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ASSIGNMENT INTRODUCTION
Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this healthcare problem. Identify and list available community resources for a safe and effective continuum of care.
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 healthcare problem.
Include physical, psychosocial, and cultural considerations for this healthcare problem. Identify and list available community resources for a safe and effective continuum of care.
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 healthcare concern.
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:
1-Stroke.
2- Heart disease (high blood pressure, stroke, or heart failure).
3-Home safety.
4- Pulmonary disease (COPD or fibrotic lung disease).
5- Orthopedic concerns (hip replacement or knee replacement).
6- Cognitive impairment (Alzheimer’s disease or dementia).
7-Pain management.
o Mental health.
8-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, which 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.
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 healthcare problem.
• Identify available community resources for a safe and effective continuum of care.
• Organize content so ideas flow logically with smooth transitions; contain 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.
Competencies Measured:
By 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 families to achieve desired outcomes. Describe specific goals that should be established to address a selected healthcare 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; contain 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.
1- Provides a perceptive analysis of a health concern and the associated best practices for health improvement.
Provides credible evidence for best practices and articulates underlying assumptions and points of uncertainty in the analysis.
2- Describes specific goals that should be established to address a selected healthcare problem. Ensures that the goals are realistic, measurable, and attainable.
3- Identifies significant and available community resources for a safe and effective continuum of care. Provides a comprehensive list of resources, with credible evidence of their contribution toward improving community health.
4- Organize content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
5- Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.
HOW TO WORK ON THIS ASSIGNMENT ( EXAMPLE ESSAY/ DRAFT)
Introduction In the healthcare industry, care coordination plays a crucial role in managing patients in the community setting. As a staff nurse in a community care center, I have been tasked with developing a preliminary care coordination plan for a selected healthcare problem. This paper will focus on the development of a care coordination plan for the management of stroke patients. The plan will include physical, psychosocial, and cultural considerations for the healthcare problem, as well as available community resources for a safe and effective continuum of care.
Physical Considerations Stroke patients require extensive physical care, as they often experience paralysis or weakness on one side of their body. The care coordination plan should involve the use of physical therapy to help patients regain strength and mobility. This can be done through regular exercise programs, such as range-of-motion exercises and walking. Additionally, the plan should involve regular monitoring of vital signs, such as blood pressure and heart rate, to ensure that the patient’s physical health is stable.
Psychosocial Considerations Stroke patients often experience depression, anxiety, and other psychological issues that can impact their overall well-being. The care coordination plan should include regular assessments of the patient’s mental health, as well as access to counseling services. This can be done through regular check-ins with a mental health provider or by offering support groups for stroke survivors. The plan should also involve providing education to patients and their families about the emotional and psychological effects of stroke.
Cultural Considerations Culture plays a significant role in healthcare, and it is important to consider cultural factors when developing a care coordination plan. The plan should include an assessment of the patient’s cultural background and beliefs, as well as any language barriers that may exist. This can be done through the use of professional interpreters or by providing educational materials in the patient’s native language. Additionally, the plan should involve sensitivity to cultural beliefs around healthcare, including religious practices and alternative medicine.
Community Resources To ensure a safe and effective continuum of care for stroke patients, it is essential to identify available community resources. These resources may include local hospitals, clinics, and rehabilitation centers. Additionally, the plan should involve working with community organizations, such as stroke support groups, to provide additional resources and support to patients and their families. The plan should also involve identifying transportation resources, such as public transportation or medical transport services, to ensure that patients can access the care they need.
Conclusion In conclusion, the development of a care coordination plan is essential for managing healthcare problems in the community setting. In the case of stroke patients, the plan should include physical, psychosocial, and cultural considerations, as well as the identification of available community resources. By taking a comprehensive approach to care coordination, healthcare providers can ensure that stroke patients receive the care they need to maintain their physical and emotional well-being.
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