Assignment: Patient-Centered Care Report Essay

Assignment: Patient-Centered Care Report Essay

A Sample Answer For the Assignment: Assignment: Patient-Centered Care Report Essay

Title: Assignment: Patient-Centered Care Report Essay

Assignment  Patient-Centered Care Report Essay

The purpose of the public health improvement initiative (PHII is to respond to the patients need and enhance their experiences in the healthcare delivery. Responding to the patients needs and providing optimal outcomes within the continuum of the care demands constitute the central focus of patient-centered care delivery. The approach is defined in terms of the experiences of individualization, transparency, respect, and recognition of the patients’ desires, circumstances, and opinions towards the healthcare intervention plan. In normal healthcare settings, the system’s structures, cultures, and incentives are usually insufficiently aligned to promote patient-centered care.

The PHII approach was found to be effective in addressing the specific needs of patients; though, it can also be used for a wider population. Data from the health improvement process are used in designing patient-centered care systems with the purpose of meeting the unique needs of the patient. This study focuses on the case of Mr. Nowak who receives treatment ay the Uptown Wellness Clinic. The patient presents with traumatic brain injury (TBI). In the course of delivering health services to the patient, the healthcare facility would like to incorporate the recommendations from the Safe Headspace, a nonprofit organization working with the veterans with history of Post-Traumatic Stress Disorder (PSTD). The program undertaken by the Safe Headspace is a good example of PHII. Using the client’s case, the PHII outcomes from the Safe Headspace will be analyzed and possible gaps identified using Mr. Norwak’s case.

Expected Outcomes of the Population Health Improvement Initiative

The organization works to help veterans with PSTD and TBI in helping them develop life coping skills as well as achieve mood improvement. In one of the studies conducted under the program, a total of 400 participants aged between 45 and 50 years were recruited and their findings evaluated after four weeks. The findings indicated that the participants recruited in the program recorded significant improvements in terms of mood development, muscle growth and memory improvement. The program improved the patients’ treatment outcomes significantly as evident through the above mentioned parameters. However, the level of integration between the patients and their family members was not adequately addressed and most of the clients reported having difficulties in receiving other medical intervention from external sources or even being integrated back to their families.

Strategy for Improving the Outcomes of the Population Health

Development of seamless care across the continuum of care ensures that the patients’ needs are fully addressed and they are well integrated back into the society by the Safe Headspace. The patients’ journey from the point of injury to the community re-entry is complex and involves a multiple of transitions from one care setting to another (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). A slight interruption at any stage of healthcare delivery may negatively impact the patients’ prognosis and treatment outcomes. Furthermore, with limited patient-centered care approach, the transition from one setting to another can be abrupt, chaotic and disorganized. Therefore, the initiative targets at improving the communication among the healthcare providers, the patients and family members at different levels of care to ensure effective management of Mr. Nowak.

Over the past periods, the continuum of care for the TBI and PSTD patients was fragmented and characterized by limited

communications among the various healthcare providers. Lack of effective information management system and the process would result in the use of alternative communication approaches such as writing clinical information on patients. The existing gaps in the communication were associated with a myriad of factors including the fast operational speed, high casualty load, and limited data on patients’ prehistory and immature theatre infrastructures (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). The outcomes of the initiative, in this case, will include improved and efficient communication between the healthcare providers, which will facilitate effective review and follow-up on the patient’s condition and progresses. Additionally, the afforded care providers at the treatment facilities will have a deeper understanding of patient management strategies. The casualty evacuation will also improve significantly in both the capability and speed; this will be driven by the recognition that the patients’ treatment outcomes could be improved through the definitive care and provision of the earlier advanced care.

Absence of the common communication channel hinders the constant integration and coordination of the various health units requirement in the effective management of traumatic brain injuries (Zatzick et al., 2018). According to the multiple assessments done by the military in Afghanistan and Iraq, it is apparent that absence of the common communication portal is a major barrier to the realization of the effective communication and seamless care transitions (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). In most cases, the flow of information in the battlefields tends to be unidirectional; this limits the transition of the patient’s information to the respective healthcare providers (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). Developing data sharing technologies and telemedicine serves as effective and viable measures to use in improving the quality of care delivery by the Safe Headspace.

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Interventions to Improve Population Health

The telemedicine and data sharing technologies are meant to facilitate data sharing and coordination among the various health delivery units. Proper coordination is needed to reduce the patients’ turnaround time as well as enhance the treatment efficacy. The measure will ensure that the healthcare providers are able to acquire patients past medical histories in advance to avoid the development of the treatment intervention plans that may contradict their past medications (Zatzick et al., 2018). The ultimate goal in the adoption of the technology is to promote the seamless transition to the rehabilitation and facilitate recovery and reentry of the patients with traumatic brain injuries to the population. In as much as the rehabilitations are to be the immediate care phase that start immediately after the acute medical and surgical interventions, initiating the rehabilitation process at the acute phase of treatment is crucial in the optimization of the recovery process of the patients. Patients with brain injuries require both physical and psychosocial healing. The study conducted to explore the recent impacts of Afghanistan and Iraq conflict and their treatment programs indicated that more attention is given to the early and comprehensive rehabilitation (Winter, Moriarty, Robinson, Piersol, Vause-Earland, Newhart, & Gitlin, 2016).

Approach to Personalizing Patient Care

The main objectives of the UWC are to diagnose and manage the condition of Mr. Nowak and this can be effective achieved through the development and application of the evidence-based care plan adopted from the Safe Headspace treatment plan outcomes. It is important to note that different patient groups have unique needs and thus require customized care delivery approaches. Using the evidence-based practice skills, it was evident that the break in the communication channels is a major drawback in the delivery of efficient and quality care to soldiers with traumatic brain injuries (Berwick, Downey, Cornett & National Academies of Sciences, Engineering, and Medicine, 2016). Therefore, developing multidisciplinary and state-of-art rehabilitation are important in the advanced rehabilitation programs in the UWC considering that it deals with large number of patients with PSTD and TBI. The proposed technologies serve to facilitate the role of interdisciplinary teams in consolidating the patients’ management and treatment processes and promoting quick recovery and re-entry of the soldiers with TBI to the general population,

Justification of the Value and Relevance of Evidence Used

There is sufficient evidence supporting the effectiveness of the data transfer technology and telemedicine in promoting the seamless transitions across the continuum of care. According to King, Beehler, Vest, Donnelly and Wray (2018), the coordinated information and data sharing facilitates the discharge rounds among the TBI patients and thus reducing their length of hospital stay. Furthermore, the study conducted by Twamley, Jak, Delis, Bondi and Lohr (2014), shows that transitional care model with the advanced nursing practice involves the responsibility of managing the data flow between the various phases of care delivery. The use of data sharing technologies enhances the transition of care and reduces the cost of medication among the patients with chronic illnesses that requires complex treatment regimens (King, Beehler, Vest, Donnelly & Wray, 2018). The health initiative has been proven effective in various healthcare settings and thus would still be essential in addressing the need to effectively management TBI among the soldiers.

Framework for Evaluating the Outcomes

The anticipated outcomes in the initiative implementation include a reduced number of patients’ hospital stay, low rates of preventable deaths among the soldiers with TBI, improved communication and coordination among the healthcare providers and lastly, reduced medication costs. Tracking these parameters over time will help in assessing the effectiveness of the development intervention in enhancing the seamless transitions across the continuum of care among the soldiers with TBI (Twamley, Jak, Delis, Bondi & Lohr, 2014). The criteria are an appropriate measure of success because it involves specific health progress indicators. Over the past, poor management of the patients was marked with adverse outcomes including high mortality, lengthy patient stay, poor communication and data sharing among the healthcare providers and increased medication costs. Therefore, comparing these parameters before and after the implementation of the initiative will provide a realistic and accurate picture of the significance of the program in promoting public health.

Assignment: Patient-Centered Care Report Essay Conclusion

Communication integration is an important aspect of healthcare delivery and thus can be transferred to other healthcare delivery settings especially in areas where the patients need to undergo a series of healthcare procedures. Adopting the seamless care across the continuum of care would significantly improve the treatment outcomes of the PSTD and TBI patients being managed in UWC.  The initiative reduces fragments in across the phase of trauma care and general healthcare management.

Sample Answer for Assignment: Patient-Centered Care Report Essay Included

Question description

Patient-Centered Care Report:Write a report on the application of population health improvement initiative outcomes to patient-centered care, based on information presented in an interactive multimedia scenario.

In this assessment, you have an opportunity to apply the tenets of evidence-based practice in both patient-centered care and population health improvement contexts. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach to personalizing patient care, and determine what aspects of the approach could be applied to similar situations and patients.

Patient-Centered Care Report

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply evidence-based practice to plan patient-centered care. ◾Evaluate the outcomes of a population health improvement initiative.
◾Develop an approach to personalizing patient care that incorporates lessons learned from a population health improvement initiative.

Competency 2: Apply evidence-based practice to design interventions to improve population health. ◾Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence.

Competency 3: Evaluate outcomes of evidence-based interventions. ◾Propose a framework for evaluating the outcomes of an approach to personalizing patient care and determining what aspects of the approach could be applied to similar situations and patients.

Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. ◾Justify the value and relevance of evidence used to support an approach to personalizing patient care.

Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. ◾Write clearly and logically, with correct grammar and mechanics.
◾Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Preparation

In this assessment, you will base your Patient-Centered Care Report on the scenario presented in the Evidence-Based Health Evaluation and Application media piece. Some of the writing you completed and exported from the media piece should serve as pre-writing for this assessment and inform the final draft of your report. Even though the media piece presented only one type of care setting, you can extrapolate individualized care decisions, based on population health improvement initiative outcomes, to other settings.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.

Writing, Supporting Evidence, and APA Style
◾Write clearly and logically, using correct grammar and mechanics.
◾Integrate relevant evidence from 3–5 current scholarly or professional sources to support your evaluation, recommendations, and plans. •Apply correct APA formatting to all in-text citations and references.
•Attach a reference list to your report.

Report Content

Address the following points in a 4–6 page report:
◾Evaluate the expected outcomes of the population health improvement initiative that were, and were not, achieved. •Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
•Describe the outcomes that were not achieved, the extent to which they fell short of expectations, and any variance across demographic groups.
•Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls.

◾Propose a strategy for improving the outcomes of the population health improvement initiative, or ensuring that all outcomes are being addressed, based on the best available evidence. •Describe the corrective measures you would take to address the factors that may have contributed to achievement shortfalls.
•Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
•Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted

◾Develop an approach to personalizing patient care that incorporates lessons learned from the population health improvement initiative outcomes. •Explain how the outcomes and lessons learned informed the decisions you made in your approach for personalizing care for the patient with a health condition related to the population health concern addressed in the improvement initiative.
•Ensure that your approach to personalizing care for the individual patient addresses the patient’s: •Individual health needs.
•Economic and environmental realities.
•Culture and family.

•Incorporate the best available evidence (from both the population health improvement initiative and other relevant sources) to inform your approach and actions you intend to take.

◾Justify the value and relevance of evidence you used to support your approach to personalizing care for your patient. •Explain why your evidence is valuable and relevant to your patient’s case.
•Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.

◾Propose a framework for evaluating the outcomes of your approach to personalizing patient care. •Ensure that your framework includes measurable criteria that are relevant to your desired outcomes.
•Explain why the criteria are appropriate and useful measures of success.
•Identify the specific aspects of your approach that are most likely to be transferable to other individual cases.

Patient-Centered Care

Person-centered care means treating a patient as a person and an equal partner in their healing journey and focusing care on their health needs. I believe person-centered care strategies should be individualized, harmonized, and enable patients to reach their full potential. Therefore, the nurse or healthcare professional providing person-centered care should consider the patient’s needs, values, and preferences when making clinical decisions, which fosters respectful care. Kwame & Petrucka (2021) assert that the healthcare provider must consider a patient’s previous healthcare experiences and knowledge and, thus, provide care that focuses on and respects their values, preferences, and needs by increasingly involving the patient in the care process.

A nurse practitioner should first evaluate the patient’s abilities to manage and improve their health and collaboratively identify strategies that will help the patient in these abilities (Kwame & Petrucka, 2021). I believe that a fundamental aspect of patient-centered care is delivering services that respect and meet patients’ needs. This fosters positive healthcare outcomes, improves patients’ perceptions of quality of care, and improves patient satisfaction with care.

Holistic nursing means a comprehensive approach to patient care. It entails treating the whole person by also considering their mental and social factors instead of just focusing on managing the symptoms of their diagnosis. I perceive holistic care as a nursing approach that addresses a patient’s physical, psychological, social, and spiritual needs. Thus, this type of care is comprehensive. Instead of treating the diagnosis, holistic nursing seeks to improve the individual patient’s overall well-being and quality of life (Papathanasiou et al., 2013). Furthermore, I believe holistic nursing is relationship-centered care that should be individualized, with the primary goal being optimal health. Therefore, the NP practicing holistic nursing should acknowledge the patient’s body, mind, and spirit by treating the entire individual instead of one symptom (Papathanasiou et al., 2013). Besides, the NP should acknowledge that various factors affect a person’s health, including dietary habits and environmental influences. Consequently, they should ask patients questions about their general lifestyle.

Cultural humility refers to being respectful and empathetic and applying critical self-reflection at intrapersonal and interpersonal levels. Hughes et al. (2020) explain that the intrapersonal element of cultural humility entails being aware of one’s limited ability to appreciate the patient’s worldview and culture. On the other hand, the interpersonal component integrates an opinion toward a patient characterized by respect and openness to the patient’s point of view. It also focuses on learning from the patient by listening and building partnerships (Hughes et al., 2020). I believe that a nurse with cultural humility should have a mindset that enables them to be open to patients’ preferences by demonstrating respect and empathy. Furthermore, if nurses combine cultural humility with critical conversation skills, they can get an opportunity to discuss cultural misunderstandings, intercultural pain, and how to develop a cultural understanding.

 

Assignment: Patient-Centered Care Report Essay References

Hughes, V., Delva, S., Nkimbeng, M., Spaulding, E., Turkson-Ocran, R. A., Cudjoe, J., … & Han, H. R. (2020). Not missing the opportunity: Strategies to promote cultural humility among future nursing faculty. Journal of Professional Nursing, 36(1), 28-33. https://doi.org/10.1016/j.profnurs.2019.06.005

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1), 1-10. https://doi.org/10.1186/s12912-021-00684-2

Papathanasiou, I., Sklavou, M., &Kourkouta, L. (2013). Holistic nursing care: Theories and perspectives. American Journal of Nursing Science, 2(1), 1-5. https://doi.org/10.11648/j.ajns.20130201.11

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource