PerfectCustomPapers | Care Coordination Plan

Care Coordination Plan

Evaluate the preliminary care coordination plan you developed initially using best practices found in the literature.
Build on the preliminary plan document you created initially. Your final plan should be a scholarly APA-formatted paper, 3-4 pages in length, not including title page and reference list.
This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with your selected health care problem.
To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2030.
Requirement;
• Designs patient-centered health interventions and timelines for your selected health care problem that includes community resources.
• Considers insightful ethical decisions in designing patient-centered health interventions. These decisions are supported by the literature.
• Identifies relevant health policy implications for the coordination and continuum of care, based on precise and accurate interpretations of relevant policy provisions. Makes valid, insightful inferences.
• Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice. Clearly explains the need for changes to the plan.

Sample Answer

Refined Care Coordination Plan for Heart Failure Management

Introduction

This paper builds upon a preliminary care coordination plan for a patient with heart failure (HF). It incorporates best practices gleaned from the literature on communication, teaching, and learning to optimize patient outcomes. The plan aligns with Healthy People 2030 goals and considers ethical principles and health policy implications.

Selected Health Care Problem: Heart Failure

Heart failure (HF) is a chronic condition where the heart’s pumping ability weakens, hindering its capacity to supply oxygen-rich blood to the body. It affects millions of individuals globally, leading to significant morbidity and mortality. Effective care coordination is crucial to manage HF and improve quality of life.

Full Answer Section

Priorities for Discussion with Patient and Family

A care coordinator would prioritize the following elements when discussing the plan with the patient and family members:

Patient Goals and Preferences:Understanding the patient’s goals for managing HF is crucial. Do they prioritize maximizing physical activity or symptom control? Care should be tailored to individual preferences to promote patient engagement.
Education on HF:The patient and family require clear explanations about HF, its causes, risk factors, and management strategies. Educational materials and support groups can empower them to actively participate in their care.
Medication Adherence:Medication adherence is critical for managing HF. The coordinator would discuss strategies to overcome medication non-adherence, such as pill organizers, medication reminders, and addressing medication affordability concerns.
Dietary and Lifestyle Modifications:Healthy diet and regular exercise are essential for HF management. The plan would explore dietary recommendations, suggest appropriate exercise programs, and address potential barriers to lifestyle changes.
Symptom Management:Early recognition and management of HF symptoms like fatigue and shortness of breath are crucial. The coordinator would educate the patient on recognizing these symptoms and seeking timely medical attention.
Advance Care Planning:Discussing end-of-life care preferences with the patient and family is important. This fosters informed decision-making and facilitates respectful care in the event of complications.

Changes Based on Evidence-Based Practices (EBP)

The plan incorporates EBP best practices for HF management:

Patient-centered care:The plan prioritizes individual needs and preferences.
Team-based care:Collaboration between cardiologists, primary care physicians, nurses, and other healthcare professionals is emphasized.
Telehealth:Telehealth consultations can improve access to care and monitoring, especially for geographically isolated patients.
Self-management education:Educating patients and families on HF empowers them to manage their condition effectively.
Community-based resources:The plan includes referrals to support groups, nutrition counseling, and physical therapy services available in the community.

Ethical Considerations

Autonomy:The patient has the right to make informed decisions about their care, and the plan respects their autonomy.
Beneficence:The plan prioritizes interventions with proven benefits for HF management.
Justice:The plan strives to provide equitable access to quality HF care, considering potential health disparities.

Healthy People 2030

The plan aligns with Healthy People 2030 objectives related to heart disease, including:

Increasing physical activity
Improving healthy eating habits
Reducing overweight and obesity
Controlling high blood pressure
Improving medication adherence

Health Policy Implications

Reimbursement policies:Insurance policies should incentivize coordinated care models for chronic disease management.
Telehealth access:Policies should ensure broad and affordable access to telehealth services for patients with chronic conditions like HF.
Community-based resources:Policymakers should support and invest in community-based resources that enhance chronic disease management, such as nutrition counseling and physical therapy services.

Conclusion

This refined care coordination plan for HF management incorporates communication best practices, EBP principles, and ethical considerations. It aligns with Healthy People 2030 goals and considers relevant health policy implications. By prioritizing patient-centered care and collaboration across healthcare professionals and community resources, this plan aims to improve the quality of life for patients with HF.

This question has been answered.

Get Answer

No More Worries!

Paper Formatting

No Lateness!

Our Guarantees

Care Coordination Plan

Sample Answer

Refined Care Coordination Plan for Heart Failure Management

Full Answer Section

This question has been answered.

Satisfaction Guaranteed

Why Choose Us