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NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Care coordination is described as “the process by which all of the workers participating in the recovery process exchange the care protocols and information regarding the treatment of a specific patient” (“Care Coordination,” 2014). Collaboration between multiple doctors on certain parts of a patient’s treatment is an example of this type of coordination.

The significance of proper care coordination can be deduced from its concept alone. A prior doctor’s progress on a patient’s health must be promptly transmitted and demarcated to the expert who is taking over. If the previous doctor fails to aggressively communicate the patient’s condition, the next expert may make modifications, prescribe prescriptions, or do activities that may have been done previously, which could be harmful. Poor care coordination planning can have disastrous consequences for patients, both financially and emotionally.

The goal of this paper is to discuss a health condition and then come up with some realistic goals that the healthcare industry may attain in order to improve the standard of treatment provided to people with that health concern. As part of the solution, the community resources must be listed.

Stroke

Strokes are one of the most common causes of death in the world. Stroke is the second leading cause of death in the United States, killing 5.5 million people each year (Donkor, 2018). Strokes are dangerous not just because of their high death rate, but also because of the long-term impact they have on individuals who survive them. A total of 50% of survivors were found to be chronically handicapped (Donkor, 2018).

Strokes are divided into two categories. Ischemic and hemorrhagic strokes are two types of strokes. The former is brought on by a blockage of blood flow to a portion of the brain. The loss of function is caused by a disruption in blood flow. A hemorrhagic stroke, on the other hand, is triggered by a blood vessel bursting or rupturing (Donkor, 2018).

Assessment 1 Preliminary Care Coordination Plan NURS FPX 4050

Identification of Stroke Best Practices

 

The identification of the health concern is now complete. When it comes to the best practices for stroke sufferers, there are a few that are listed below.

 

Endovascular intervention should be considered for patients who have a significant vessel blockage (Khaki & Tadi, 2021). Patients suspected of experiencing a major ischemic stroke should have a neurological examination.

 

Antiplatelet and statins are the fundamental ingredients that act as the mainstay of the stated management, in addition to the specialized and particular measures done for stroke care and management (Khaki & Tadi, 2021).

 

There are a variety of other elements that influence a stroke patient’s treatment and accommodations. In order to allow a trauma-free healing process free of mental discomfort, cultural, social, and psychosocial demands must be addressed and included in the treatment.

Assessment 1 Preliminary Care Coordination Plan NURS FPX 4050

 

Accommodation and understanding of the different quirks that come with a person’s cultural heritage, for example, are examples of the needs mentioned. Distinct cultures have different reactions to therapies and different stages of the recovery process.

 

Similarly, meeting the patient’s social and psychosocial needs may entail providing enough mental support during treatment. The presence of friends and family members can assist with treatment, and this is a psychosocial dynamic because it involves both social and psychological variables, such as the effects on the patient’s mental state. The relevance of psychological aspects in pharmaceutical treatment is undeniable (Xu, Mercury, Zhang, & Xu, 2008), which is why these three areas must be addressed.

Goals for Stroke Care will be established.

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

There are specific goals that can be defined that the professionals or the institute must meet in order to ensure that stroke care is carried out appropriately. Various solutions have been proposed in an attempt to improve the quality of treatment provided to stroke victims. We can develop goals and objectives that can be set as a standard for all to meet by applying these tactics. The computerization and digitization of medical practices, for example, was a technique proposed in a medical journal (Baatiema et al., 2020). We can set a goal for the organization using this technique. It is possible to say that the hospital, or a professional, must digitally enter and retain the information and vital details of a specific stroke patient in order to promote better care coordination among experts and transitions between different locations.

Aside from this goal, which is the computerization of medical practice, there are a few others that might be listed. Another goal that must be met in order to address stroke treatment is to increase the workforce and the number of professionals. While each institution’s exact number will vary, it is vital to have a suitable number of specialists to care for the patients (Baatiema et al., 2020).

 

Another aim that might be set is the creation of a uniform set of clinical guidelines and treatment protocols that all professionals in a given institution must follow (Baatiema et al., 2020). Because all specialists are on the same page when it comes to the treatment stages, standardization of protocols leads to greater collaboration and care coordination.

Resources for the Community

 

The passive recovery of stroke patients can be aided by community resources. Following a stroke, the patient’s recovery and transition back to a normal way of life can be challenging. The purpose of enumerating these community resources in this study, however, is to illustrate how care might be sustained even after the move from hospital to home. In other words, community resources assist patients in their rehabilitation process long after they have left the hospital or medical facility.

Assessment 1 Preliminary Care Coordination Plan NURS FPX 4050

 

One of the motivations for prescribing community services to a patient is to help the patient deal with any lingering trauma. As a result, it was discovered that walking groups (White & South, 2012) and other group exercise activities can help patients recover from their potentially depressive state. The parks and gardens that are open to the public are the community resources in play here.

 

Similarly, cooking and eating sessions (White & South, 2012) are an example of community-based treatment. Patients may benefit from participating in these activities alongside others. Because people are also community resources, such activities are legitimately included in community resource-centered treatment.

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Literacy classes (White & South, 2012) are another sort of community resource that can aid in the recovery of patients.

Assessment 1 Preliminary Care Coordination Plan NURS FPX 4050

References

 

L. Baatiema, A. deGraft Aikins, F. S. Sarfo, S. Abimbola, J. K. Ganle, and S. Somerset (2020). A qualitative investigation of health-care workers’ perspectives on improving the quality of care for patients who have had a stroke in a low/middle-income country. 450–460 in Health Expectations, vol. 23, no. 2. https://doi.org/10.1111/hex.13027

 

E. S. Donkor, E. S. Donkor, E. S. Donkor (2018). A Snapshot of the Burden, Epidemiology, and Quality of Life in the Twenty-First Century. 1–10 in Stroke Research and Treatment, 2018. https://doi.org/10.1155/2018/3238165

 

A. S. Khaki and P. Tadi (2021). [Statpearls] Cerebrovascular Disease. The book can be found at https://www.ncbi.nlm.nih.gov/books/NBK430927/.

 

J. White, J. South, J. White, J. South, J. South, J. South, J. South, J (2012). How community resources can help clinicians improve their practice. 454–455 in British Journal of General Practice, 62(602). https://doi.org/10.3399/bjgp12x653804

 

J. Xu, J. Mercury, Z. Zhang, and F. Xu (2008). A notable study topic in clinical pharmacology is psychological, social, and behavioral aspects that influence pharmacological efficacy. 901–902 in British Journal of Clinical Pharmacology, vol. 66, no. 6. https://doi.org/10.1111/j.1365-2125.2008.03300.x

Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Introduction
NOTE: You are required to complete this assessment before Assessment 4.

The first step in any effective project is planning. This assignment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem.

Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.

Preparation
Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

To prepare for this assessment, you may wish to:

Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
Allow plenty of time to plan your chosen health care concern.
Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.

Instructions
Note: You are required to complete this assessment before Assessment 4.

Develop the Preliminary Care Coordination Plan
Complete the following:

Identify a health concern as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs. Possible health concerns may include, but are not limited to:
Stroke.
Heart disease (high blood pressure, stroke, or heart failure).
Home safety.
Pulmonary disease (COPD or fibrotic lung disease).
Orthopedic concerns (hip replacement or knee replacement).
Cognitive impairment (Alzheimer’s disease or dementia).
Pain management.
Mental health.
Trauma.
Identify available community resources for a safe and effective continuum of care.
Document Format and Length
Your preliminary plan should be an APA scholarly paper, 3-4 pages in length.
Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.
In your paper include possible community resources that can be used.
Be sure to review the scoring guide to make sure all criteria are addressed in your paper.
Study the subtle differences between basic, proficient, and distinguished.
Supporting Evidence
Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.

Grading Requirements
The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

Analyze your selected health concern and the associated best practices for health improvement.
Cite supporting evidence for best practices.
Consider underlying assumptions and points of uncertainty in your analysis.
Describe specific goals that should be established to address the health care problem.
Identify available community resources for a safe and effective continuum of care.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Write with a specific purpose with your patient in mind.
Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.
Additional Requirements
Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents.

Portfolio Prompt: Save your presentation to your ePortfolio.

Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Adapt care based on patient-centered and person-focused factors.
Analyze a health concern and the associated best practices for health improvement.
Competency 2: Collaborate with patients and family to achieve desired outcomes.
Describe specific goals that should be established to address a selected health care problem.
Competency 3: Create a satisfying patient experience.
Identify available community resources for a safe and effective continuum of care.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

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