Assessment Description In collaboration with the approved course preceptor, students will identify a specific evidence-based topic (Adverse Reaction Events in elderly) for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team. Students should select a topic (Adverse Reaction in Elderly) that aligns with their area of interest as well as the clinical practice setting in which practice hours are completed. Write a 500-750 word description of your proposed capstone project topic. Include the following: You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment. the assignment to become familiar with the expectations for successful completion. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Title: Adverse Reaction Events in the Elderly: A Nursing Perspective

Adverse reaction events, such as medication errors, falls, and infections, are common in healthcare settings, particularly among the elderly population. These events can lead to serious morbidity and mortality, increased healthcare costs, and reduced quality of life for the affected individuals. As nurses play a critical role in ensuring patient safety and optimizing outcomes, it is essential to address this issue systematically and implement evidence-based interventions to prevent and manage adverse reaction events in the elderly. This capstone project aims to explore the current evidence, identify gaps in practice, and propose a change initiative to improve patient safety and reduce adverse reactions in the elderly population.

Rationale and Significance:
The elderly population is particularly vulnerable to adverse reaction events due to age-related physiological changes, multiple comorbidities, polypharmacy, and decreased functional status. According to the World Health Organization (WHO), medication errors alone account for significant morbidity and mortality in older adults, with estimates suggesting that 10-15% of hospital admissions in this population are due to medication-related problems. This underscores the urgent need to address adverse reaction events in the elderly to prevent unnecessary harm and improve patient outcomes.

Additionally, healthcare organizations are increasingly being held accountable for patient safety outcomes, with regulatory bodies and accreditation agencies emphasizing the importance of a culture of safety and quality improvement initiatives. Nurses, as frontline caregivers, are well-positioned to lead and participate in these efforts. By implementing evidence-based interventions to prevent and manage adverse reactions in the elderly, nurses can contribute to improving patient safety, reducing healthcare costs, and ensuring high-quality care delivery.


1. Evaluate the current literature on adverse reaction events in the elderly population, focusing on medication errors, falls, and healthcare-associated infections.
2. Identify gaps in practice and areas for improvement.
3. Develop a comprehensive change proposal to address adverse reaction events in the elderly, incorporating evidence-based strategies and interprofessional collaboration.
4. Implement and evaluate the proposed change initiative in a clinical setting.
5. Disseminate findings and best practices to promote knowledge sharing and continuous improvement in nursing practice.

This capstone project will utilize a systematic review of the literature to gather evidence on adverse reaction events in the elderly population. Peer-reviewed sources published within the last five years will be selected, using keywords such as “adverse reaction events,” “elderly,” “medication errors,” “falls,” and “healthcare-associated infections.” The selected articles will be critically appraised for their quality and relevance to nursing practice.

Based on the evidence obtained, a comprehensive change proposal will be developed, outlining the proposed interventions, implementation strategies, and expected outcomes. The change proposal will be informed by relevant theories and frameworks, such as the Consolidated Framework for Implementation Research (CFIR) and the Plan-Do-Study-Act (PDSA) model.

Addressing adverse reaction events in the elderly population is essential for promoting patient safety and optimizing outcomes. This capstone project will provide a valuable opportunity to explore the current evidence, identify gaps in practice, and propose evidence-based interventions to prevent and manage adverse reactions in the elderly. By implementing and evaluating the proposed change initiative, nurses can play a pivotal role in improving patient safety and ensuring high-quality care for the elderly population. Dissemination of findings and best practices will contribute to the continuous improvement of nursing practice and enhance patient outcomes.