NURS FPX 4050 Assessment 4 Attempt 1 Final Care Coordination Plan

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Final Care Coordination Plan

NURS FPX 4050 Assessment 4 Attempt 1 Final Care Coordination Plan

In this approach care providers make sure that they know about patient’s needs before making a care plan for the patient. After the WHO emphasized on the necessity of efficient role to improve patient’s care, patient-centered care is considered a good medicine. The technique focuses on understanding patients’ needs, diagnosis of illness, care management, enhancement of patient-caregivers relation, and health promotion. The consequences of this plan are improved patient’s satisfaction, good enablement, and other positive outcomes (Håkansson Eklund et al., 2019). 

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Adverse events can contribute to disturbance of a patient’s mental health. Childhood traumas or unpleasant experiences can also impact mental and physical health, developing into adult depression. That is not the only case of trauma and its consequences. As the reasons could be of variety, there can be different outcomes as well. Like in perinatal health, trauma can leave effects, such as anxiety, preterm labor or low birth weight (Kuzma et al., 2020).

A proper trauma-informed care plan is needed that should address all the relating issues of trauma. 

Final Care Coordination Plan

Care coordination is a process through which multiple providers deliver care to patients. The purpose of this planning is to obtain positive patient outcomes and reduce healthcare costs. Four fundamental elements of care coordination are easy access to health care, good communication between providers and patients, focusing on patients’ needs, provides information regarding the disease and its treatments to patients and families in easy language. Providers make the provision of care easily accessible to patients by developing a thorough plan from primary care coordination to long-term planning. Not only this, but the plan is strengthened by introducing carious effective elements, such as proper infrastructure, leadership, and collaboration techniques (Catalyst, 2018).

Nurses play a key role in delivering proper care to patients with chronic health conditions. Care coordination planning requires vast evidence-based medical knowledge and collaboration skills of nurses (Izumi et al., 2018). A care coordination plan is required to help trauma patients deal with mental health issues. Psychological trauma is the behavior and response of people shown after suffering from any distressing event or incident. Trauma leaves people with many posttraumatic complications, including mental and physical issues.

Patient-Centered Health Interventions and Timelines

Patient-cent red health interventions are imperative for patients’ health. First, the concept of patient-cent red medicine was launched by Michael and Enid Blint in 1969. Today, not only the term patient-centered care is widespread but is significant in the medical healthcare system. In this approach care providers make sure that they know about the patient’s needs before making a care plan for the patient. After the WHO emphasized the necessity of an efficient role to improve patient care, patient-centered care is considered good medicine. The technique focuses on understanding patients’ needs, diagnosis of illness, care management, enhancement of patient-caregivers relations, and health promotion. The consequences of this plan are improved patient satisfaction, good enablement, and other positive outcomes (Håkansson Eklund et al., 2019).

NURS FPX 4050 Assessment 4 Attempt 1 Final Care Coordination Plan

Adverse events can contribute to the disturbance of a patient’s mental health. Childhood traumas or unpleasant experiences can also impact mental and physical health, developing into adult depression. That is not the only case of trauma and its consequences. As the reasons could be varied, there can be different outcomes as well. Like in perinatal health, trauma can leave effects, such as anxiety, preterm labor or low birth weight (Kuzma et al., 2020).

A proper trauma-informed care plan is needed that should address all the relating issues of trauma. That plan must include

  • Knowledge about trauma and its symptoms
  • Outcomes of trauma
  • An effective response to trauma patients
  • Resisting pre-traumatization
  • Creation of a safe care environment
  • A compassionate and collaborative relationship with patients
  • Provision of effective resources
  • Keeping patient’s preferences on top (Kuzma et al., 2020)

Various healthcare interventions and timelines to treat trauma patients are available based on the abovementioned goals. The interventions include medication and different therapies to address posttraumatic problems. There are plenty of other therapies too that help professionals in care delivery. In these therapies, different strategies are used to address the issue. 

Another healthcare intervention is a referral to different support groups and well-being activities. These referrals are important to improve the posttraumatic condition of the patient. It enhances their self-coping mechanism and exposure, which are essential in treating trauma patients.

Ethical Decisions in Designing Patient-Centered Interventions

Patient-centered interventions are considered good because they tend to focus on the specific patient, their needs and preferences. Moreover, the patient’s family and other surrounding people are involved in this healthcare approach. Thus, better care and prevention of the severity of illness are made possible for a patient (Chambers et al., 2020). Also, this process lightens the financial burden of the patient’s family and health settings. When patient-centered interventions are designed, four ethics principles are kept in priority list. It should be the first and the foremost part of the plan to consider these rules.

NURS FPX 4050 Assessment 4 Attempt 1 Final Care Coordination Plan

Beneficence is the patient’s right to get proper care and treatment from health settings and professionals. Autonomy requires to leave the decision about treatment to a patient and their family. Healthcare givers can aware of the disease, its treatment and possible consequences. The rest should be decided by the patient and family whether they want to proceed or not. Care providers can also convince them of better health, but not decide for them.

New policies should be included in designing interventions by learning from previously happened near misses or incidents of decision making. These decisions include the choice of treatment and keeping the privacy of trauma patients. Sometimes, it is very difficult for trauma patients to share their problems or experiences. In this situation, any kind of information leaking can welcome re-traumatization for them. Also, if health professionals take treatment decisions or leak information, it can lead them to face legal procedures too. That can damage their reputation and cause patients harm as well.

Health Policy Implications for the Coordination and Continuum of Care

As the number of trauma patients is increasing worldwide due to adverse reasons, policies should be implemented accordingly. Effective policies can be developed by researching and knowing about the reasons for psychological trauma, outcomes and patient’s needs. First of all, policies should be planted that focus on the mitigation of trauma effects. That can be done on a governmental level by media, such as awareness campaigns.

Another policy should be about probing into the effectiveness and implementation of other policies. Teams should be created to check whether other policies are meeting their targets or not. The policy should include probing and reporting the barriers. Policies regarding healthcare should be evidence-based and involve all stakeholders, like governments, huge health organizations, health professionals, patients and their families. Only thus a proper system can proceed for the betterment of patients.

A few policies that are already developed are discussed here. The policies are the Affordable Care Act (ACA), HIPAA Act, and Health Information Technology for Economic and Clinical Health (HITECH) Act. The main aims of these acts are the provision of affordable healthcare, protection of patient’s sensitive information and adoption of electronic health records for increasing patient security and healthcare. 

NURS FPX 4050 Assessment 4 Attempt 1 Final Care Coordination Plan

Priorities of Care Coordinators

Care coordinators should keep in mind different aspects of the patient and their illness while developing and discussing care plans. These aspects should include diagnosis of illness, available resources, barriers in treatment or communication, outcomes of treatment, patient’s preferences, family’s values and thoughts, etc.

Furthermore, caregivers must involve the patient and their family in treatment decisions. They should know every possible consequence of treatments. After that family should choose the way of treatment without any pressure. Such practices are good for both patients and health professionals. Patients and families are autonomous about their decisions and doctors are free from any kind of blame game or legal accountabilities.

In the case of elderly or child patients, such family involvement is necessary. Caregivers should make a plan and then inform the family so that they know all about the proceeding. Besides, it does not burden healthcare providers to deliver complete care to patients.

Learning Content and Healthy Practices Based on Healthy People 2030

Healthy people, 2030 documentation has a vision of achieving complete health and well-being of people. The goal can be achieved by developing healthcare interventions and policies that target economic, social and physical aspects. The salient aims of the document are achieving health equity, mitigating disparities, gaining health literacy and keeping all environments healthy (Pronk et al., 2020).

Trauma does not come in one way. Among plenty of reasons behind trauma, there is a need for acknowledgement of one big cause that is racial inequities. Using different trauma-informed therapies, health equity can be achieved. These techniques and principles offer great efforts in patient-centered treatment, promoting cultural and racial equities. This approach is also in line with Healthy People 2030 (Schimmels & Cunningham, 2021).

The new definitions of Healthy People 2030 include health literacy as a new priority in creating a healthy environment globally. The literacy session can be conducted with the help of all stakeholders involving organizations and governments. Health literacy consists of evidence-based education, research, spreading awareness about health and teaching sessions.  

Psychological trauma causes mental and physical health challenges. There is a lot of need to make people aware of mental health because many patients do not seek help either because of a lack of awareness or social stereotypes. Health organizations should promote seeking help instead of struggling with mental sickness. All stereotypes should start awareness campaigns, media ads and other possible health literacy activities that help people to normalize seeking help.

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References

Chambers, D., Cantrell, A., & Booth, A. (2020). Implementation of interventions to reduce preventable hospital admissions for cardiovascular or respiratory conditions: an evidence map and realist synthesis. In PubMed. NIHR Journals Library. https://pubmed.ncbi.nlm.nih.gov/31927819/

Håkansson Eklund, J., Holmström, I. K., Kumlin, T., Kaminsky, E., Skoglund, K., Höglander, J., Sundler, A. J., Condén, E., & Summer Meranius, M. (2019). “Same same or different?” A review of reviews of person-centered and patient-centered care. Patient Education and Counseling, 102(1), 3–11. https://doi.org/10.1016/j.pec.2018.08.029

Izumi, S., Barfield, P. A., Basin, B., Mood, L., Neunzert, C., Tadesse, R., Bradley, K. J., & Tanner, C. A. (2018). Care coordination: Identifying and connecting the most appropriate care to the patients. Research in Nursing & Health, 41(1), 49–56. https://doi.org/10.1002/nur.21843

Kuzma, E. K., Pardee, M., & Morgan, A. (2020). Implementing Patient-Centered Trauma-Informed Care for the Perinatal Nurse. Journal of Perinatal & Neonatal Nursing, 34(4), E23–E31. https://doi.org/10.1097/jpn.0000000000000520

NURS FPX 4050 Assessment 4 Attempt 1 Final Care Coordination Plan

Pronk, N., Kleinman, D. V., Goekler, S. F., Ochiai, E., Blakey, C., & Brewer, K. H. (2020). Promoting Health and Well-being in Healthy People 2030. Journal of Public Health Management and Practice, Publish Ahead of Print. https://doi.org/10.1097/phh.0000000000001254

Schimmels, J., & Cunningham, L. (2021). How Do We Move Forward With Trauma-Informed       

            Care? The Journal for Nurse Practitioners, 17(4).           

https://doi.org/10.1016/j.nurpra.2020.12.005

Catalyst, N. E. J. M. (2018). What is care coordination?. NEJM Catalyst4(1).         

https://catalyst.nejm.org/doi/full/10.1056/CAT.18.0291