Statement of Need or Statement of Problem to Be Addressed

The seniors in the long-term care facility like Lydia Healthcare experience the challenge of being away from family, change of environment, mobility problems, pain, and low quality of life that trigger anxiety and depression. Long-term care facilities focus on treating the patient’s conditions, and limited interventions are directed toward their mental health. It is more detrimental to their mental health if the problem is not addressed, which might contribute to an extended hospitalization for mental illness.

Background of the Problem

(minimum of three scholarly sources current within the last five years)

Among the primary causes of disability, depression imposes heavy burdens on individuals, families, and communities. It’s anticipated that treating chronic depression will cost twice as much as hypertension and diabetes in terms of direct medical expenses(WHO, 2017). Residents’ health and quality of life are severely compromised when nursing home employees are inadequately trained in mental health interventions because of the high prevalence of depression among the elderly. Care for the elderly Mental health is essential, especially in the long-term facility (Matos Queirós et al., 2021). The residents of a nursing home may be at risk of acquiring depression or for experiencing a worsening of their existing mental health problems. According to studies, half or more of the elderly in long-term care facilities may have clinical depression or exhibit depressive symptoms (Hoben et al., 2019).

Desired outcome of the capstone project

Related activities to facilitate the stated outcome

Timeline for implementation of stated activities

Evaluation plan (corresponding to the stated outcome)

To document a 5% reduction of mental health and psychological conditions in the 6 weeks of mental health management in Lydia’s long-term healthcare facility.

Creating a revised three-check procedure for staff to use during the implementation process and submitting it.

It may help to do some stretches while sitting. The flexibility and health of your joints will improve with these exercises.

Low-impact exercises like walking are great for your heart and joints.

Stick to a diet high in healthy grains, produce, lean protein, and low-fat dairy. Make an effort to eat moderately and watch your portion sizes.

Take in at least five daily servings of fruits or vegetables.

Increasing calcium intake. Milk, cheese, and yogurt are excellent sources of calcium. Bone health and blood pressure are both improved by consuming calcium-rich foods and drinks.

Get the facility’s stamp of approval by September 5, 2022.

An evaluation will first be conducted by looking through competence sign-offs for the newly introduced in-service training.

The target population (seniors) at Lydia healthcare where the evaluation plan is about measuring the effectiveness of physical activity that correspond to mental health benefits.

Submit a written in-service outlining the revised food and exercise plan for all long-term care residents to management for approval.

September 12th 2022

Launching the revised food and exercise plan for all long-term care residents to management for approval.

September 14th , 2022

Provision and training the patient to use emergency bracelet for safety purposes.

October 17th , 2022

Ensuring that all long-term care residents adhere to a new diet and activity program. As a result of a comprehensive review of all patient records after the new protocol has been put into place. Individualized instruction for the patients who refuse to conform.

October 26th , 2022

Stakeholder Identification and Engagement Strategies to Secure Support

Stakeholders:

· Patients/ Resident

· Nurses

· Psychiatric physicians

· Dietitian

· Social workers

· Unit manager

Engagement strategies to secure support would be to:

· Collaborate with the nursing staff and explain the plan clearly on how to improve depression on newly admitted seniors at Lydia healthcare.

· Educate the stakeholders on early assessment for depression, the use of exercises and diet to eradicate depression on mental ill seniors.

This strategy will be cost effective to implement because it will eliminate high rates of suicide as well as increase census rate. I believe these strategies will be effective in getting everyone involved in the plan.

SWOT Analysis

Strengths

· The primary strength is the passion and commitment of the team.

· Good communication channels between family, patient and the staffs.

· The team is composed of experts in the field of mental health, psychology, dietitian, and social work.

Weaknesses

· A lack of awareness of the issue among key stakeholders, including mental ill seniors, their families, and the staff who support them (Vafaeinasab et al., 2022).

· A lack of resources to effectively engage all stakeholders in the issue.

· Lack of nurses and other staff to take care of mentally ill residents.

Opportunities

· The opportunity to raise awareness about the problem of depression in seniors with mental health issues.

· The opportunity to engage all stakeholders in the issue and secure their support for taking action to improve mental health and psychological well-being for seniors. (Chen & Xu 2020).

· Improve seniors overall wellness.

· Decrease the number of seniors with depression.

· Improve nurse and patient interaction.

Threats

· Poor implementation may result from uncertainty about the cost and services offered when engaging a personal trainer.

· The efficient execution of this plan may be hampered by newly admitted seniors switching from their personal doctor and their medical diagnostic.

· If a recommendation calls for the use of a public or outdoor exercise facility, the availability and rules of that facility will determine how well the plan is carried out.

Financial Implications of the Capstone Project

• Patient financial impact: There is no patient financial impact.

The facility’s expenses will include the cost of bringing on a personal trainer who comes in 2 times a week for 3 weeks. This will be an estimated cost of about $180.

• Potential income: The facility will avoid needless medical expenses associated with misdiagnosed or incorrectly diagnosed depression.

• The prospective revenue will exceed the project’s possible cost.

External Influencing Factors

There are a number of external factors that could influence the success of the project. Some of the external factors that could influence the project include:

External Stakeholder Engagement

· Patients, family members, mental health specialists, and general health workers (Tyndal et al., 2018).

· Engagement with the stakeholders should be done during the first stage of the planning.

State/Federal Regulations

· The set legislation will influence the outcome of the project

· Examples include Food and Drug Administration regulations

Accreditation

· The presence of accreditation bodies such as the Joint Accreditation committee will influence the outcome of the policies

· Examples include National Patient Safety Goals.

Outcome statement for the capstone project

A special assessment of seniors with mental illness who are also exhibiting depressive symptoms will be done by 10% of the workforce. Conduct and observe seniors as they work out for 30 minutes, three times a week, doing things like stretching and stair climbing. Assure the elderly have an adequate diet. At the end of each shift, all shifts will record and submit their report. After eight weeks, the entire report will be assessed to determine whether we succeeded in lowering senior resident with mental illnesses’ rates of depression to 5%. The number of individuals who have demonstrated improvement in engaging in the facility’s socially organized events will be used to measure this.

No modifications were needed for this outcome

Evaluation plan for the capstone outcome

The evaluation process will involve assembling all of the shift reports. This objective will be achieved if all of the report’s findings lower the incidence of depression below 5%.

No modifications were needed for this outcome