569069. PMID: 33329108; PMCID: PMC7719675.

Jonathan D. Green, Jaclyn C. Kearns, Raymond C. Rosen, Terence M. Keane, Brian P. Marx, Evaluating the Effectiveness of Safety Plans for Military Veterans: Do Safety Plans Tailored to Veteran Characteristics Decrease Suicide Risk?, Behavior Therapy, Volume 49, Issue 6, 2018, Pages 931-938, ISSN 0005-7894,

Kessler, R. C., Hwang, I., Hoffmire, C. A., McCarthy, J. F., Petukhova, M. V., Rosellini, A. J., Sampson, N. A., Schneider, A. L., Bradley, P. A., Katz, I. R., Thompson, C., & Bossarte, R. M. (2017). Developing a practical suicide risk prediction model for targeting high-risk patients in the Veterans health Administration. International Journal of Methods in Psychiatric Research, 26(3), n/a-N.PAG.

Lee, D. J., Kearns, J. C., Wisco, B. E., Green, J. D., Gradus, J. L., Sloan, D. M., Nock, M. K., Rosen, R. C., Keane, T. M., & Marx, B. P. (2018). A longitudinal study of risk factors for suicide attempts among Operation Enduring Freedom and Operation Iraqi Freedom veterans. Depression & Anxiety (1091-4269), 35(7), 609–618.

Wittink, M. N., Levandowski, B. A., Funderburk, J. S., Chelenza, M., Wood, J. R., & Pigeon, W. R. (2020). Team-based suicide prevention: lessons learned from early adopters of collaborative care. Journal of Interprofessional Care, 34(3), 400–406. https://doiorg.su.idm.oclc.org/10.1080/13561820.2019.1697213

The target population for this case are veteran men of age 45-50 years of age who are noted to be on higher risk of suicidal ideation and even suicidal attempts. These person or age group of Veterans have been identified to be at a risk by the US veteran Health Administration via the predictive modelling in the identification of veterans who are at a higher risk. The patients who have been enrolled in the VHA benefits are noted to be seeking care from the considered local veteran’s affair medical centers.

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.

The plans I am having on implementation of the strict follow up policies for the different patients normally involves having them being assessed and also labeled based on the groups having higher risk of suicidal ideations. The patients would then be provided with more personalized safety plan and follow up from a period of 3 months but the current practices would be varying from about 6months up to one year. These also needs to be provided the personalized safety plan as the patient families are also part of the establishment plan as it would help families on recognizing the suicidal ideations on one of their own and provided the most needed care.

*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?

Increasing of the follow-ups with the help of the primary care givers for a period for a period of three months or more would be one of the plans which would include having implementation of the safety plan whereby each of the patient would be screened or basically there be done the suicide assessment. Another outcome would on having the deduction of the risk that is there on having suicidal thoughts and any suicide attempts to person of aged 45-50 years by having the implementation of the safety plan, having those of predictive modeling in identification of veterans at higher risk and also having the increased follow ups procedures and implementations. The tool which would be used for this case would be the regression model which is noted to be predictive meaning that there would an exploratory analysis being done on the machine learning algorithms results obtained. One would know an intervention resulted in a change by having the evidence obtained that there is a decrease in the suicidal thoughts and also on the actions based on the follow ups reports which have been reported and thus indicating either positive or negative success of the interventions which would have been used.

Week 9 & References

In conclusion, the veteran men of the ages 45-50 years, who are having the risk of having suicidal ideation are noted to be needing follow up procedures which should be done for a period of about 3 months and be reinforced by having annual screening and thus playing an important role on having the risk reduced. The PICOT question also has been described as very important in explaining of the alarming rates of having suicide numbers being reported amongst the military veterans and other strategies which would be used on ensuring that the risk of suicide is reduced amongst the veterans ta all the ages. One of the competencies you would expect to use in the implementation of this project is leadership skills which is considered to be a complex and multi-faceted skills. The other one is quality adherence and assurance whereby this would be observed in the management plans and also in the products and services which are offered in the acre provision to person having suicidal thoughts or ideation. Lastly, is on having ethical observation and consideration which would be observed in the decision making, ethical reasoning and the leadership related skills which should be within the ethics of practice.

MSN Capstone Project Proposal Form

This is a building assignment that you will be completing over Week 1 through Week 9. This is a stepwise project proposal assignment in which you will complete one (1) section each week for your MSN Capstone Project Proposal. By the end of the Week 9, this form will have been filled in completely and your MSN Capstone Project Proposal will be completed. It is important that you keep up with the Weekly Assigned Section. Each
section is graded separately on a weekly basis while the final completed form will be graded with an overall grade. Each week the student will receive feedback from the instructor and the student is expected to incorporate the instructor feedback to edit and improve the weekly sections. The Week 9 final Capstone Project Proposal with be based on students incorporating the instructor’s weekly feedback.

How to use this form.

· Must use the same form for all sections. The purpose is to have a completed the entire form by the end of the course.

· Complete the week’s section with the requested information.

· There are suggested word counts for each weekly section to provide you with an idea of what is expected.

· You are to write in full sentences, paragraphs, correct grammar, and spelling.

· Use APA formatting with citations and references list.

· Refer to the

MSN Capstone Project Proposal Form Example
found in Week 1 and in the Course Resources tab.

· Do not delete or edit the week section instructions.

· Do not lock the form because that will stop you from editing and revising within the form.

· Leave NO blank sections. All sections are graded separately.

· You may work ahead; however, the instructor will only grade the week’s section due for the assigned week and the form
must be submitted each week.

· Read the item descriptions carefully. Items request very specific information. Be sure you understand what is requested.

· Use primary sources for any references. Textbooks are not acceptable as references.

Late Assignments: Students will receive a 10-point grade reduction for each day the assignment is submitted past the due date. After three (3) days past the due date, students will receive a zero (0) for that weekly section but must complete for the final Week 9 grading.

MSN Capstone Project Proposal Form

Student Name

Ralph Marrero

MSN Program

Family Nurse Practitioner

Project Title

Depression in adolescent

Week 1

State Your Clinical Question Comment by Renita: Changes not made as suggested by Professor

[100 to 150 words]

· State your clinical question or topic for your capstone project proposal.

· What issue is the question/topic addressing?

· What are the reasons you selected this question/topic? Comment by Renita: Must list 3 reasons for choosing the topic

My topic of interest will be focus on the adolescent depression and how to identify risk factors to prevent suicide. Adolescent depression is on the rise. Recent surveys indicate that as many as one in five teens suffers from clinical depression. This alarming high rate of depression and suicide for adolescents worldwide is a big concern and it is important to know how to detect it. Depression can be difficult to diagnose in adolescents because adults may expect them to act moody. Also, adolescents do not always understand or express their feelings very well. They may not be aware of the symptoms of depression and may not seek help. This proposal addresses an opportunity to improve providers’ skills to properly identify potential risk factors and effective treatment tools we can use to better the life of the depressed adolescent. I chose this topic of interest because mental health is one of the areas if feel many people struggle with and they have a stigma against mental health. As a practitioner want to treat not only the medical condition of my patients but the mental health side as well.

Week 2

Background Information

[200 to 250 words]

Address the following questions/bullets in completing this section:

· Start at the starting point – What, Where, When, Why, and How?

· What is known about this topic or what is the evidence on this topic
(Scoping Search)?

· What is the outcome of interest?

· What are the gaps in our understanding or knowing related to this topic?

Those who will benefit the most from the evidence given are the veterans of the age 45 years to 50 years as well as the primary care providers. One of the greatest impact that would result from the audience which has been provided is the participation in the primary care clinics whereby they would benefit beneficial veterans having suicidal ideations take a period of 3 months up to a year later. 30 being needed include the which is said to that should be having mandatory categories which are provided and answerable. The most appropriate man who would be of the ages 45 to 50 who are involved in most of military activities care providers. The benefits which would be observed for this case would include the possibility of having measures being established on prevention of suicidal ideation and any other any other tents which would be provided more primary care follow-ups and other related depression screening. Some of the potential risk which would be there would include having failure to follow ups after 3-month. appointment even having this person aeration increasing in terms of the percentages and other attempts of primary care follow-ups unprofitable. One should understand that barriers would include having tough times in finding enough what are specific age group experiencing the suicidal ideations and I want correct enough data if there would be a decrease in their ideation and attempts more frequent follow ups.

Week 3

Literature Search Strategies Comment by Renita: Changes not made as suggested by Professor

[150 to 200 words]

Provide details of your exhaustive search process. Be certain to list:

· Databases searched.

· All the keywords or search phrases used.

· How many articles in total that were found?

· List the inclusion/exclusion criteria.

· Provide the number of articles that were retained and a description on why those articles were retained.

· Consider using a flowchart to outline the search process.

The PubMed is considered to be a citation and abstract index that is from the National center for biotechnology information are the United States National Library of medicine. Please that I found to be more user-friendly doubt supportive evidence based articles on a period duration of 2017 to 2022. The criteria used on finding these it was by the certain keyword phrases such as veteran suicide depression in veterans decreasing suicide whereby I was able to find out over 150 articles. I also used the South University Library which is noted to be having diversified information on I’m suicidal help we’re by The Searchers in these articles were made using the keywords such as suicide prevention measures and also the words such as the veteran mental health. From this search I found out that 10 articles review consideration in the discussion about mental health. Customer on the articles that were discussing interventions all the various strategies that would be used on reducing the risk of suicide other articles that were discussing about the various factors that are contributing to increased instances being reported.
In the United States which side is considered to be a public health issue disproportionately faced person who are serving most in the United States military. The US department of veteran’s affairs has made a number of suicide provisions measures into top consideration implementation. Veteran affairs body is committed at having suicide prevention among the entire population for those who have served in the military regardless of where they came from benefits they are getting from the state. Understand that suicide can be prevented by a number of such as embracing the partners at home, having friends whom can share issues with and many more. Following a national strategy the veterans affairs which involves application of a public health strategy and having the different clinically based practices and interventions being used.

Week 4

Literature Review Comment by Renita: Changes not made as suggested by Professor

[500 to 1000 words]

Conduct a review of the literature. Include at least five (5) research articles and/or evidence-based guidelines. Address the following questions/bullets in completing this section:

· Conduct a review of the literature.

· Provide the highlights from the research.

· Synthesize the literature on the topic.

· Summarize how the project will contribute to knowledge by filling in gaps, validating, or testing knowledge.

· Cite references in this section per APA and list the reference in the References section at the end of the form.

Evaluation of the effectiveness of the safety plans for military veterans.
the department of the VA has been responding to issues contributing to high percentages of suicidal rates by having the provision of safety plans to the veterans having suicidal thoughts. Also, there have been major research activities on the efficacy of the SPs but no prior studies have indicated the degree to which a person would be linked with the outcomes most relevant on preventing suicidal thoughts/behaviors. The current studies aims at having more measures of prevention of suicidal behaviors being established and also being made effective based on the implementation which is done. The present study was about examination and the establish on ensuring that are determined and strategies of reducing the effects being put in place. Participants who have been involved in previous studies, whereby most of them are the military personnel I want other military veterans have been considered to be much important for the studies.

Team based suicide prevention

This is a strategy that involves the provision of lessons from an early age based on the collaborative acre provided. one should understand that the suicidal prevention in any clinical setting is a very demanding thing as it need coordination of the multiple clinicians who are having diversity in their skills on handling issues related to suicidal behaviors. Different challenges and benefits are experienced by the team approaching to provision of suicide prevention n the primary care provision whereby a particular focus for this case is on the veterans. The Veteran Health Administration is considered to be having both stakes in the prevention and o the systematic adoption of the different approaches relating to primary care intervention which would positively influence the suicidal acre being provided. one should also understand that the clinical trials a very important role in the suicidal prevention based on the efforts which are invested on by the clinicians in ensuring that the whole activities relating to suicidal prevention would be successfully initiated positively.

Developing of a practical suicidal risk prediction model for targeting highly risked patients in the veteran health administration. The US VHA (Veteran Health Administration) is noted to have begun on using the predictive modeling in the identification of the veterans who are at a higher risk of suffering from mental health and other suicidal targets. There are different longitudinal studies which have been done on the risk factors for the suicide attempts amongst the military veterans who have been involved been on wars outside the country such as Iraq. Identification of the different factors which are having great suicidal risk thoughts contribution amongst the veterans is very important as it helps on reporting of the informed risk assessment and also having the intervention targets being reported. Most studies have shown that a huge number of the veterans normally suffers from the posttraumatic stress disorder and this is one of the factors contributing into having depression disease which would bring in the mindset of suicide. The considered strongest predictors pf suicide attempts are considered to be the suicidal intent, suicidal ideation, attempted suicide history, alcohol and substance abuse, depression and the post-traumatic stress disorder. Thus, one should understand that, the stated issues are main contributors of suicidal behaviors and thus one should firstly deal with measures of stabilizing their effects because that would result into their effect being limited.

Week 5

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. Comment by Renita: Changes not made as suggested by Professor

· 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)


The population being targeted in this case are the military veterans of the age 45-50 years who are considered to be having a higher risk of suffering from suicidal ideations, whereby the PICOT question is noted to be addressing the higher rate of having suicidal rate to this group of veteran age and thus attempts at having the incidences of suicide being reduced.

Intervention (I):

Interventions is another terms whereby it would question on the primary care follow-up on every 3-months duration, whereby some of the interventions would include primary acre provided referrals. Also, patients having high scores of risk of suicidal thoughts needs to be provided with a personal safety plan and follow us period of not less than three months.

Comparison (C):

Comparisons related to just having annual screenings and also provision of the safety plan to patients having higher risk of interpreted appointments on primary care provision

Outcomes (O):

Outcome is noted to be having 2 measurable outcomes either on decreased suicide attempts and also on the decreasing of suicidal ideations.

time (t):

Time for this case is considered to be the duration pf study being done whereby it would translate into follow-ups during studies being made and thus helping survey done on establishing the decreased suicidal thoughts strategies within a three months follow up.

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?

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