ASSIGNMENT HELP | Assessment 1 Instructions: Preliminary Care Coordination Plan

• Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

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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 health care problem.
Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

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Demonstration of Proficiency
By successfully 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 family to achieve desired outcomes.
• Describe specific goals that should be established to address a selected health care 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; contains 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.

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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.

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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.
Instructions
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:
• Stroke.
• Heart disease (high blood pressure, stroke, or heart failure).
• Home safety.
• Pulmonary disease (COPD or fibrotic lung disease).
• Orthopedic concerns (hip replacement or knee replacement).
• Cognitive impairment (Alzheimer\’s disease or dementia).
• Pain management.
• Mental health.
• 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, this 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.
• Be sure to review the scoring guide to make sure all criteria are addressed in your paper.
• Study the subtle differences between basic, proficient, and distinguished.
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 health care problem.
• Identify available community resources for a safe and effective continuum of care.
• Organize content so ideas flow logically with smooth transitions; contains 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.
Additional Requirements
Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents.

MODEL ANSWER

Preliminary Care Coordination Plan

Preliminary care coordination is the primary care practice that involves organizing patient care through a series of activities. It focuses on sharing the care information among the healthcare professionals involved in the | PLACE YOUR ORDER NOW AT writtask.com | coordination involves inter-disciplinary coordination of healthcare professionals concerned with patient care to achieve more effective and | PLACE YOUR ORDER NOW AT writtask.com | team’s preferences and needs are known by the healthcare team and are shared with the right people. Sharing this information helps plan patient care and facilitates the provision of safe, appropriate and | PLACE YOUR ORDER NOW AT writtask.com | main goal of care coordination is to ensure that patient preferences and needs are met through delivering high value and high-quality care. Moreover, it is crucial to understand that care coordination can only be achieved through the participation of the teams, family, patients, and | PLACE YOUR ORDER NOW AT writtask.com | benefits achieved through care, coordination includes reducing burnout among the care providers, reducing patient stay in the hospital, errors in the medication, and chances of readmission.

Stroke

According to a report by the CDC, research shows that more than 795000 people in the United States have a stroke (Felipe, 2019). Stroke is most common among people aged 65 | PLACE YOUR ORDER NOW AT writtask.com | severity of stroke depends on which part of the brain it affects since the blood supply into the brain is reduced or interrupted (Mountain et al., 2020). In addition, research shows that most stroke survivors experience other impairments, including visual, motor, cognitive, or language | PLACE YOUR ORDER NOW AT writtask.com | been established that there is a high rate of recovery among stroke patients with the right care coordination. Therefore, when designing the care coordination for stroke patients, the severity should be considered since it determines the healthcare services that should be offered to the patient (Mountain et al., 2020).

Best Practices for Health Improvement in Stroke Patient

Care coordination involving stroke patients should start by assessing their healthcare needs before and after they are | PLACE YOUR ORDER NOW AT writtask.com | discharge, the patient is at a higher risk of developing chronic medical conditions, dietary restrictions, various new medications, and rehabilitation goals will have a lasting impact | PLACE YOUR ORDER NOW AT writtask.com | patients experience this condition, as some of the patients are likely to go home with only mild deficits. In contrast, others are likely to be subjected to the acute rehabilitation | PLACE YOUR ORDER NOW AT writtask.com | stroke patients, it is important to be mindful of the | PLACE YOUR ORDER NOW AT writtask.com | occurrences of stroke each year in the United States, the risks of having another stroke increases from the previous | PLACE YOUR ORDER NOW AT writtask.com | established to increase the risk of stroke include; lack of engaging in physical exercise, smoking, drinking, ethnicity, sex, and age (Deutschbein et al., 2020). For instance, people aged above 65 are 20% more likely to develop a stroke than those aged below 35 (Deutschbein et al., 2020). Similarly, patients with hypertension are at a higher risk of…

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