Prof. Name

Date

Remote Collaboration and Evidence-Based Care

Salutations! I, _________, welcome to today’s presentation on collaboration and evidence-based care in remote care settings. This presentation focuses on a patient scenario related to gender dysphoria, where we will establish an evidence-based care plan to integrate healthcare services and reduce health disparities. Firstly, let me share a patient care scenario to offer a brief background of the presentation. 

Background Scenario 

A 25-year-old transgender male living in an underserved area with limited healthcare access was diagnosed with gender dysphoria following a behavioral health assessment. The patient articulated interest in receiving hormonal and surgical management for the health condition. Dr. Smith, who is the patient’s primary care provider, initiated a remote collaboration with a multidisciplinary team, including mental health experts, endocrinologists, surgeons, and registered nurses. The team supports the patient’s preferred treatment modalities; however, they accentuate the need for a more in-depth evaluation to confirm the diagnosis and exclude other conditions before deciding on the best hormonal and surgical treatment options. 

Evidence-based Care Plan Proposal 

An evidence-based is proposed to improve the safety and outcomes for the patient in this scenario, encompassing a multidisciplinary approach that prioritizes comprehensive assessment, patient-centered care, and coordinated follow-up. 

• The care plan begins with a comprehensive psychiatric evaluation (CPE) to confirm the diagnosis of gender dysphoria and exclude other conditions that might present similarly. Levine (2024) mentions that this in-depth evaluation helps ensure that the patient receives appropriate, individualized treatment, such as hormone therapy or surgery, while addressing any co-occurring mental health issues. This assessment evaluates the patient’s mental health history, current psychological state, and any symptoms of psychiatric disorders, ensuring a holistic approach to care. 
• After confirming the diagnosis, we aim to develop a personalized hormone replacement therapy (HRT) plan. Hormonal therapy involves administering hormones, such as testosterone or estrogen, to align the patient’s physical characteristics with their gender identity (Maung, 2024). This plan would be initiated and monitored by the endocrinologist, with regular check-ins to assess the patient’s response and adjust dosages as necessary. 

Capella 4030 Assessment 4 Remote Collaboration and Evidence Based Care

• Simultaneously, the plan includes discussing surgical options in detail with the patient. It is crucial to assess the patient’s readiness for gender-affirming surgeries and ensure the patient understands the risks, benefits, and expected outcomes of each procedure (Amengual et al., 2022). This education is also integral to following ethical and legal requirements.
• Finally, the plan aims to include patient-centered support and education. Given the patient’s rural location and limited access to healthcare, telehealth services will be integrated into the care plan to provide ongoing support, education, and follow-up care. Telehealth can facilitate regular mental health counseling, HRT monitoring, and post-surgical care, ensuring the patient receives continuous care despite geographic barriers. Additionally, telehealth enables connecting patients with local transgender support groups to offer emotional support and help mitigate societal stigma and discrimination (Stoehr et al., 2021).

Need for Further Information 

Additional information could have been valuable in several areas in establishing a more patient-centered and precise care plan. First, more detailed data on the patient’s mental health history and any co-existing mental health conditions would help in tailoring the psychological support provided. Additionally, insight into the patient’s social support system, including family acceptance and community resources, would help in addressing potential psychosocial challenges. Finally, knowledge of local healthcare resources and the availability of telehealth infrastructure in the patient’s area would assist in planning effective follow-up care and support services (Stoehr et al., 2021).

Evidence-Based Practice Model

This evidence-based care plan is grounded in an evidence-based practice (EBP) model called the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model. It is a systematic approach designed to integrate the best available evidence into nursing practice to imp