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MSN Capstone Project Proposal Form This is a building assignment that you will be completing over Week 1 through Week 9. This is a stepwise project proposal assignment in which you will complete one (1) section each week for your MSN Capstone Project Proposal. By the end of the Week 9, this form will have been filled in completely and your MSN Capstone Project Proposal will be completed. It is important that you keep up with the Weekly Assigned Section. Each section is graded separately on a weekly basis while the final completed form will be graded with an overall grade. Each week the student will receive feedback from the instructor and the student is expected to incorporate the instructor feedback to edit and improve the weekly sections. The Week 9 final Capstone Project Proposal with be based on students incorporating the instructor’s weekly feedback. How to use this form.

• Must use the same form for all sections. The purpose is to have a completed the entire form by the end of the course.

• Complete the week’s section with the requested information. • There are suggested word counts for each weekly section to provide you with an idea of what is

expected. • You are to write in full sentences, paragraphs, correct grammar, and spelling. • Use APA formatting with citations and references list. • Refer to the MSN Capstone Project Proposal Form Example found in Week 1 and in the Course

Resources tab. • Do not delete or edit the week section instructions. • Do not lock the form because that will stop you from editing and revising within the form. • Leave NO blank sections. All sections are graded separately. • You may work ahead; however, the instructor will only grade the week’s section due for the

assigned week and the form must be submitted each week. • Read the item descriptions carefully. Items request very specific information. Be sure you

understand what is requested. • Use primary sources for any references. Textbooks are not acceptable as references.

Late Assignments: Students will receive a 10-point grade reduction for each day the assignment is submitted past the due date. After three (3) days past the due date, students will receive a zero (0) for that weekly section but must complete for the final Week 9 grading.




MSN Capstone Project Proposal Form

Student Name George Peraza-Smith

MSN Program Adult Gerontology Primary Care Nurse Practitioner

Project Title Nurse Practitioner Adherence to Practice Protocol: Management of Persistent Pain in Older Adults

Week 1 State Your Clinical Question

[100 to 150 words]

• State your clinical question or topic for your capstone project proposal. • What issue is the question/topic addressing? • What are the reasons you selected this question/topic?

Pain in older adults is often unrecognized, underassessed, and undertreated. Providers often

believe incorrectly that older adults don’t feel pain at the same level as younger adults. Older

adults often incorrectly believe that they may become a burden to others if they complaint

about their pain or that on one would believe them anyway. This proposal addresses an

opportunity to improve providers’ skills on effective pain assessment and management in older

adults through the implementation of a best practice protocol based on a national practice

guideline. On my unit in the skilled nursing facility, I have noticed that older adults are often

suffering in pain due to caregivers and older adults own negative agist myths of pain. I choice

this topic because I believe older adults deserve to be heard and provided the same respect in

controlling pain that young populations are provided.

Week 2 Background Information

[200 to 250 words]

Address the following questions/bullets in completing this section: • Start at the starting point – What, Where, When, Why, and How? • What is known about this topic or what is the evidence on this topic (Scoping Search)? • What is the outcome of interest? • What are the gaps in our understanding or knowing related to this topic?




Over the past few decades, pain management has garnished more clinical attention due to the

consideration of pain as the fifth vital sign. However, recently the use of pain as the fifth vital

sign has received negative press as the opioid crisis continues. Today, pain is widely regarded

as equally important to the assessment of body temperature, blood pressure, heart rate and

respiratory rate (Walid, et al., 2018). In the last decade research on effective pain assessment

and management strategies have significantly soared. But this increased focus on pain has not

necessarily improved the management of pain in older adults. With advancing age come

numerous physical illnesses that can lead to significant pain (Malanga & Paster, 2020). In the

literature, the terms “chronic pain” and “persistent pain” are often used interchangeably.

“Persistent pain” has become the preferred term because it is less likely to be associated with

negative stereotypes that providers and older adults often connect with the “chronic pain” label

(AGS, 2021). Persistent pain is a personal emotional and physical experience. The pain is an

unpleasant, subjective, and multifaceted experience that ranges from mild discomfort to agony;

the frequency may be periodic, persistent, or always present. Persistent pain continues beyond

the anticipated healing time of acute pain caused by injury or disease and lasts for at least three

months. Outcomes of interest in this proposal are to improve persistent pain assessment and

management for older adults. A secondary outcome is to ensure that older adults with

persistent pain are treated effectively based on the best evidence. There are significant gaps in

provider understanding of the use of opioids for pharmacological management of moderate to

severe persistent pain in older adults.

Week 3




Literature Search Strategies [150 to 200 words]

Provide details of your exhaustive search process. Be certain to list:

• Databases searched. • All the keywords or search phrases used. • How many articles in total that were found? • List the inclusion/exclusion criteria. • Provide the number of articles that were retained and a descripti

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