Document Type

DNP - Open Access

Award Date

2024

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Dannica Callies

Abstract

Background: Preventive care tasks are often overlooked in older adults due to the complexity of care. A pre-visit planning checklist may be effective in increasing preventive care.
Local Problem: A Midwest internal medicine department identified the need to increase age-appropriate vaccinations and screenings in adults aged 50 and older.
Methods: A pre-visit planning checklist for screenings and immunizations, guided by the American Medical Association, was implemented. The number of ordered preventive measures was compared 3 months pre and post implementation.
Interventions: Staff members reviewed patient charts prior to appointments using the pre-visit checklist, which guided staff to look at appropriate preventive tasks and notify the provider of needed items.
Results: A two- proportion z-test was used for the statistical analysis. Colonoscopies and bone density scans had a statistically significant increase.
Conclusion: Pre-visit planning may be an effective way to increase preventive measures and reduce morbidity and mortality in older adults.

Publisher

South Dakota State University

Rights

Copyright © Destinee Rice

Available for download on Monday, December 15, 2025

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