Assessment 4: Final Care Coordination Plan
Capella University Assessment 4: Final Care Coordination Plan-Step-By-Step Guide
This guide will demonstrate how to complete the Capella University Assessment 4: Final Care Coordination Plan assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for Assessment 4: Final Care Coordination Plan
Whether one passes or fails an academic assignment such as the Capella University Assessment 4: Final Care Coordination Plan depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for Assessment 4: Final Care Coordination Plan
The introduction for the Capella University Assessment 4: Final Care Coordination Plan is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for Assessment 4: Final Care Coordination Plan
After the introduction, move into the main part of the Assessment 4: Final Care Coordination Plan assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for Assessment 4: Final Care Coordination Plan
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for Assessment 4: Final Care Coordination Plan
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Assessment 4: Final Care Coordination Plan
Illnesses are a part of life, and human beings must learn to live and cope with them. As a way of improving health outcomes, care coordination provides a smooth transition of care. Nurses play a vital role in promoting care coordination and use evidence-based practices to help people live healthily. A significant part of nurses’ engagement in people’s care plans involves understanding people’s health issues in-depth, environments, and community resources. Based on these factors, nurses are better positioned to customize care plans that promote healing and improve a patient’s quality of life. The previous assessment reviewed a care plan for a patient with chronic obstructive pulmonary disease (COPD). This paper explains the final care coordination plan and focuses on patient-centered health interventions, ethical decisions, policy implications, priorities when discussing the care plan, and learning session content.
According to Thomas (2018), organizational culture is defined as the various beliefs, values, assumptions, and interactive strategies contributing to an organization’s unique social and psychological environment. Positive working culture is developed when employees and employees share aligned values with each other and the organization. To ensure the success of organizational culture, the first step is for all employees and employers to clearly understand the organization’s values and the belief of the organization. Barriers caused by an organizational culture can cause nursing leaders to feel powerless, and one of those barriers is a negative environment. For example, having a facility or hospital poorly managed by administration personnel or having an administration team that does not communicate with front-line staff creates low workplace morale. When there is a negative environment created around front-line staff, there is a lack of production, increased call-outs, and high turnover rates. “Authority Is maintained centrally, reducing the effectiveness of front-line staff” (Jackson et al., 2021). Employees begin to feel excluded start to feel that the facility or hospital is not ensuring their beliefs and values stay aligned in the best interest of the patients.
Patient-Centered Health Interventions and Timelines
Patient-centered care is better delivered by first understanding the patient’s issues. One of the major issues associated with COPD is the damaged quality of life. In a review of COPD’s burdening impacts, Miravitlles and Ribera (2017) found that COPD imposes a huge burden on individuals since they have to cope with the disease’s range of symptoms, including breathlessness, sputum production, and chest tightness. The other issue characterizing COPD is mental health problems, including depression. Miravitlles and Ribera (2017) noted that this problem worsens when patients find it hard to handle activities of daily living and requiring too much support from others, particularly family members. COPD also poses a huge social and financial burden to the affected and families. Based on these issues, practical interventions are necessary to allow patients to live more productively.
One of the patient-centered interventions is patient education. A patient with COPD should have a steady supply of information on illness management, mainly on the options available to treat COPD and avoiding complications (Folch et al., 2017). This intervention can improve the quality of life, particularly on lessening the possibility and magnitude of complications. Mental health support is also necessary to deal with issues such as depression. The other important intervention is enhanced self-care and social support. In this area, patients can use the available community resources for patients with COPD to help them live healthy lives. It is a case that requires a multidimensional approach to achieve the best results.
Various community resources are available for patients with COPD. For patient education, resources include health care centers, the media, and community support groups. Jointly, they help patients to understand best practices, including environmental and personal care and coping with complications. Mental health support can be obtained from community support groups, peer and family groups, and seminars. Through such programs, information exchange occurs as patients share their care plans and experiences. They are also centers for information as patients clarify what they have been going through and challenging areas. Sources of self-care and social support include nurses, community social workers, and immediate family members. For better outcomes, patients with COPD also need a specific electronic medical record (EMR) system flow sheet to track their performance and compliance with the regimen.
Timelines
Intervention Area | Community Resources | Timeline |
Patient education | Health care centers, the media, and community support groups | 3 months |
Mental health support | Community support groups, peer and family groups, and seminars. | 4 months |
Self-care and social support | Nurses, community social workers, and immediate family members. | 3.5 months |
The timelines indicate the duration required to get the required resources in a particular intervention area. If adhered to, the patient’s chances of illness complications can be reduced and helped to maintain the desired quality of life.
Ethical Decisions in Designing Patient-Centered Health Interventions
Ethics are a vital segment of patient-centered care. Unethical practices have huge implications, including expensive lawsuits as patients seek compensation for wrong plans. To prevent such issues, it is crucial to adopt ethical patient-centered practices. According to Louw et al. (2017), patient-centered health interventions are partly driven by the ethical principle of autonomy. Here, the implication is that, at some point, the patient may have opinions that contradict the recommendations given in the treatment and general care plan. For instance, instead of aerobic exercises to improve breathing, the patient may opt for inhalers. Patient independence should be respected, although it is vital to convince them to follow the most effective plan.
Besides giving patients the autonomy required, the care plan should be centered on their cultures, family values, and lifestyles, among other preferences. In an ideal situation, a patient with COPD will start taking medication and adopting quality improvement practices such as exercising and avoiding smoking once the health care provider recommends a plan. However, compliance with care plans is affected by patients’ cultural perceptions and other unique aspects of life, such as lifestyles, values, and cultural traditions (Swihart & Martin, 2021). Accordingly, these factors must be considered in the care plan and respected as required to avoid ethical issues.
Health Policy Implications
Health policies and patient care are inseparable. From a health care perspective, policies provide a general plan of action that guides patients and health care providers to achieve desired outcomes. As fundamental guidelines for making health-related decisions, policies play a vital role in coordination and continuum of care for COPD patients. One such policy is prohibiting tobacco use in the workplace. Another example is allowing flextime to attend health programs. In any case, a patient with COPD benefits from such policies since they are health-centered and improve the overall quality of health.
Like other policy provisions, health-related policy provisions contain formal and informal statements to regulate employees’ behavior aiming at protecting or promoting employees’ health. Smoking-related policies are formulated based on the principle that smoking hinders the recovery of COPD patients and makes the environment unfriendly for aeration due to the presence of smoke particles. Policies usually affect relationships in workplaces. Set by the American Nurses Association (ANA) and other organizations, policy provisions are vital to improving patient outcomes. They are part of workplace-based practices that make adopting healthy behaviors much easier. Largely, such policies foster an organizational culture of health that should be encouraged locally and at state and federal levels.
Priorities of a Care Coordinator when Discussing the Plan
When discussing the plan with a patient and family member, a care coordinator must be guided by the patient’s understanding of the illness. In this case, a care coordinator must prioritize acceptance, implying that the patient should accept that COPD is part of individual life and should follow the care plan necessary for improving outcomes. The other priority area is the type of support a patient gets and can get from the family and community. For instance, engaging in practices that improve breathing and prevent health complications needs a lot of support. Reminders to take medication and follow the treatment plan strictly depend on the available support. The environment should be a priority area too. Patients with COPD cannot stay in dusty environments (Folch et al., 2017). If the review of the current plan shows that the patient’s environment, support, and attitude can affect medication adherence, change is necessary. In this case, a change in the plan is only reasonable if the projection of current interventions indicates that healing will not be achieved.
Learning Session Content
Healthy People 2020 goals can be used as the framework for making COPD patients’ care plans. Some of the Healthy People 2020 relevant to this care include helping the populace attain high-quality, longer, and disease-free lives. Also, there should be some attention to creating physical and social environments that promote good health for all (Office of Disease Prevention and Health Promotion, 2020). In the case of COPD, a learning session should have goals, interventions, and resources. One such goal that aligns with the best practices is helping patients to understand the use of inhalers. Patients should also be educated on the different types of inhalers, including metered-dose inhalers, dry powdered, slow mist inhalers, and nebulizers. Proper teaching through a well-planned learning session can help patients understand the usage of inhalers better and manage COPD more effectively.
In conclusion, COPD blocks airflow and makes breathing a challenge. A care plan for a patient with COPD should be centered on promoting healing and ensuring that the patient stays away from environments that can complicate the condition. At home and in communities, COPD patients need a lot of support to live healthily. Policies that promote their quality of life, such as banning smoking in workplaces and flextime for exercises and health programs, are highly encouraged. Support groups are also part of the plan since they help patients to share experiences and challenges as they develop mechanisms to overcome the illness collectively.
References
Folch, A., Orts-Cortés, M. I., Hernández-Carcereny, C., Seijas-Babot, N., & Maciá-Soler, L. (2017). Educational programs for patients with Chronic Obstructive Pulmonary Disease. Integrative review. Enfermería Global, 16(1), 537-555. http://dx.doi.org/10.6018/eglobal.16.1.249621
Louw, J. M., Marcus, T. S., & Hugo, J. F. (2017). Patient-or person-centred practice in medicine?-A review of concepts. African journal of primary health care & family medicine, 9(1), 1-7. http://dx.doi.org/10.4102/phcfm.v9i1.1455
Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD. Respiratory research, 18(1), 1-11. https://respiratory-research.biomedcentral.com/articles/10.1186/s12931-017-0548-3
Office of Disease Prevention and Health Promotion. (2020, Oct 8). About healthy people. https://www.healthypeople.gov/2020/About-Healthy-People
Swihart, D. L., & Martin, R. L. (2021). Cultural religious competence in clinical practice. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK493216/
In the US, family and domestic violence is a common problem that affects around 10 million people a year. Research suggests that domestic violence affects a significant proportion of the population, with approximately one in four women and one in nine men experiencing such violence (Grillo et al., 2019). Healthcare practitioners often encounter patients who have suffered from family or domestic abuse. Abuse of any kind, including financial, physical, sexual, mental, and psychological, may be classified as domestic or family violence and can affect people of all ages, including adults, children, and the elderly. Domestic violence hurts one’s physical and mental health, as well as productivity, quality of life, and, in some cases, fatality. This paper aims to outline the key priorities for a care coordinator when discussing a plan to address domestic violence with a patient and their family members.
Patient-Centered Health Interventions
The Healthy People 2030 initiative, which addresses domestic violence, aims to lower various forms of violence, including physical assaults, sexual assaults, and gun-related injuries (Rauhaus et al., 2020). When the victim is afraid, it may be difficult to identify domestic violence, especially when they go to the ER or a doctor’s office. Creating an evaluation process and being aware of the possible connection between domestic and family abuse and the symptoms and indications that the patient is presenting with is essential. More than 80% of victims of family and domestic abuse go to hospitals for treatment; other victims may see therapists, dentists, and other medical professionals (Grillo et al., 2019). Patient-centered care for these individuals primarily focuses on assessing and managing physical injuries, pain, and psychological trauma.
All healthcare practitioners, such as nurses, physicians, doctor’s assistants, dental practitioners, nurse practitioners, and pharmacists, should conduct routine screening. Interdisciplinary screening coordination is crucial for safeguarding victims and reducing adverse health outcomes within 24 hours (Lutgendorf, 2019). Proving the correlation between injuries and domestic abuse poses a significant challenge. The primary focus is on injuries that significantly risk one’s life or physical well-being. Following stabilization and physical assessment, laboratory tests and imaging modalities such as X-rays, CT scans, or MRI scans may be necessary. Healthcare professionals should prioritize addressing the root cause of the patient’s condition upon their arrival at the emergency department.
After confirming the patient’s stability and absence of pain, it is essential to conduct a comprehensive assessment of individuals who have disclosed experiencing abuse. The primary focus is on evaluating safety. Utilizing a set of predetermined questions can assist in reducing ambiguity during the patient’s assessment. In imminent peril, it is advisable to promptly seek assistance from an advocate, a shelter, a victim hotline, or legal authorities within a 24-hour (Lutgendorf, 2019). In the absence of imminent peril, the evaluation should prioritize the examination of mental and physical well-being while also ascertaining the presence of any prior or ongoing instances of abuse. The responses determine the suitable intervention.
Survivors of intimate partner violence demonstrate elevated rates and severity of depression, with symptoms potentially enduring for up to five years following the cessation of violence (Grillo et al., 2019). Survivors of intimate partner violence (IPV) also experience higher rates of anxiety, posttraumatic stress disorder (PTSD), and issues related to alcohol and substance abuse. In an ideal world, the hospital would allow patients to speak privately with a medical professional, be prepared to handle emergencies, offer consolation measures like information, support, and emotional support, and be able to connect patients with local social service organizations. The Institute of Medicine (IOM) and the U.S. Preventive Services Task Force recommend IPV screening and counseling for all adolescent and adult women as part of preventive care. The Department of Health and Human Services has also adopted these recommendations as part of the preventive care provided through the Affordable Care Act.
Ethical Decision
Obtaining authorization promptly is crucial when providing treatment to clients affected by domestic violence. Specific individuals who engage in domestic violence may exhibit psychological defense mechanisms, such as prematurely terminating an interview or refusing to cooperate in various ways. If the therapist communicates with the probation officer who referred the client without obtaining proper authorization, it could violate the law and ethical standards that safeguard the client’s right to confidentiality (Lutgendorf, 2019). Therapists must obtain a signed authorization before conducting the assessment interview to mitigate this vulnerable situation. A limited release enables the therapist to acknowledge the client’s participation in the assessment process (Rauhaus et al., 2020). After obtaining limited authorization, the therapist can legally contact the referring agency. After the client consents to the assessment process or treatment program, a more extensive authorization will enable the clinician to disclose specific information about the diagnosis or treatment.
Relevant Health Policy Implications
Global policies emphasize the imperative to address abuse and domestic violence promptly. An authorizing legal or societal framework can reinforce organizational-level policies and procedures. These policies enhance awareness of abuse, including routine discussions of the issue in clinical settings. Each state has specific child abuse statutes as mandated by the Federal Child Abuse Prevention and Treatment Act (CAPTA) (Iverson et al., 2022). Federal legislation establishes criteria for determining what actions qualify as child abuse. According to the guidelines, child abuse encompasses an act or recent failure that poses a significant and immediate threat of severe harm. Child maltreatment refers to any recent action or inaction by a parent or carer that leads to the death, emotional or physical harm, sexual assault, or exploitation of a child. The Elder Justice Act aims to reduce elder neglect, exploitation, and abuse by implementing various strategies (Hegarty et al., 2020). The Patient Safety and Abuse Act, a component of the Violence Against Women Act, establishes a federal offense for individuals who engage in interstate stalking, harassment, or physical harm against their partners. It also criminalizes the violation of a protective order when crossing national borders.
Making Changes Based Upon Evidence-Based Practice
Care coordinators should prioritize addressing domestic violence victims by providing treatment that acknowledges the impact of trauma and abuse on their health. They should also ensure patients are connected to appropriate specialists for comprehensive recovery. Care coordinators should make adjustments based on evidence-based practices when discussing the care plan with patients and their family members. Exiting an abusive relationship or living situation presents significant difficulties, encompassing both emotional and practical aspects. The process entails recognizing the presence of abuse, seeking assistance to exit the situation safely, and addressing the emotional and psychological aftermath (Iverson et al., 2022). Survivors can engage in a gradual process of self-esteem reconstruction following the detrimental effects experienced in the relationship. Survivors may benefit from self-care routines, professional mental health counseling, and the establishment of a nonjudgmental support network in order to effectively manage the fallout from the relationship. Society can support abuse victims by providing access to resources, affordable mental health care, and effective prevention programs. Workplaces can mitigate the impact of intimate partner violence on employees by implementing policies that provide protection and support, particularly about financial strain.
Conclusion
Domestic and family violence encompasses various forms of abuse, such as economic, sexual, physical, emotional, and psychological, targeting individuals across different age groups, including children, adults, and elders. Domestic and family violence poses challenges in terms of identification, with a significant number of cases remaining unreported to healthcare providers and legal authorities. Healthcare professionals, such as psychologists, nurses, chemists, dentists, doctor’s assistants, registered nurses, and physicians, are responsible for assessing and potentially providing care to individuals involved in domestic or family violence, given its widespread occurrence in our society. Healthy People 2030 aims to decrease various forms of violence, such as physical assaults, sexual assault, and gun-related injuries.
References
Grillo, A. R., Danitz, S. B., Dichter, M. E., Driscoll, M. A., Gerber, M. R., Hamilton, A. B., Wiltsey-Stirman, S., & Iverson, K. M. (2019). Strides Toward Recovery From Intimate Partner Violence: Elucidating Patient-Centered Outcomes to Optimize a Brief Counseling Intervention for Women. Journal of Interpersonal Violence, 088626051984040. https://doi.org/10.1177/0886260519840408
Hegarty, K., McKibbin, G., Hameed, M., Koziol-McLain, J., Feder, G., Tarzia, L., & Hooker, L. (2020). Health practitioners’ readiness to address domestic violence and abuse: A qualitative meta-synthesis. PLOS ONE, 15(6), e0234067. https://doi.org/10.1371/journal.pone.0234067
Iverson, K. M., Danitz, S. B., Driscoll, M., Vogt, D., Hamilton, A. B., Gerber, M. R., Wiltsey Stirman, S., Shayani, D. R., Suvak, M. K., & Dichter, M. E. (2022). Recovering from intimate partner violence through Strengths and Empowerment (RISE): Development, pilot testing, and refinement of a patient-centered brief counseling intervention for women. Psychological Services, 19(Suppl 2), 102–112. https://doi.org/10.1037/ser0000544
Lutgendorf, M. A. (2019). Intimate Partner Violence and Women Health. Obstetrics & Gynecology, 134(3), 470–480. https://doi.org/10.1097/aog.0000000000003326
Rauhaus, B. M., Sibila, D., & Johnson, A. F. (2020). Addressing the Increase of Domestic Violence and Abuse During the COVID-19 Pandemic: A Need for Empathy, Care, and Social Equity in Collaborative Planning and Responses. The American Review of Public Administration, 50(6-7), 668–674. https://doi.org/10.1177/0275074020942079