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Capella University Care Coordination Plan for A Selected Health Care Problem Paper

 

I’m working on a nursing project and need a sample draft to help me study.

magine 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.

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.
  • 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.