Recorded music in preoperative holding, added beside every existing order as a pilot, is what NU434's Unit 10 integrative care proposal asks a composite surgery center to approve. Searches like "nu 434 unit 10 assignment example", "nu434 unit 10 sample" and "nu434 unit 10 example" land here.
Patient-Chosen Music in Preoperative Holding: An Integrative Care Proposal That Changes Nothing Already Ordered
[Student Name]
Purdue University Global
NU434: Holistic Nursing
Unit 10 Assignment
[Instructor Name]
[Date]
Composite surgery center written as a model document. Budget and local figures are bracketed.
Executive Summary
We request approval for an eight-week pilot offering patient-chosen music through headphones for up to 20 minutes in preoperative holding, with a budget of [a stated amount] for headphones and disposable covers.
Problem
In a [month] survey at the center, [a stated share] of patients rated their anxiety in holding at 6 or higher on a 0 to 10 scale, and [a stated number] asked for an anxiolytic before surgery. Several wrote that the wait felt longest in the last half hour, when they had changed into a gown, answered the same questions three times and had nothing to do but wait. Holding is also where most anxiolytic requests are made, so it is the place where a nondrug comfort measure could matter most.
Evidence
A Cochrane review of music before surgery found a modest reduction in self-reported anxiety compared with standard care (Bradt et al., 2013). A meta-analysis across the perioperative period found reductions in pain, anxiety and analgesic use (Hole et al., 2015). The main limit in both is that listeners cannot be blinded, so part of the effect may come from expectation.
What Does Not Change
Premedication orders, fasting rules, consent processes and every safety check stay exactly as they are. Music is an addition, not a substitute for anything already ordered.
Risks and Their Handling
Missed communication: headphones come off for every identity check, site marking and time-out question.
Cross-contamination: disposable ear covers for each patient, and a wipe-down of the headphones between patients.
Patients who do not want music: offered once, and declining is recorded without further prompting.
Cost and Staff Time
Headphones, covers and a tablet: [amount]. Staff time: about two minutes per patient to offer the music and start the playlist.
Who Is Involved
Anesthesia, infection prevention, perioperative nursing, and a patient representative who reviewed the patient information sheet.
Evaluation
Anxiety rated 0 to 10 before and after listening; uptake, the share of patients who choose music; and any safety event, such as a missed verification. Decision point at week eight: continue if anxiety ratings fall and no safety event occurs; revise the offer or timing if uptake is low; stop if any safety event is linked to the headphones.
Appendix
Patient information sheet: what the music is for, how to choose it, that headphones come off for safety checks, and that saying no is fine.
References
Bradt, J., Dileo, C., & Shim, M. (2013). Music interventions for preoperative anxiety. Cochrane Database of Systematic Reviews, 2013(6), CD006908. https://doi.org/10.1002/14651858.CD006908.pub2
Hole, J., Hirsch, M., Ball, E., & Meads, C. (2015). Music as an aid for postoperative recovery in adults: A systematic review and meta-analysis. The Lancet, 386(10004), 1659-1671. https://doi.org/10.1016/S0140-6736(15)60169-6
How this NU434 Unit 10 example is structured
The proposal answers, in order, the questions a council member would raise. What problem: the center's own figures, bracketed, on preoperative anxiety and requests for anxiolytics. What evidence: two systematic reviews, their findings stated at the strength their authors assigned. What changes: only the addition, and a sentence under its own heading confirms that premedication orders, fasting rules and consent processes are untouched. What risks: missed communication, handled by removing headphones for verification, and cross-contamination, handled by disposable covers and a wipe-down between patients. What it costs: equipment and staff minutes, both bracketed. Who is involved: anesthesia, infection prevention, perioperative nursing and a patient representative. How success is judged: anxiety ratings, uptake and any safety event, with a decision point at week eight. APA references and an appendix holding the patient information sheet complete it.
Get an NU434 Unit 10 example written to your instructions
Which therapy, which service, and who approves changes there? Those three answers decide most of what the Unit 10 proposal says, so send them along with the prompt and rubric. Back comes a proposal that shows its evidence at true strength and protects every current order, within 24-48h, the opening one free and tailored to your instructions. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU434 Unit 10 questions, answered
Can the proposal suggest a therapy that needs special training?
Yes, if the proposal says who holds the training and how it is verified. Massage, acupressure and aromatherapy often require credentials or institutional competencies, and a proposal that assumes any nurse can deliver them creates a scope problem. Music listening was chosen for the sample partly because it needs no license, which keeps the implementation section short.
How much evidence does a proposal need?
Enough to justify a pilot, which is a lower bar than enough to justify a permanent service. One or two systematic reviews, supported by a trial in a similar setting, usually suffice when the risks are low. State the certainty honestly and let the pilot's evaluation plan carry the argument for learning more locally.
Who should the proposal be addressed to?
Whoever approves practice changes in the setting you choose, such as a practice council, a nurse manager or a quality committee. Naming the audience changes the tone and the level of detail. If your prompt leaves it open, a council is a good default because it expects evidence, cost and an evaluation plan together.