nursing

Objectives

• Identify a budget for your project.

Deliverables

• Complete the Budget Requirements Template Assignment attached below

PLEASE TAKE NOTE

All assignments must include and align with the PICOT question for the proposed project in the first paragraph.

Always put your full approved PICOT question that includes the percentage of the outcome in the first paragraph and on your templates or you will lose points.

2. For the references – CDC, The WHO, ANA are not scholarly Peer reviewed articles. They are good resources but DO NOT count towards the required number for each assignment. They can be used as an extra resource for great information.

3. References must have a URL or doi link for verification of the article or you will not get credit for them.

PICOT:

Among older adults living in long-term care facilities (P), does the implementation of routine cognitive and functional status monitoring by nursing staff (I) compared to standard practices (C) reduce the occurrence of the UTI-related sepsis (O) over a 6-month period (T)?

Purpose of the Capstone Project

The aim of this capstone project is to determine the likelihood that regular nurse-monitored urinary tract infections, cognitive and functional changes, and the application of standardized screening tools can help decrease the incidence of UTIs and urosepsis development among elderly in long-term care facilities.

Significance of the Capstone Project

UTI is one of the issues that are most prevalent in long-term care facilities and one of the causes of urosepsis that has a high fatality rate in the elderly. The study by Smith (2025) states that urosepsis induces up to 31 percent of all cases of sepsis and elderly individuals may have unusual signs and symptoms, including delirium or functional impairment instead of fever and leukocytosis. This is important due to the possibility of preventing the progression of infection, decreasing the number of hospital transfers, decreasing mortality, and improving patient outcomes in general (Smith, 2025).

Plan to Implement the Proposal

The proposal is going to take place in a long-term care home within six months. The nurses will be educated about the unusual manifestations of UTI in older adults and focus on the early symptoms of the illness, including the acute changes in the mental status and the decline in functioning. At hospitalization and on regular schedules, nurses will determine and record the baseline cognitive and functional condition of each resident.

The routine nursing assessment will include standardized screening tools, like the Confusion Assessment Method (CAM), and will be included in the electronic health record to make sure that they are used consistently.

Reference

Smith, T. (2025). Geriatric urosepsis: Prevention and detection. American Nurse Journal, 20(11), 2426.

PLEASE LOOK AT ALL THE ATTACHED FOR REFERENCE!