Develop preliminary care coordination plan for health care


Assignment task: Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Before you complete the instructions detailed in the course room, first select one of the following health care problems or issues:

Health Literacy:

  • Physical considerations: Low health literacy can lead to poor health outcomes and difficulty managing chronic diseases.
  • Psychosocial considerations: Low health literacy can cause emotional distress, anxiety, and depression.
  • Cultural considerations: Cultural beliefs and practices may influence an individual's health literacy.
  • Community resources: Health literacy programs, patient education materials, and health navigators can provide resources and support for individuals with low health literacy.

Environmental Health:

  • Physical considerations: Environmental hazards such as air pollution, lead exposure, and toxic waste can cause physical health problems.
  • Psychosocial considerations: Environmental hazards can cause emotional distress, anxiety, and depression.
  • Cultural considerations: Cultural beliefs and practices may influence an individual's exposure to environmental hazards.
  • Community resources: Environmental health clinics, community clean-up programs, and advocacy groups can provide resources and support for individuals affected by environmental hazards.

After you have selected one of the problems/issues from the list above, return to the detailed instructions in the course room to complete your assessment.

Introduction:

The first step in any effective project is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.

Preparation:

As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.

Scenario:

Imagine 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.

To prepare for this assessment, you may wish to:

  • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
  • Allow plenty of time to plan your chosen health care concern.

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