Final Care Coordination Plan - For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature. (Essay Sample)

Instructions:

Order: #7946246 Status: Approved Deadline: 5 days Price: $18 Assigned! Order Info Subject: Nursing Pages / Words: 5 pages / - Spacing: Double Paper format: APA Academic level: Master’s Type of work: Writing from scratch Type of paper: Essay Sources: 5 Progressive delivery: No Pages for draft: 1 page Words for draft: 275 words 1-page Draft: No 1-page summary: No Abstract page No Soft copies: No Software: None Topic: Final Care Coordination Plan - For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature. Paper details: **Must review all details and files before beginning assignment** *This assignment is based on a previous assignment you did for me, attached in files* Final Care Coordination Plan For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 (FILE ATTACHED, YOU DID THIS ASSIGNMENT FOR ME) using best practices found in the literature. Introduction This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem. Preparation In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 (file attached) using best practices found in the literature. To prepare for your assessment, you will research the literature on your selected health care problem (Food insecurity… See file assessment 1 order 7945692). You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP (evidence based practice) and discuss how the plan includes elements of Healthy People 2030 (https://health.gov/healthypeople) Instructions For this assessment: • Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan. Document Format and Length Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA-formatted paper, 5–7 pages in length, not including title page and reference list. Supporting Evidence Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2030 resources. Cite at least three credible sources. Grading Requirements The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. • Design patient-centered health interventions and timelines for a selected health care problem. o Address three health care issues. o Design an intervention for each health issue. o Identify three community resources for each health intervention. • Consider ethical decisions in designing patient-centered health interventions. o Consider the practical effects of specific decisions. o Include the ethical questions that generate uncertainty about the decisions you have made. • Identify relevant health policy implications for the coordination and continuum of care. o Cite specific health policy provisions. • Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice. o Clearly explain the need for changes to the plan. • Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document. o Use the literature on evaluation as guide to compare learning session content with best practices. o Align teaching sessions to the Healthy People 2030 document. • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format. • Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling. Context Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life. ***Grading / Rubric / Criteria that must be met, must review*** Criterion 1 Design patient-centered health interventions and timelines for a selected health care problem. Designs patient-centered health interventions and timelines for a selected health care problem that includes community resources. Criterion 2 Consider ethical decisions in designing patient-centered health interventions. Considers insightful ethical decisions in designing patient-centered health interventions. These decisions are supported by the literature. Criterion 3 Identify relevant health policy implications for the coordination and continuum of care. Identifies relevant health policy implications for the coordination and continuum of care, based on precise and accurate interpretations of relevant policy provisions. Makes valid, insightful inferences. Criterion 4 Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice. Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice. Clearly explains the need for changes to the plan. Criterion 5 Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document. Uses the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2030 document. Clearly explains the need for any revisions. Criterion 6 Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format. Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly. Criterion 7 Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling. Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choicmrue, and free of spelling errors. source..

Content:

Final Care Coordination Plan for Food Insecurity Name Institution Course Instructor Date Final Care Coordination Plan for Food Insecurity Introduction Food insecurity is a severe public health nutrition problem worldwide, impacting customers’ health and social and physical well-being (Pachapur et al., 2020). It is manifested through easy vulnerability to poor quality, inadequate quantity, and safe and nutritious food, which causes malnutrition, chronic diseases, and psychosocial stress. Treating food insecurity as a condition involves not only an immediate fix but also patient engagement in the design of sustainable solutions to the primary condition, as well as understanding illness and disease risk and improving mood. This care coordination plan synthesizes the initial plan drawn in Assessment 1 with evidenced-based practice, community resources, ethical principles, and health policies. Healthy People 2030 is a practical framework based on the plan to ensure that interventions improve health and are sustainable. Designing Patient-Centered Health Interventions and Timelines Malnutrition Food insecurity is the immediate cause of malnutrition, especially since most food-insecure people cannot afford balanced diets (Pachapur et al., 2020). This may result in different health-related diseases such as immune consciousness, stunted growth in children and other infections. Consequently, partly expanding on the abovementioned concept, one of the leading emergent treatments is enrolling patients in programs to access steady, wholesome food. Services and medical nutrition therapy refer people to resources such as CalFresh that ensure patients have food to take to the doctor, especially fruits, vegetables, and proteins. This is because the organization seeks to enroll 90 percent of all the food-insecure patients identified within three months. Taking foods and supplements, other follow-ups will be conducted once a month to check on the general progress of patients. Community-based services, including the California Association of Food Banks, Meals on Wheels, and Project Angel Food, are valuable resources for this intervention. Food and Nutrition Service gives fresh produce to Californians through the California Association of Food Banks, such as breakfast, lunch, dinner, or snacks for elderly homebound people through Meals on Wheels. Project Angel Food delivers medically tailored healthy meals to patients with chronic illnesses, essential for nutrition and medical conditions. Chronic Diseases Food insecurity intensifies chronic diseases like diabetes and hypertension, primarily due to poor diet quality (Liu & Eicher-Miller, 2021). Poor diet is responsible for inadequately controlling such illnesses with adverse effects like unstable blood sugar levels or hypertension-related crises. To address this problem, the intervention aims to develop and deliver Meals on Wheels meal plans that suit chronic illness patients’ diets. Learning materials concerning diet control will also be offered to the patients to help them improve their diet decisions. The duration for combined intervention is two months, during which patients diagnosed with chronic diseases will be provided with diet prescriptions and subscribed to food delivery services. Sources include disease-specific nutrition services from organizations like Project Angel Food and supplemental nutrition from services like CalFresh. Furthermore, patients should receive education and be monitored for compliance with dietary needs in Community Health Clinics. Mental Health Food insecurity has profound psychological effects, such as anxiety, depression, and stress. Lack of certainty about when the next meal will be had also places a terrific psychological load (Pourmotabbed et al., 2020). Coordinating care plans to include mental health is essential to enhance the general welfare of food-insecure persons. The intervention entails providing mental support and counseling and recommending to the patient where they can get a counseling support system. Patient that has symptoms that are suggestive of mental disorders because of food insecurity should be recommended to see a mental health practitioner within one month from the time they have been assessed (Pourmotabbed et al., 2020). Such resources include 211 California, a great community service database, Community Counseling Centers, and NAMI, the National Alliance on Mental Illness. Such organizations provide counseling services and mental health support to patients who are food insecure and experiencing food insecurity-related stress and any associated ailment, guarantee patient-centered care, and patients integrated biopsychosocial needs. Ethical Decisions in Designing Health Interventions Ethical considerations when developing patient-centered interventions for food insecurity include the following (Holland, 2022). One of the more prominent ethical dilemmas is the dilemma between the role of offering essential services and the patient’s rights and culture. Some cultures consider it shameful or embarrassing to approach people for food, so they will not seek help. Also, the barriers in language, legal issues of immigration, and privacy issues might be barriers to a patient seeking help. Patient rights and protection, particularly the right to be treated with respect and dignity, are paramount. Informed consent is one of the more ethical considerations to consider (Holland, 2022). Patients have to get adequate information regarding the services they are to receive and exercise their rights to make choices without coercion. Moreover, privacy must be maintained to ensure that patients do not lose their status in the community or that their feelings about their insecurity are not based on facts. This care plan also checks and balances itself by making all the decisions to be to the patient’s benefit while at the same time keeping an eye on the patient’s cultural beliefs and personal choices. Health Policy Implications for Coordination and Continuum of Care Strategizing for food insecurity entails seeking support for health policies that eradicate hunger and advocating for mental health services. This policy has become one of the most critical in the Supplemental Nutrition Assistance Program (SNAP), otherwise referred to as CalFresh in California (Wang et al., 2021). This program enables low-income earners to afford healthy foods to minimize the diseases accompanying malnutrition. It also maintains continuous access to nutrients through a CalFresh that underpins the care coordination plan, emphasizing that such provisions are essential for all-inclusive physical and mental well-being. It also means that mental health parity laws guarantee that people living with food insecurity get the mental health they deserve. There is also a need to enhance food security policies that complement mental health care plans to provide total solutions to a complicated issue. As a result, this care coordination plan is tracked with the goals of federally funded initiatives. It uses local assets to advance the public health of targeted communities and decrease the incidence of chronic diseases associated with food insecurity. Priorities for Care Coordinator Discussions with Patients and Families Immediate Food Access The first consideration is establishing what foods the patient requires right away and then linking the patient to food shelters and programs. Information about these resources and how to get them is crucial so that none remain unused because they were not booked in time. The care coordinator must respond to the patient’s and the family’s needs and confirm their satisfaction with the services offered. The patients should also understand the processes that lead to receipt of the assistance needed. Chronic Disease Management The second would be to explain other concurrent medical conditions and how an individual’s nutrition plan would help with the disease. The care coordinator should discuss with the patient how sticking to a particular type of diet, blow-diabetes or high blood pressure- is vital. It’s important to mention that a patient’s family’s participation in meal planning and controlling can be constructive in searching for avoiding complications that occur in chronic diseases in case of a patient’s food intake regulation according to a dietitian’s recommendations. Mental Health Support The third priority is the psychological concern of food insecurity. The care coordinator should evaluate the patient’s mental status and give them information about counseling and support groups. Therefore, teaching the patient and family about hospitals, counselors, psychologists, and other mental health reso...

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Final Care Coordination Plan - For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature. (Essay Sample)

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