Scroll for a finished NUR 499 Module 7 advocacy presentation on implementing the CARE Act for family caregivers at hospital discharge, eight slides with complete speaker notes and references. Searches like "nur 499 module 7 assignment", "nur499 module 7 project two: advocacy presentation" and "nur 499 module 7 example" land here.
The NUR 499 Module 7 example, in full
Name Them, Tell Them, Teach Them: Putting the CARE Act Into Practice at Discharge
[Student Name]
Southern New Hampshire University
NUR 499: Professional Identity and Advocacy in Nursing Practice
Project Two: Advocacy Presentation
[Instructor Name]
[Date]
The organization, setting and figures below are a composite written as a model document. No real employer, client, colleague or patient is described.
Slide 1: One Caregiver's Evening
A daughter picked up her father at 6:00 p.m. after a heart failure admission.
No one had told her he was going home that day.
No one had shown her how to weigh him, when to call, or how to use his new oxygen.
He was readmitted nine days later.
Speaker notes: I want to start with a family I cared for last spring. The daughter, who works full time, got a call at 4:00 p.m. that her father was being discharged. She arrived after dinner, received a stack of papers and took him home with oxygen she had never used. Nobody had asked if she would be his caregiver, and nobody taught her what to watch for. Nine days later he was back. She told me she would have come in earlier if anyone had asked her to. This is the gap I am asking us to close.
Slide 2: What the Law Requires
Our state's CARE Act requires hospitals to:
Offer patients the chance to name a family caregiver and record the name.
Notify that caregiver before discharge.
Offer instruction in the aftercare tasks the caregiver will perform.
Speaker notes: Our state is one of many that have adopted a version of the Caregiver Advise, Record, Enable Act. The law is simple in principle: ask the patient whether there is a family caregiver, record that person, notify them before discharge, and offer instruction in the tasks they will perform at home. The purpose, as described in hospital medicine literature introducing the law, is to recognize family caregivers as partners in care transitions rather than as visitors (Coleman, 2016). The law does not require a new department, but it does require a reliable process.
Slide 3: What We Do Now
Admission record has a caregiver field; completed for 38 percent of patients in a one-month audit.
No prompt to notify the caregiver before discharge.
Teaching is given to the patient, often on the day of discharge, often without the caregiver present.
Speaker notes: When I audited one month of discharges from our three medical units, the caregiver field was completed for only 38 percent of patients. There is no prompt anywhere in our workflow to notify that person, and most teaching happens on the day of discharge with the patient alone. We are not deliberately ignoring the law. We simply have not built it into how nurses work.
Slide 4: How Much Families Do
Nearly half of family caregivers perform medical and nursing tasks at home: medications, wound care, equipment, injections (Reinhard et al., 2012).
Many report learning these tasks on their own, with little training.
Speaker notes: A national survey of family caregivers found that close to half were performing medical and nursing tasks such as managing multiple medications, caring for wounds and operating equipment, and many said they had received little or no training (Reinhard et al., 2012). In other words, when we send patients home, we are handing parts of our job to people we have not taught. That is a safety issue as much as a legal one.
Slide 5: What Happens When We Include Caregivers
Meta-analysis of discharge planning that integrated caregivers (Rodakowski et al., 2017):
25 percent fewer readmissions at 90 days.
24 percent fewer readmissions at 180 days.
Speaker notes: A meta-analysis of studies of older adults found that discharge planning interventions that integrated family caregivers were associated with 25 percent fewer readmissions at 90 days and 24 percent fewer at 180 days, and most studies also reported lower post-discharge costs (Rodakowski et al., 2017). The interventions varied, but they had a common thread: caregivers were identified early, included in planning and taught the skills they would need. That is exactly what the law asks of us.
Slide 6: The Proposal
Admission: nurse asks every patient to name a caregiver; field becomes required.
Day before discharge: automated task reminds the nurse to call the caregiver and schedule teaching.
Teaching: at least one teach-back session with the caregiver before discharge, documented.
Speaker notes: The proposal has three parts that fit into nursing work we already do. At admission, the caregiver question becomes required in the nursing admission assessment, with an option to record that the patient declined. When a discharge date is entered, the record creates a task reminding the nurse to call the caregiver and set a teaching time. Before discharge, the nurse teaches the caregiver the key tasks, such as daily weights, oxygen use or wound care, and confirms understanding with teach-back. Case management and pharmacy will support complex cases.
Slide 7: How We Will Measure It
Caregiver documented at admission: target 90 percent.
Caregiver notified before discharge: target 85 percent.
Caregiver teaching documented: target 80 percent.
Thirty-day readmissions for patients with a named caregiver: tracked quarterly.
Speaker notes: We will track three process measures from the record and look at 30-day readmissions for patients with a named caregiver each quarter. Readmission rates depend on many factors, so we will not claim credit for small changes, but we should see the process measures rise quickly. We will also add two questions to the discharge phone call asking caregivers whether they felt prepared.
Slide 8: What I Am Asking For
Approve the three workflow changes on the medical units for a six-month pilot.
Ask informatics to build the required field and discharge task.
Name a nursing leader to oversee compliance with the law.
Speaker notes: I am asking the committee for three things: approval of a six-month pilot on the medical units, a request to informatics to build the required field and the discharge task, and a named nursing leader accountable for our compliance with the CARE Act. Family caregivers are already doing nursing work at home. This change makes sure we prepare them to do it safely. Thank you, and I welcome your questions.
References
Coleman, E. A. (2016). Family caregivers as partners in care transitions: The caregiver advise record and enable act. Journal of Hospital Medicine, 11(12), 883-885. https://doi.org/10.1002/jhm.2637
Reinhard, S. C., Levine, C., & Samis, S. (2012). Home alone: Family caregivers providing complex chronic care. AARP Public Policy Institute.
Rodakowski, J., Rocco, P. B., Ortiz, M., Folb, B., Schulz, R., Morton, S. C., Leathers, S. C., Hu, L., & James, A. E., III. (2017). Caregiver integration during discharge planning for older adults to reduce resource use: A metaanalysis. Journal of the American Geriatrics Society, 65(8), 1748-1755. https://doi.org/10.1111/jgs.14873
How this NUR 499 Module 7 example is structured
The presentation is designed for a fifteen-minute slot at a patient care committee, so each slide carries one idea and the notes supply detail and evidence. It opens with a caregiver's story that shows the gap, then explains what the law requires and what the hospital currently does. Two slides present the evidence: how much complex care family caregivers provide and what happens to readmissions when caregivers are integrated into discharge planning. The proposal slide sets out three nursing workflow changes. The final slides cover how success will be measured and what the presenter is asking the committee to approve.
Get NUR 499 Module 7 written to your instructions
Send your NUR 499 Project Two instructions, the rubric and the advocacy issue you are presenting. The desk prepares a slide deck with full speaker notes to that brief in 24 to 48 hours; the first sample is free. The paper above is an original model document written by our desk, not a submitted student paper and not an official Southern New Hampshire University document.
NUR 499 Module 7 questions, answered
What does NUR 499 Project Two usually involve?
In a professional identity and advocacy course, a second project often asks students to advocate for a change to a specific audience, such as hospital leaders or policymakers, frequently through a presentation or policy brief. It usually requires evidence, a clear proposal and an explanation of the nurse's role. Your guidelines specify the format and audience.
What is the CARE Act?
The Caregiver Advise, Record, Enable Act is model legislation adopted by many states. It generally requires hospitals to give patients the chance to name a family caregiver, record that caregiver in the medical record, notify the caregiver before discharge, and offer instruction in the care tasks the caregiver will perform at home. Details vary by state.
How do I make an advocacy presentation persuasive to hospital leaders?
Connect the proposal to outcomes leaders already care about, such as readmissions, patient experience and legal compliance, and show that the change is practical. Use one real story, a small number of strong facts and a specific request, and be ready to explain cost and workload.