NURS FPX 4050 Assessment 4 Final Care Coordination Plan
With the situation involving chronic disease management being highly complex, the patient-centred care approach is the most vital model. It is characterized by tailored-to-a person’s needs and preferences-centered intervention that addresses each patient’s concerns. In this paper, a multi-dimensional approach toward the residents of patient-centred care will be discussed, which incorporates aspects such as disease control, growth of self-management skills, and quality of life overall. To add to that point, it also deals with the ethical issues and health policy implications as well as those of how it aligns with the Healthy People 2030 objectives, thus putting forth the need for some revisions and adaptations to boost the improvements in patient outcomes (Pronk et al., 2020).
Patient-Centered Health Interventions for Chronic Disease Management
Chronic diseases are a matter of great concern for people and medical professionals alike, as they have an indefinite duration of management, which demands intricate modalities of management (Reynolds et al., 2022). To win this fight adequately, the patient-centered care model that is comprehensive and individualized can be used. As such, developing interventions that regard a whole-system perspective, comprehensively integrating health, psychological, and lifestyle issues, is imperative.
Optimizing Disease Control
Patient-centered care is instrumental in managing chronic disease. Part of that process is ensuring disease control at its best. It means precisely that personalized treatment, such as compatible prescription courses, nutritional modification, and exercise regimens, must be made possible considering the patient’s disease and preferences (Alowais et al., 2023). The best way to accomplish this is for patients to be part of decision-making together with the provider and the patient to become knowledgeable about their disease management, and adherence to treatment regimens can be improved. Commitment resources such as disease education programs and health courses are other support mechanisms that patients can rely on regarding their treatment plans.
Enhancing Self-Management Skills
The following vital element is to make patients adequately autonomous in the assistance process. This may involve teaching the patient how to take medications correctly, monitor the range of their symptoms, and make healthy lifestyle choices. Through healthcare professionals-led sessions aimed at teaching patients practical ideas for controlling their disorder as well as group-based interactions that will help them put their knowledge into practice, patients can improve the management of their condition (Kristjansdottir et al., 2021). Community resources, including support groups and health care centers, are among the most significant ones in helping patients not only to address their concerns but also to stay motivated, hence guaranteeing their self-management success.
Improving Quality of Life
Alongside the disease management of chronic conditions and self-care, dealing with the psycho-social aspects of chronic diseases is an integral part of helping with the quality of life of patients. Interventions like counseling, art therapy, and support groups can offer patients the necessary social and emotional reinforcement to tackle the setbacks involved with the state of their health (Shukla et al., 2022). These implementations allow patients to express themselves openly in a safe, nurturing environment. As they connect with others who have been on the same journey, their psychological well-being is improved by many different community-based resources (Baxter et al., 2022). Particularly useful to patients, art therapy courses and support groups can help the patients engage in art activities and associate with their fellows, and therefore, increase their quality of life.
Ethical Considerations in Patient-Centered Health Interventions
Ethical considerations in the design of patient-oriented health interventions place a great emphasis on the principle of patient autonomy and their right to benefit and justice. In chronic disease management, strategists make adequate ethical decisions so that interventions are designed and implemented to promote good health conditions and function ethically.
Respect for Autonomy
Respect for autonomy, it can be said, is one of the ethical principles that govern patient self-determination, where patients` rights to decide for themselves about their health are taken into account. While physicians are designing interventions, patients should be included in every single aspect of the decision-making process, including all treatment options and distributed work plans (Oprea et al., 2023). This means giving patients detailed info about their health issues, treatment options, and possible risks and benefits, which, in turn, they will choose the type of treatment based on their values and preferences (Ness, 2020). Through the acknowledgment and care of the patient’s autonomy, the healthcare providers will endorse the empowerment of patients and bolster the trust in the relationship between the patient and the caregiver.
Beneficence and Non-Maleficence
The moral judgment made in patient-oriented interventions also consists of weighing principled disclaimers, namely” beneficence (doing good)” and “non-maleficence (not harm). Providers in healthcare should give a thought to the pros and cons of interventions they use, ensuring that the outcome is beneficial to patients, leading to doing less harm to them. This could be doing a targeted treatment aimed at different patients, who they are, and what they like, making sure to remember age, comorbidities, and cultural background (Rayman et al., 2022). The providers should be able to monitor and evaluate the outcome of intervention on the one hand and, on the other, if needed, to provide alternative therapy or palliative care (depending on the goals and side effects of treatment).
Relevant Health Policy Implications for Coordination and Continuum of Care
Understanding appropriate health policy implications is appreciated since these are crucial for achieving effective coordination and a continuum of care. Through the correct interpretation and enforcement of policy provisions, healthcare providers can channel the dilemma of caregiving properly and simultaneously meet patient expectations and regulation requirements.
Interpretation of Policy Provisions
Exact comprehension of related supervisory provisions becomes a prerequisite for adequately studying their consequences concerning the delivery of coordinated services and evidence of uninterrupted treatment (Haferkamp & Smelser, 2020). Policies about health insurance coverage, quality care guidelines, and patient care access affect how care is offered and distributed throughout the continuum.
Implications for Care Coordination
Health policies commonly relate to care coordination among diverse providers and placements of support services. These necessities include digital health record interchangeability, care transition protocols, and joint care model implementation. By adhering to all these requirements, healthcare providers will facilitate smooth continuity of care and ensure that the service is continuous for the patients across the different healthcare facilities.
Implications for Continuum of Care
Through raising awareness, promoting responsible practices, pushing for more accountable plans, and encouraging people and businesses to integrate sustainable practices into their daily lives, we can all contribute to protecting our planet.
NURS FPX 4050 Assessment 4 Final Care Coordination Plan
Not only policy components but the care continuum as well are in dire need of altering preventive, primary, acute, and long-term care services. The measures to be undertaken will include payment reform initiatives to encourage value-based care payment models, which reimburse providers based on the effectiveness they bring in reducing emergency room visits and preventing diseases (Cattel & Eijkenaar, 2019). Alongside, policies that deal with telehealth and remote monitoring devices offer a more comprehensive coverage of healthcare, particularly in areas with low access to care, thus increasing continuity of care for patients.
Establishing Priorities for Care Coordination Discussions
When deciding on a care plan together with a patient and an anxiety member, a care coordinator needs to decide on priorities that protect the patient today but are also based on evidence-based practice. By concentrating on the part of the care plan, the coordinator can provide interventions aimed at a particular patient’s requirements and give examples using updated knowledge.
Identifying Priority Areas
One mission a care coordinator must complete is the initial assessment and identifying the most urgent health issues or symptoms. So, the nurse’s primary duty is to address these issues and direct intervention methods to help the patient bring relief and stabilization. The coordinator may decide to prioritize interventions that relate to the treatment goals and agreement of the patient, thereby making the care plan a patient-centered one that is personalized to the patient’s likes and dislikes (Kuipers et al., 2019).
Making Changes Based on Evidence-Based Practice
The production of digital multimedia content is an extensive process that requires meticulous work and immense attention to detail. This is essential for the effectiveness of the narrative and the overall engagement of the audience.
Utilization of evidence-based practice in the care plan may entail the alteration of treatment methods, the introduction of interventions that have been verified according to research standards, or the optimization of the modules that have previously been used (Hasson et al., 2020). Take, for instance, the case where recent findings show that a new one is better compared to old ones prescribed previously; the care coordinator may then request to change to the latest treatment to facilitate good results. With data being connected to the fact of a specific lifestyle change being effective in the management of the disease, the care coordinator could look into this recommendation to incorporate it into the care plan to improve the health outlook for the patient (Idris Zubairu Sadiq, 2023).
Comparing Learning Session Content with Best Practices
Evaluation of Learning Session Content
Renewable energy and energy efficiency measures can help mitigate climate change and reduce greenhouse gas emissions worldwide, thus contributing to a more sustainable and resilient future for all humanity. Employing the literature on evaluation as guidance, it is necessary to compare the content of the learning sessions to the guides on best practices. This is to ensure that the amount and depth of knowledge transferred and acquired skills among participants are sufficient and effective (Anwer, 2019). Appraisal instruments that can be employed are, for example, pre-and post-tests, questionnaires for evaluation of the seminar attendees, and observations that can provide valuable information concerning the success of a course and areas that require revision.
Alignment with Best Practices
Classroom teaching methodologies include interactive activities, providing definitive learning objectives and materials, and providing an active learning environment, among others. With the adjunction of teaching sessions to these good practices, educators can create a lot of positive effects by reducing the loss of knowledge among the participants. Along with this, the provision of teaching material based on scientific evidence and the application of different teaching approaches that will fit into various students’ learning styles and personalities will also make a mark on the effectiveness of teaching sessions’ success (Magulod, 2019).
Aligning with Healthy People 2030
The on-site tasks covered various areas such as data entry, inventory management, and customer service, which enabled me to gain a comprehensive understanding of the company’s functioning. Healthy People 2030 outlines a vision that health should prevail for all Americans and that fewer individuals should suffer from chronic conditions (Pronk et al., 2020). It includes aims and goals that are to be met by various participants. Implementing the Healthy People 2030 approach requires the delivery of messages that are related to health promotion, relevant health priorities, and practices associated with healthy living to be incorporated into the teaching sessions. The two ways by which educators can ensure teaching material is up-to-date, relevant, and in line with national public health goals is to incorporate Healthy People 2030 objectives into teaching sessions.
Conclusion
Implementation of a patient-oriented is a crucial element of healthcare provision when tackling the complex spectrum of chronic disease management. Through caregivers supporting patient autonomy, increasing patients’ self-esteem, and considering how the conditions affect the patient’s psychological state, healthcare providers’ job in improving patient care delivery and joy in receiving services is defined highly. Accordingly, ethical principles, health policies, and medical objectives of the county should concurrently tie in the interventions to enhance the continuum of care. Using ongoing assessment and adaptation, healthcare systems may seek the goals of maximum effectiveness and favorable outcomes related to the overall well-being of populations.
References
Always, S. A., Alghamdi, S. S., Alsuhebany, N., Alqahtani, T., Abdulrahman Alshaya, Almohareb, S. N., Atheer Aldairem, Alrashed, M., Khalid Bin Saleh, Badreldin, H. A., Yami, A., Shmeylan Al Harbi, & Albekairy, A. M. (2023). Revolutionizing healthcare: The role of artificial intelligence in clinical practice. BMC Medical Education, 23(1).
https://doi.org/10.1186/s12909-023-04698-z
Anwer, F. (2019). Article Journal of Education and Educational development activity-based teaching, student motivation and academic achievement. Journal of Education and Educational Development, 6(1).
https://files.eric.ed.gov/fulltext/EJ1216784.pdf
Baxter, L., Burton, A., & Fancourt, D. (2022). Community and cultural engagement for people with lived experience of mental health conditions: What are the barriers and enablers? BMC Psychology, 10(1), 71.
https://doi.org/10.1186/s40359-022-00775-y
Cattel, D., & Eijkenaar, F. (2019). Value-Based provider payment initiatives combining global payments with explicit quality incentives: A systematic review. Medical Care Research and Review, 77(6), 107755871985677.
https://doi.org/10.1177/1077558719856775
Haferkamp, H., & Smelser, N. J. (2020). Social change and modernity. Cdlib.org.
https://publishing.cdlib.org/ucpressebooks/view?docId=ft6000078s
Hasson, H., Leviton, L., & von Thiele Schwarz, U. (2020). A typology of useful evidence: Approaches to increase the practical value of intervention research. BMC Medical Research Methodology, 20(1).
https://doi.org/10.1186/s12874-020-00992-2
Idris Zubairu Sadiq. (2023). Lifestyle medicine as a modality for prevention and management of chronic diseases. Lifestyle Medicine as a Modality for Prevention and Management of Chronic Diseases, 4(9).
https://doi.org/10.1016/j.jtumed.2023.04.001
Kristjansdottir, O. B., Vågan, A., Svavarsdóttir, M. H., Børve, H. B., Hvinden, K., Duprez, V., Van Hecke, A., Heyn, L., Strømme, H., & Stenberg, U. (2021). Training interventions for healthcare providers offering group-based patient education. A scoping review. Patient Education and Counseling, 104(5), 1030–1048.
https://doi.org/10.1016/j.pec.2020.12.006
Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research, 19(13), 1–9.
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-3818-y
Magulod, G. (2019). Learning styles, study habits and academic performance of Filipino university students in applied science courses: Implications for instruction. Journal of Technology and Science Education, 9(2), 184.
https://doi.org/10.3926/jotse.504
Ness, D. E. (2020). Discussing treatment options and risks with medical patients who have psychiatric problems. Archives of Internal Medicine, 162(18), 2037.
https://doi.org/10.1001/archinte.162.18.2037
Oprea, N., Ardito, V., & Ciani, O. (2023). Implementing shared decision-making interventions in breast cancer clinical practice: A scoping review. BMC Medical Informatics and Decision Making, 23(1).
https://doi.org/10.1186/s12911-023-02263-8
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(1).
https://doi.org/10.1097/phh.0000000000001254
Rayman, G., Akpan, A., Cowie, M., Evans, R., Patel, M., Posporelis, S., & Walsh, K. (2022). Managing patients with comorbidities: Future models of care. Future Healthcare Journal, 9(2), 101–105.
https://doi.org/10.7861/fhj.2022-0029
Reynolds, R., Dennis, S., Hasan, I., Slewa, J., Chen, W., Tian, D., Bobba, S., & Zwar, N. (2022). A systematic review of chronic disease management interventions in primary care. BMC Family Practice, 19(1), 1–13.
https://doi.org/10.1186/s12875-017-0692-3
Shukla, A., Choudhari, S. G., Gaidhane, A. M., & Quazi Syed, Z. (2022). Role of art therapy in the promotion of mental health: A critical review. Cureus, 14(8).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472646/
Pigg, J., Richardson, M. A., Roberts, R., & Stair, K. S. (2020). Awakening Transformative Learning: A Comparison of the Dissonance Experienced by Agriculture Majors During Study Abroad Courses to Costa Rica and Thailand.
https://core.ac.uk/download/541436567.pdf
Ce facem cu aparatele vechi sau defecte? – Eco Positive.
https://ecopositive.ro/en/ce-facem-cu-aparatele-vechi-sau-defecte/
Environment – Kidpid.
https://members.kidpid.com/ask/topic/environment-60/
Sari, Y. D., & Antonio, F. (2023). ANTESEDEN DARI CARE COORDINATED PATHWAYS DAN DAMPAKNYA PADA PATIENT CENTRICITY.
https://doi.org/10.7454/arsi.v9i1.4833
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