The document outlines a complex assignment for developing a 4-6 page evidence-based patient-centered care report focused on traumatic brain injury (TBI) care, integrating insights from community health initiatives and personal research. It emphasizes evaluating the effectiveness of these health initiatives, formulating personalized care plans, and proposing improvement strategies based on evidence. The assignment includes specific competencies to demonstrate, such as applying evidence-based practice, evaluating outcomes, and synthesizing research to create effective patient solutions.

1. Write a 4-6 page evidence-based patient-centered care report on
the patient scenario presented in the Evidence-Based Health
Evaluation and Application media piece. Base your report on
the information provided by the traumatic brain injury expert
from the population health improvement initiative (PHII)
described in the media activity and your own evidence-based
research on this population health issue.
In this assessment, you will apply evidence-based practice in
patient-centered care and population health improvement
contexts. You will be challenged to think critically, evaluate
what the evidence suggests is an appropriate approach for a
personalized patient care plan, and determine which aspects of
the approach could be applied to similar situations and patients.
Demonstration of Proficiency
By successfully completing this assessment, you will
demonstrate your proficiency in the following course
competencies and assessment criteria:
Competency 1: Apply evidence-based practice to plan patient-
centered care.
Evaluate the outcomes of a population health improvement
initiative.
Develop a personalized patient care plan that incorporates
lessons learned from a population health improvement
initiative.

2. Competency 2: Apply evidence-based practice to design
interventions to improve population health.
Propose a strategy for improving the outcomes of a population
health improvement initiative, or for ensuring that all outcomes
are being addressed, based on the best available evidence.
Competency 3: Evaluate outcomes of evidence-based
interventions.
Propose an evaluation strategy for the outcomes of personalized
patient care plan and determine what aspects of the approach
could be applied to similar situations and patients.
Competency 4: Evaluate the value and relative weight of
available evidence upon which to make a clinical decision.
Identify the level of evidence and describe the value and
relevance it brings to personalized care for your patient.
Competency 5: Synthesize evidence-based practice and
academic research to communicate effective solutions.
Write clearly and logically, with correct grammar and

3. mechanics.
Integrate relevant and credible sources of evidence to support
assertions, correctly formatting citations and references using
APA style.
Scenario
The charge nurse in your clinic has contacted you to assume
primary care for a patient and develop a plan for follow-up care.
The plan should be personalized for him based on evidence-
based research provided by a community expert as well as your
own research on the condition. You will also be challenged to
determine which aspects of the traumatic brain injury (TBI)
approach could be applied to similar situations and patients.
Your Role
You are a nurse who has been requested to provide primary
patient care, including a follow-up care plan. You will revisit
the interview with the community TBI expert and prepare a
personalized health plan for the patient.
Instructions
Review the
Assessment Case Study: Traumatic Brain Injury Care Report
media activity.
Review relevant evidence-based research from 3–5 additional
scholarly or professional sources about traumatic head injuries

4. to support your evaluation, recommendations, and plans.
The following requirements correspond to the grading criteria in
the scoring guide, so be sure to address each point:
Evaluate the expected outcomes of the population health
improvement initiative (PHII) that the community expert
reported based on data.
Describe the outcomes that were achieved, their positive effects
on the community's health, and any variance across
demographic groups.
Describe the outcomes that were not achieved, the extent to
which they fell short of expectations and any variance across
demographic groups.
Identify the factors (for example: institutional, community,
environmental, resources, communication) that may have
contributed to any achievement shortfalls.
Propose a strategy for improving the outcomes of the PHII for
traumatic head injuries.
Describe the corrective measures you would take in the PHII to
address the factors that may have contributed to achievement
shortfalls.
Cite the evidence (from similar projects, research, or

5. professional organization resources) that supports the corrective
measures you are proposing.
Explain how the evidence illustrates the likelihood of improved
outcomes if your proposed strategy is enacted.
Develop a personalized patient care plan for the patient from
the scenario that incorporates lessons learned from the PHII
outcomes.
Identify a personalized care approach that addresses the
patient's:
Individual health needs.
Economic and environmental realities.
Culture and family.
Explain how the lessons learned from the PHII informed the
decisions you made in your personalized care plan for the
patient.
Incorporate references to the best available evidence from the
population health improvement initiative and other relevant
sources.
Identify the level of evidence and describe the value it brings to

6. personalize care for your patient.
Identify the level of evidence for each resource you referenced.
Explain why each piece of evidence is valuable and appropriate
for the community health issue you are trying to address and for
the unique situation of your patient and his family.
Propose an evaluation strategy to assess the outcomes of your
personalized care approach.
Identify measurable criteria that are relevant to your desired
outcomes.
Explain why the criteria are appropriate and useful measures of
success.
Determine the specific aspects of your approach that are most
likely to be transferable to other individual cases.
Additional Requirements
Organization:
Use the following headings for your Traumatic Brain Injury
Care Report:
Evaluation of Population Health Improvement Initiative (PHII)

7. Outcomes.
Strategies for Improving PHII Outcomes.
Personalized Evidence-Based Patient Care Plan.
Analysis of Evidence.
Evaluation Strategy for Personalized Care Approach Outcomes.
Application for Other Cases.
Length:
Your recommended plan will be 4–6 double-spaced pages, not
including title and reference pages.
Font:
Times New Roman, 12 points.
APA Format:
Your title and reference pages must adhere to current APA
format and style guidelines. The body of your paper does not
need to conform to APA guidelines. Do make sure that it is
clear, persuasive, organized, and well written, without
grammatical, punctuation, or spelling errors. You also must cite
your sources according to APA guidelines.
Materials:
Patient Profiles

8. From: Janie Poole
To: Alexander
Good morning!
At last week's conference I spoke with Alicia Balewa, Director
of Safe Headspace. They're a relatively new nonprofit working
on improving outcomes for TBI patients, and I immediately
thought of Mr. Nowak. At his last biannual cholesterol
screening he mentioned having trouble with his balance. This
may be related to his hypertension, but he believes it's related to
the time he was hospitalized many years ago after falling out of
a tree, and expressed distress that this might be the beginning of
a rapid decline.
Ms. Balewa will be on premises next week, and I'd like to set
aside some time for you to talk.
— Janie
Director of Safe Headspace-I have a patient who might benefit
from some of the interventions for TBI and PTSD you recently
studied. What populations did your public health improvement
initiative study?
My father came home from Vietnam with a kaleidoscope of
mental health problems. That was the 1970s, when treatment
options for things like PTSD, TBI, and even depression were
very different. Since then there has been a lot of investment in
treatment and recovery for combat veterans. That's excellent
news for veterans in treatment now, but they're not looking at

9. my dad, and how his TBI and PTSD have affected him through
mid–life and now as a senior. That's why I started Safe
Headspace: to focus on older patients who are years or decades
past their trauma, and find ways to help them.
Which treatments showed the strongest improvement?
Exercise. We were able to persuade about half of our
participants — that's around 400 people, mostly men ages 45–80
— to follow the CDC's recommendations for moderate aerobic
exercise. Almost everyone showed improvement in mood,
memory, and muscle control after four weeks. After that a lot of
participants dropped out, which is disappointing. But of the 75
who stuck with it for another three months, muscle control
improved 15%, mood improved 22%, and short–to–medium term
memory improved 61%. We didn't specify what kind of
exercise, but we did ask them to record what they did every
week, so that data is available.
Second was medication and therapy. Most of our participants
didn't receive any kind of psychotherapy in the years
immediately following their trauma, so we had everyone
assessed by a team of psychotherapists. As a result of those
assessments, 40% of participants started on anti–depressant
medication and 9% started taking anti–psychotics. Those who
started taking medications now have regular contact with a
therapist to manage that care. With some help at home to stick
to the regimen, all but a few have successfully followed their
treatment plans. They've reported a 26% improvement in mood
over six months, and a 6% improvement in memory.
The third treatment I want to mention is meditation. We only
had a small group interested in trying it, but the results were
dramatic. We prescribed daily meditation at home, just 10 to 15
minutes, with a weekly hour–long guided group meditation for
all 23 participants. After three weeks we lost two to disinterest,

10. but the other 21 showed improvements of over 70% in mood and
memory, and 32% in muscle control.
Have you tried anything that hasn't worked?
Sure. There are memory exercises for patients in elderly care,
and things like Sudoku and crossword puzzles. We didn't see
any gains with those. Some of our participants preferred
strength training to aerobic exercise, and the only improvement
we saw in that group was in muscle control, but only 4%, which
is significantly less than the aerobic group.
I should also say that we were working with a willing group of
participants. They knew they needed help, and were motivated
to get it. One of the hurdles we see with veterans, especially in
older generations, is an unwillingness to acknowledge that they
have a problem. We haven't had to wrestle with that because
everyone who volunteers to participate wants to be there.
Your organization is intervening with people who have TBI and
PTSD simultaneously. We have a patient with moderate TBI
suffered almost 40 years ago, but no history of PTSD. Have you
separated your population and studied each separately?
We haven't, no. In some cases we could, for those who come in
with previous diagnoses and medical records. But we have
participants who either weren't diagnosed, were under–
diagnosed at the time, or don't have records to show us.
Assessment Case Study: Traumatic Brain Injury Care Report
My Questions
Question: What were the outcomes of the PHII?

11. Answer: I was able to gather information enough to know how
to care for my patient.
Question: How could they have been improved?
Answer: I would have asked some more questions.
Question: How do the results of the PHII relate to Mr. Nowak's
case?
Answer: They give me enough information to be able to help
the Dr's better develop a plan of care.
Grading Rubric:
1.
Evaluate the outcomes of a population health improvement
initiative based on demographic, environmental, and
epidemiological data.
Passing Grade: Evaluates the outcomes of a population health
improvement initiative based on demographic, environmental,
and epidemiological data. Identifies knowledge gaps, unknowns,
missing information, unanswered questions, or areas of
uncertainty (where further information could improve the
evaluation).
2.

12. Propose a strategy for improving the outcomes of a population
health improvement initiative, or for ensuring that all outcomes
are being addressed, based on the best available evidence.
Passing Grade: Proposes a strategy for improving the outcomes
of a population health improvement initiative, or for ensuring
that all outcomes are being addressed, based on the best
available evidence. Acknowledges challenges in the proposed
strategy.
3.
Develop a personalized patient care plan that incorporates
lessons learned from a population health improvement
initiative.
Passing Grade: Develops a personalized care plan that
incorporates lessons learned from a population health
improvement initiative, and identifies assumptions on which the
approach is based.
4.
Identify the value and relevance of evidence used to support a
personalized patient care plan.
Passing Grade: Identifies the value and relevance of evidence
used to support a personalized patient care plan. Identifies
knowledge gaps, unknowns, missing information, unanswered
questions, or areas of uncertainty (where further information

13. could improve a personalized patient care plan).
5.
Propose an evaluation strategy to assess the outcomes of a
personalized care approach.
Passing Grade: Proposes an evaluation strategy to assess the
outcomes of a personalized care approach. Identifies aspects of
the approach that could be challenging, with solutions.
6.
Determine aspects of the personalized approach that could be
applied to similar situations and patients.
Passing Grade: Determines aspects of the personalized
approach that could be applied to similar situations and
patients. Exhibits insight into the broader application of the
approach for the community.
7.
Write clearly and logically, with correct grammar and
mechanics.
Passing Grade: Writes clearly, logically, and persuasively;
grammar and mechanics are error-free.

14. 8.
Integrate relevant and credible sources of evidence to support
assertions, correctly formatting citations and references using
APA style.
Passing Grade: Integrates relevant and credible sources of
evidence to support assertions, correctly formatting citations
and references using APA style. Citations are error-free.