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NURS FPX 4050 Assessment 1: Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1: Preliminary Care Coordination Plan

Preliminary Care Coordination Plan

Comprehensive health provision, usually intended for managing chronic illnesses, is an example of what in healthcare is called integrated care. Ultimately, the professional care coordination plan developed by and for the patient as one individual case becomes the base on which the main symptoms occurrence is organized. NURS FPX 4050 Assessment 1: Preliminary Care Coordination Plan: This framework for the clinical history and the patient’s treatment plan is not unique to this protocol; nonetheless, it includes characteristics that allow each provider to analyze and streamline their roles in order to support the patient’s care (Olejarczyk and Young, 2022). The main objective is to improve patient outcomes by making an action plan tailored to the individual’s case and grounded in the philosophy of an oriented approach that creates the SMART goals.

Perceptive Analysis of the Health Concerns

Among many issues in healthcare management, constant infections portray the most unique rearing troubles because of their long-term and different symptoms. They likewise show the health impacts on an individual’s physical, psychosocial, and social lives. As a long-standing procedure in healthcare investigation, what to do and what “patient-centric care” would mean are the things that should be taken into account during an epidemic.

Mode of evidence-based best rules suggests a broad cease chronic disease by incorporating physical, biopsychosocial, and social aspects (Mescouto et al., 2020). In that physical aspect, visits to detection of disease are almost associated with the appropriate use of medications and their actual consumption or if their such physical activity levels. So, helping out the patients through involving conversation treatment, counseling, families, and behavior treatment offers the psychosocial comfort that patients need (De Jong, 2023). This empathy is a critical factor since it assists in drawing different conclusions and behaving and reflecting, thereby providing quality care.

According to the order line, outcome-based thinking is viewed as multidimensional chronic infected care performances coming out in a constant state. Illustratively, the integration of collaborative care models is helpful in building effective models of intervention, self-management, and multidimensional coordination between providers, which leads to a relatively acute condition control and reduced frequency of utilizing healthcare resources (Couturier et al., 2022). A spectrum of the frameworks (Mei et al., 2023) is put together to unveil how mental variables influence long-term illness management. NURS FPX 4050 Assessment 1: Preliminary Care Coordination Plan: Research evidence states that the assistance delivered by government and non-government organizations may intensify interventions in terms of health results and treatment medication adherence.

Indisputably, the evidence retorted that the system embraces comprehensive management of chronic illnesses and has been rendered successful just recently. Nonetheless, it has been pointed out that the practice harbors specific vital concerns. A doubt that keeps me going is the question of whether patients know how to apply the resources to make healthy lifestyle choices (Varkey, 2021).

SMART Goals

More accurate and productive eradication of a wide range of diseases should be planned with specific and SMART objectives that can be accomplished in the short term. This involves implementing intervention tools, integrating technologies, and reviewing progress over time.

Objective 1:

Optimize Infection Control

The central approach in chronic illness management is to achieve not only reasonable control of the disease but also coordination of effective and proactive responses towards managing the symptoms, avoiding complications, and improving the health of the patient, leading to elevated quality of life. This objective can be presented in measurable outcomes like attaining such LDL, HDL, total cholesterol, or triglycerides goals, reducing episodic factors, and impeaching health quality (Lloyd-Jones et al., 2022). Such healthcare providers can evaluate metabolic lifestyle disorders’ treatment by virtue of markers of periodical disease and clinical revision adjustments when required.

Objective 2:

Improve Self-Management Aptitudes

Self-calming, also referred to as quiet strengthening, is an additional pillar for long-term illness management. This involves equipping patients with proper skills and information, which can be very impactful. Cognitive goals include educating people on wellness, hygiene, drug regimes’ conformity, and the adoption of lifestyle habits such as slimming down, exercising, and coping mechanisms for psychosocial pressures. Those goals can be achieved by interviewing patients to obtain their self-reported results, changing either way and objectively examining people’s self-improvement actions.

Objective 3:

The other crucial objective of treatment with nonstop agony administration is to enhance patients’ quality of life by treating their physical problems, psychological difficulties, function limitations, and well-being restrictions. Well-defined criteria include pain levels and emotions that are a bit less, socializing, and doing something that might bring some meaning to patients’ lives (Jaroslava Raudenská et al., 2023). At the end of scales with the subjective markers like the patient’s reported outcome, quality-of-life surveys, and proper appraisals could serve to point out the level of success and also help give way and suggestions for future interventions that could stand to increase the quality of life.

In order to implement the nation’s health plans, the priorities should also be lowering healthcare utilization, which means there will be a need for more visiting hospitals and emergency departments that are costly as many interventions are reduced (Doshmangir et al., 2022). To achieve such objectives, these strategies have raised the frequency of remissions, increased adherence to medication taking, and provided timely medical care across the country (Vocalist et al., 2021). Through measuring healthcare utilization indicators, the suppliers can monitor how their performed healthcare interventions in the industry have contributed to the reduction in healthcare costs.

NURS FPX 4050 Assessment 1: Community Resources

Implementing community nursing care services for the chronically ill involves ensuring access to resources that offer an integrative, visionary care continuum. Different pelmets dance out health and lifestyle features in the community, trapping physically unhealthy people closer to an available 24/7 care center.

We have been watching how these institutions have been implementing the disease control steps. They have revealed that the primary cause of their victory in their treatment is the disease investigation administrative programs demonstrated by healthcare offices locally or in community organizations. These programs are deeply rooted in the themes dealing with infection control, preferable living standards, and assessment of health parameters in many instances. The patients who take effective and gain from medication adherence, good management of the symptoms, reduced hospital admissions, and shortened length of stay are some of the benefits of implementing programs for dealing with the infection (Hassan et al., 2021).

Group support, in turn, becomes a home for those who are chronically ill and are highly anxious. Such associations stand as a revelation to aid poor students through a channel that gives them a chance to tell their stories and stay up for others who are facing life circumstances from time to time. NURS FPX 4050 Assessment 1:  In accordance with the above, it is critical to emphasize the positive correlation between club participation and mental health, lower rates of loneliness, and higher levels of self-esteem (Lyyra et al., 2021).

Bringing healthcare to the community is a community wellness center that is an aggregation place without regard to the reason why one might need medical services. For example, that place where patients ask for guidance and advice about different health problems or issues. It has been found that wellness centers in communities significantly improve the well-being of people, benefit them from chronic illnesses, reduce healthcare inequalities, and increase the satisfaction of the patients (Van Veghel et al., 2020).

Community-centered establishments and health professionals usually run educational classes on infection prevention, healthy actions as well as self-management equipped with up-to-date research (Ruiz-Ramírez et al., 2021). Generally, the main area that empowers people with the proper knowledge and skills to make intelligent choices for their health is counting how they decide everything. On the other hand, studies reveal that offering mental health teachers pulls through behavior alterations, improved well-being, and a low rate of medical inconveniences.

 

NURS FPX 4050 Assessment 1: Conclusion

When it comes to meeting the demand for individualized needs of patients suffering from chronic diseases, the patient care coordination plan is considered to be the beginning stage. Moreover, together with evidence-based practices and the latest clinical guidelines, medical staff should design plans that patients can understand as quantities, and they enter the support of the community to improve the health results possibly. NURS FPX 4050 Assessment 1:  Effectiveness can be achieved by offering the community the chance to interact and speak while educating them about various diseases through workshops, social media campaigns, etc. This can be done through outreach with organizations such as families, hospitals, and provider groups, ensuring the care they provide is all-encompassing and tailor-made to suit the diverse community we serve.

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References

Couturier, Y., Lanoue, S., Karam, M., Guillette, M., & Hudon, C. (2022). Social workers coordination in primary healthcare for patients with complex needs: A scoping review. International Journal of Care Coordination, 26(1). https://doi.org/10.1177/20534345221122952

De Jong, K. (2023). PSYCHOSOCIAL AND MENTAL HEALTH INTERVENTIONS IN AREAS OF MASS VIOLENCE A COMMUNITY-BASED APPROACH GUIDELINE DOCUMENT SECOND EDITION. https://www.msf.org/sites/default/files/msf_mentalhealthguidelines.pdf

Doshmangir, L., Khabiri, R., Jabbari, H., Arab-Zozani, M., Kakemam, E., & Gordeev, V. S. (2022). Strategies for utilization management of hospital services: A systematic review of interventions. Globalization and Health, 18(1). https://doi.org/10.1186/s12992-022-00835-3

Gaffari-fam, S., Babazadeh, T., Oliaei, S., Behboodi, L., & Daemi, A. (2020). Adherence to a healthy literacy and healthy lifestyle with improved blood pressure control in Iran. Patient Preference and Adherence, Volume 14(5), 499–506. https://doi.org/10.2147/ppa.s244820

Hassan, T. A., Sáenz, J. E., Ducinskiene, D., Cook, J. P., Imperato, J. S., & Zou, K. H. (2021). New strategies to improve patient adherence to medications for noncommunicable diseases during and after the COVID-19 era were identified via a literature review. Journal of Multidisciplinary Healthcare, Volume 14(5), 2453–2465. https://doi.org/10.2147/jmdh.s313626

Jaroslava Raudenská, Šteinerová, V., Šárka Vodičková, Raudenský, M., Fulková, M., Urits, I., Viswanath, O., Giustino Varrassi, & Javůrková, A. (2023). Arts therapy and its implications in chronic pain management: A narrative review. Pain and Therapy, 6(9). https://doi.org/10.1007/s40122-023-00542-w

Lloyd-Jones, D. M., Morris, P. B., Ballantyne, C. M., Birtcher, K. K., Covington, A. M., DePalma, S. M., Minissian, M. B., Orringer, C. E., Smith, S. C., Waring, A. A., & Wilkins, J. T. (2022). 2022 ACC expert consensus decision pathway on the role of nonstatin therapies for LDL-cholesterol lowering in the management of atherosclerotic cardiovascular disease risk: A report of the American College of Cardiology solution set oversight committee. Journal of the American College of Cardiology, 80(14). https://doi.org/10.1016/j.jacc.2022.07.006

Lyyra, N., Thorsteinsson, E. B., Eriksson, C., Madsen, K. R., Tolvanen, A., Löfstedt, P., & Välimaa, R. (2021). The association between loneliness, mental well-being, and self-esteem among adolescents in four Nordic countries. International Journal of Environmental Research and Public Health, 18(14), 7405. https://doi.org/10.3390/ijerph18147405

Mei, Y., Yang, X., Liu, C., Li, Y., Gui, J., & Zhang, L. (2023). The impact of psychological resilience on chronic patients’ depression during the dynamic zero-covid policy: The mediating role of stigma and the moderating role of sleep quality. BMC Psychology, 11(1). https://doi.org/10.1186/s40359-023-01248-6

Mescouto, K., Olson, R. E., Hodges, P. W., & Setchell, J. (2020). A critical review of the biopsychosocial model of low back pain care: Time for a new approach? Disability and Rehabilitation, 44(13), 1–15. https://doi.org/10.1080/09638288.2020.1851783

Olejarczyk, J. P., & Young, M. (2022, November 28). Patient rights and ethics. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK538279/

Ruiz-Ramírez, J. A., Olarte-Arias, Y. A., & Glasserman-Morales, L. D. (2021). Educational processes for health and disease self-management in public health: A systematic review. International Journal of Environmental Research and Public Health, 18(12), 6448. https://doi.org/10.3390/ijerph18126448

Singer, A. G., Katz, A., LaBine, L., Lix, L. M., Yogendran, M., Sinha, I., & Abrams, E. M. (2021). Primary prescription adherence for obstructive lung disease in a primary care population. Allergy, Asthma & Clinical Immunology, 17(1). https://doi.org/10.1186/s13223-021-00540-7

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van Veghel, D., Soliman-Hamad, M., Schulz, D. N., Cost, B., Simmers, T. A., & Dekker, L. R. C. (2020). Improving clinical outcomes and patient satisfaction among patients with coronary artery disease: An example of enhancing regional integration between a cardiac center and a referring hospital. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05352-w

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119

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