In the preliminary care coordination plan, stroke was selected as a key and important health care issue to find interventions and develop coordinated care for the patients who suffer from care and after suffering from the care as the mortality rate is 5.5 million when it comes to stroke (Donkor, 2018). Care coordination will be effective in addressing issues associated with stroke and such conditions (“Care Coordination,” 2014). The purpose of the final care coordination plan is to develop a patient-centered health care intervention along with a timeline and analyze evidence through literature for three health care issues. In this paper, stroke, heart disease, and diabetes in adults are considered as three major health issues.
The paper consists of ethical considerations to design a coordinated plan for three healthcare issues, implications of relevant healthcare policies, priorities for the coordinator to successfully implement the plan, and evaluating best practices and aligning the plan with Healthy People 2030.
Stroke is one of the leading causes of high mortality rates in the world. Further, its effects are detrimental as it leads to poor quality of life, difficulty in speech, walking, and other daily activities, and chances of recurrence of stroke (Mejia et al., 2017). Healthy People 2030 considers stroke as an outcome of poor cardiovascular health (Health.gov, 2019). Thus, heart disease or cardiac arrest is considered the second key health issue.
The evidence highlights that strokes are of different types and hence, it is critical to find and apply patient-centered interventions to prevent, treat, and manage strokes (Morris et al., 2017). The intervention will be of multimodal design as different factors were considered and each factor was addressed.
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The factors such as patient conditions, culture, type of stroke, and causes of the stroke. The first intervention is to promote a healthy lifestyle through a better diet and cardiovascular activities (Wafa et al., 2020). The second part is implementing an endovascular intervention to examine large vessel occlusion. Then the patient who has a severe ischemic stroke will be subjected to a neurological workup (Khaki & Tadi, 2021). Patients who suffer from moderate to severe strokes should undergo urgent carotid interventions within 48 hours of occurrence (Morris et al., 2017).
Nurses should be educated and trained to diagnose each patient and adopt the right interventions such as percutaneous vascular interventions or intravenous thrombolytic treatment for acute ischemic strokes (Lindekleiv et al., 2018). Further, stroke management interventions such as management of antiplatelet and statins should be considered (Khaki & Tadi, 2021). As psychosocial, social, and cultural aspects affect recovery as stigma can prevent successful recovery, better psychological and emotional support should be given (Merriman et al., 2019).
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The plan will take three months to implement and test the outcomes of interventions as the first month will be sufficient for training and educating nurses and providing resources for successful implementation. The three community resources that will be helpful are the local support association for stroke survivors, community health workers, and online support at the Internet stroke center (Stroke Support Association, 2021).
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