NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Care coordination is defined as the process in which the care protocols and information regarding the treatment of a certain patient is shared among all the personnel involved in the recovery process (“Care Coordination,” 2014). An example of such coordination is the collaboration between different doctors regarding certain aspects about the treatment of a specific patient. 

The importance of proper care coordination can be understood just by its definition. The progress that a previous doctor has made on the condition of a patient has to be efficiently relayed and delineated to the professional who is taking over. If the previous doctor fails to actively convey the status of the patient, the following professional can make changes, prescribe medications or perform activities that could have been previously performed, hence proving detrimental. Poor care coordination planning can lead to devastating results and can cost the patients financially as well as emotionally. 

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

In this paper, the purpose is to explain a health concern and then come up with some rational goals which can be achieved by the healthcare sector in the bid to improve the standard of care given to the patients suffering from said health concern. The community resources shall also be enumerated as a part of the solution. 

Stroke

Strokes are among the leading causes of death worldwide. When ranked in numbers, stroke falls in second place with a mortality rate of 5.5 million persons annually (Donkor, 2018). The danger of strokes is not only portrayed by the mortality rate, but also by the aftereffects manifested on those who survive it. 50% of all survivors were seen to become chronically disabled (Donkor, 2018).

Strokes are categorized into two major types. These include ischemic strokes and hemorrhagic strokes. The former is caused by the obstruction of the blood flow to a part of the brain. The interruption of the blood flow causes the loss of functioning. Hemorrhagic stroke, on the other hand, is caused by the bursting or rupturing of a blood vessel (Donkor, 2018).

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Identification of Best Practices for Stroke

Thus concludes the identification of the health concern. When it comes to the best practices that can be applied for stroke patients, there are a few which are enumerated thus.

The patients who are seen to have a large vessel occlusion are to be examined for endovascular intervention (Khaki & Tadi, 2021). The patients who are suspected of having a severe ischemic stroke should be taken in for a neurological workup. 

Aside from the specific and particular measures taken for the care and management of strokes, antiplatelet and statins are the primary constituents that serve as the mainstay of the said management (Khaki & Tadi, 2021).

There are different other factors that play a part in the treatment and accommodation of a stroke patient. The cultural, social and psychosocial needs have to be incorporated and included in the treatment in order to facilitate a recovery process devoid of trauma and undeterred by mental discomfort. 

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

The needs referred to can include the accommodation and consideration of the various idiosyncrasies that come with a person’s cultural background etcetera. People of different cultures tend to react differently to treatments and the various stages of the recovery process.

Similarly, the needs from the social and psychosocial aspect can entail giving proper mental support to the patient during treatment. The presence of friends and family members can help along with the treatment, and this is a psychosocial dynamic because it relates to social factors viz. the people, and the psychological factors viz. the effects on the mental state of the patient. The importance of psychosocial factors in medications treatments is unequivocal (Xu, Mercury, Zhang, & Xu, 2008), hence the need to address these three areas.

Goals to be established to address Stroke Care

In order to make sure that the care for strokes is carried out properly, there are certain goals that can be established that the professionals or the institute have to meet. There are different strategies that have been put forward in a bid to improve the quality of the care given to stroke patients. By utilizing these strategies, we can formulate goals and objectives that can be set as a standard for all to meet. For example, a certain strategy put forward in a medical journal (Baatiema et al., 2020) was the computerization and digitization of medical practices. Utilizing this strategy, we can create a goal for the organization. It can be said that the hospital, or the professional, must digitally enter and save the information and important details of a certain stroke patient in order to facilitate better care coordination among professionals and transitions between different places. 

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Apart from this goal viz. the computerization of the medical practice, a few others can be enumerated as well. Increasing the workforce and the number of professionals is another goal that is necessary to address the treatment of strokes. While the exact number will be different for each institution, it is necessary to have an adequate number of professionals to tend to the patients (Baatiema et al., 2020). 

Furthermore, another goal that can be established is the development of a standardized set of clinical guidelines and treatment protocols for all professionals to follow in a certain institution (Baatiema et al., 2020). The standardization of protocols leads to better collaboration and care coordination since all the professionals are on the same plane as far as the treatment steps are concerned.

Community Resources

Community resources can play a major in the passive recovery of stroke patients. After a stroke, the recovery of the patient and the transition to the normal style of living can be a difficult process. However, in this study, the reason for enumerating these community resources is to explain how care can be continued even after the transition from hospital to home. In other words, the various community resources help in the recovery process of the patient even after they have left the hospital or the medical institution. 

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

One of the reasons for prescribing community resources to a patient is the deracination of any trauma that might linger. Hence, it was seen that walking groups (White & South, 2012) and other exercising activities with other people is a good way to help patients recover from their potentially depressive state. The community resources in play here are the parks and gardens which are accessible to the public.

Similarly, cooking and eating sessions (White & South, 2012) are another example of treatment based on community resources. Doing these activities with other people can be helpful for the patients. People are also a part of community resources, hence such activities are justifiably a part of community resource-centered treatment.

Literacy classes (White & South, 2012) are also a type of community resource that can help patients in their recovery process. 

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

References

Baatiema, L., de‐Graft Aikins, A., Sarfo, F. S., Abimbola, S., Ganle, J. K., & Somerset, S. (2020). Improving the quality of care for people who had a stroke in a low‐/middle‐income country: A qualitative analysis of health‐care professionals’ perspectives. Health Expectations, 23(2), 450–460. https://doi.org/10.1111/hex.13027

Donkor, E. S. (2018). Stroke in the21stCentury: A Snapshot of the Burden, Epidemiology, and Quality of Life. Stroke Research and Treatment, 2018, 1–10. https://doi.org/10.1155/2018/3238165

Khaki, A. S., & Tadi, P. (2021). Cerebrovascular Disease [Statpearls]. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK430927/

White, J., & South, J. (2012). Health together: how community resources can enhance clinical practice. British Journal of General Practice, 62(602), 454–455. https://doi.org/10.3399/bjgp12x653804

Xu, J., Mercury, J., Zhang, Z., & Xu, F. (2008). Psychological, social and behavioural factors that influence drug efficacy: a noteworthy research subject in clinical pharmacology. British Journal of Clinical Pharmacology, 66(6), 901–902. https://doi.org/10.1111/j.1365-2125.2008.03300.x