Priorities and Evidence-based Changes in Care Coordination NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Priorities and Evidence-based Changes in Care Coordination

While engaging in discussions with patients and their families, the care coordinator must establish the priorities to ensure effective communication of the care plan. Comprehensive assessment and goal-setting is an initial priority where the care coordinator will assess patients’ physical, mental, and psychosocial needs.

Engaging the patient and their family member in dialogue allows the coordinator to gain valuable insights into the patient’s medical history, current symptoms, and personal preferences. This approach is essential for providing patient-centered care and establishing realistic and meaningful goals. The need for changes to the plan arises from evidence-based practice. These practices emphasize the importance of individualized care plans targeting specific goals to optimize health outcomes (Bolton et al., 2020). By modifying the plan based on the latest research and clinical guidelines, the care coordinator ensures that the patient’s care is aligned with the best available evidence.

NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Another priority is to provide holistic care that addresses the patient’s physical, emotional, and social well-being. Care coordinators should integrate medical treatments with mental health support, dietary considerations, and lifestyle modifications. A study by Gass (2023) advocated the interconnectedness of physical and mental health and revealed the potential for positive impacts by providing comprehensive care. It is mandated that the changes made to the care plans are based on patient preferences, changing healthcare policies, and growing evidence from various research and studies. This final care coordination plan is based on the preliminary care plan. However, certain modifications have been established based on the recent evidence-based practice guidelines. 

Alignment of Learning Sessions – Best Practices and Healthy People 2030 Objectives

Utilizing evaluative principles from the literature, the learning session content is meticulously compared with established best practices. These best practices include enhancing mental health literacy, establishing community support resources, and introducing mental health education in schools. Moreover, this assessment follows the objectives of Healthy People 2030 related to mental health, which are focused on the prevention, screening, adequate assessment, and effective treatment of mental illnesses (U.S. Department of Health and Human Services, n.d.). The interventions planned in this assessment revolved around these HP2030 objectives. 

Required revisions are based on enhancing efficacy and relevance. For instance, any gaps observed in the instructional content for awareness sessions and school-based curriculum will be revised by incorporating evidence-based research that bolsters understanding and removes stigmatization. Further modifications will be based on Healthy People 2030 objectives, providing a modern-day context that reinforces health promotion at a wider level. These revisions are crucial as they ensure the learning sessions are harmonized with current research, enhance patient engagement, and contribute to the broader national health agenda.

Conclusion

To conclude, the evaluation of preliminary care coordination focuses on developing patient-centered interventions to address mental health issues in the community. These interventions are directed by ethical principles of healthcare practices and policies to improve care quality and accessibility. The communication of such coordinated plans is based on prioritizing patient-centeredness and a holistic care approach to ensure patients are fully engaged, and care plans are tailored according to the concerned individuals’ needs and preferences.

Lastly, it is significant to align the goals of learning sessions with evidence-based practices and Healthy People 2030 objectives to guarantee the currency and relevance of the interventions. Ultimately, the goal is to provide adequate and coordinated care to eradicate mental health concerns from the community.

References

Ahmed, W., Jagsi, R., Gutheil, T. G., & Katz, M. S. (2020). Public disclosure on social media of identifiable patient information by health professionals: Content analysis of Twitter 

data. Journal of Medical Internet Research, 22(9), e19746. https://doi.org/10.2196/19746 

Bolton, R. E., Bokhour, B. G., Hogan, T. P., Luger, T. M., Ruben, M., & Fix, G. M. (2020). Integrating personalized care planning into primary care: A multiple-case study of early adopting patient-centered medi