NURS FPX6021 Assessment 2 Change Strategy and Implementation

Assessment 2: Change Strategy and Implementation

Student Name
Capella University
Prof Name
Month Date, Year

Change Strategy and Implementation

Among the most important components of providing healthcare is change management since it enables healthcare professionals to maintain their skills and ability. In order to make sure that the implemented change remains valuable and relevant, healthcare professionals must manage complexities and tactics during the development, execution, and management of change initiatives.

Anxiety and Depression in PCOS

Due to the effects, it has on a woman’s sexuality and identity, PCOS as well as its therapy are often viewed as traumatic events for women. These experiences can cause psychological reactions including denial, rage, or extreme anxiety about the disease and its course of treatment. Additionally, psychological comorbidities like anxiety and depression are prevalent in women with PCOS (Cooney et al., 2017; Damone et al., 2019).

Medical Case Study

Change Strategies

Struggling with depression and anxiety may be difficult for individuals with PCOS. They might exacerbate patients’ symptoms of PCOS to worsen if they are not addressed, and they’re a significant obstacle in the care and management of the illness (Cooney et al., 2017; Damone et al 2019). Cognitive behavioral therapy (CBT), is an effective option for the treatment of various psychological issues, majorly including depression and anxiety. (Cooney et al., 2019).

Potential Difficulties in Implementing Change Strategy

One of the central problems with cognitive behavior therapy would be that patients must face their concerns and uneasy emotions, which can be quite upsetting for some (NHS, 2016b). The successful use of CBT requires a lot of dedication and collaboration. Additionally, the degree of patient engagement is always a factor in how well therapy works. Additionally, it could be challenging to fit a large number of psychiatrists in a hospital to give mental health care to every patient who needs it.

medical ethics woman

Change Strategies to Achieve Desired Outcomes

In a CBT session, the patient and the psychiatrist deconstruct the problems into smaller components and discuss and evaluate them. It aids the psychiatrist in developing a treatment strategy for the patient. The planned strategy must be included in the patient’s regular activities. The patient can handle the challenges long after the counseling has ended by integrating the skills, she gained in a CBT session into her daily life. CBT is seen as a successful tactic since it aids in altering the patient’s view of their disease. PCOS patients will be better equipped to manage both their physical and psychological problems if they have access to mental health services (Cooney et a.m. 2019).

Doctors communication

Change Strategies for The Improvement of Safety and Equitable Care

PCOS is a condition that may be treated, but consequences may still arise like removal of the breast in some cases which leads to dysphoria (Kogure et al., 2019; Joshi et al 2022). Patients get apprehensive as they come to terms with the fact that they will have these issues for the rest of their lives and that there is no cure if they worsen. Additionally, it can support panic attacks. PCOS patients’ drive to move is decreased by the despair it causes, and some patients lose hope in their ability to survive. The main difficulty in treating and managing PCOS is this resistance to living. Therefore, psychological counseling with CBT will assist in achieving the intended results of improved health and wellbeing in PCOS patients.


It is found that in addition to individual sessions, group therapy is used to deliver mental health care effectively (NHS, 2016b). The ability of group therapy to draw together a number of people who are struggling with the same issues creates a strong foundation for social support for the patients. The medical status of PCOS and the quality of life can be greatly enhanced by using nurses who have received CBT training to lead group therapy.

Inter-Professional Consideration for Proposed Strategies

. The severity of the ailment is taken into account when prescribing medicine. Health care professionals may make sure that PCOS patients receive the highest caliber treatment to aid them with their mental health challenges by working closely with psychiatrists, nurses, and doctors.

Doctors communication

Data Table

Current Outcomes 

Current Strategies 

Expected Outcomes 

Patients with PCOS will not have sufficient direct exposure to mental wellbeing services.

  1. Many patients with PCOS suffer from anxiety to dysphoria (Kogure et al., 2019; Joshi et al 2022)


  1. Patients with PCOS will have worsening depression symptoms caused by changes in physical appearance brought on by PCOS treatments, such as increased weight and fertility problems.

To ensure optimum delivery of care to patients with PCOS it is mandated that

  1. PCOS sufferers have access to mental-health services.


  1. CBT training for nurses so they can offer patients mental health interventions


  1. Employing nurses with experience in CBT


  1. PCOS patients who receive both individual and group therapy sessions

Patients with PCOS will be better at managing their psychological problems and issues related to their physical appearance if they have access to mental-health care and services. 

  1. Patients would be able to understand and control their body dysphoria brought on by PCOS as well as their anxiety and despair better.
  2. Effective management of symptoms will be achieved by treating mental health issues related to PCOS.


Cooney, L. G., & Dokras, A. (2017). Depression and Anxiety in Polycystic Ovary Syndrome: Etiology and Treatment. Current Psychiatry Reports, 19(11), 83.

Damone, A. L., Joham, A. E., Loxton, D., Earnest, A., Teede, H. J., & Moran, L. J. (2019). Depression, anxiety and perceived stress in women with and without PCOS: a community-based study. Psychological Medicine, 49(9), 1510–1520.

Joshi, R. D., Sawant, N., & Mahadeo, N. M. (2022). How common are depressive-anxiety states, body image concerns and low self-esteem in patients of PCOS? Journal Of Obstetrics and Gynecology of India, 72(1), 72–77.

Kogure, G. S., Ribeiro, V. B., Lopes, I. P., Furtado, C., Kawato, S., Silva de Sá, M. F., Ferraina, R. A., Lara, L., & Maria Dos Reis, R. (2019). Body image and its relationships with sexual functioning, anxiety, and depression in women with polycystic ovary syndrome. Journal Of Affective Disorders, 253, 385–393.

NHS. (2016b). Cognitive-behavioral therapy (CBT). Retrieved from