Health Medical
Capella University High Blood Pressure Care Coordination Plan Paper

Capella University

Question Description

I need an explanation for this Health & Medical question to help me study.

For this assessment:

  • Complete the preliminary care coordination plan you developed in Assessment 1.
  • Present the plan to the patient in a face-to-face clinical learning session. Communicate in a professional, culturally sensitive, and ethical manner.
  • Collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.

All instructions attached , See RUBRICS scoring guide , shooting for distinguished column please

Unformatted Attachment Preview

3/26/2020 Assessment 4 Instructions: Final Care Coordination Plan &ndash... Course Navigation  Holly Diesel Tutorials Support Log Out  FACULTY 31 NEW Jamie Holub Roslyn Ellis 74  COACH Assessment 4 Instructions: Final Care Coordination Plan For this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session and collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan. NOTE: You are required to complete this assessment after Assessment 1 is successfully completed. 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. This assessment provides an opportunity for you to apply communication, teaching, and learning best practices to the presentation of a care coordination plan to the patient. You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Adapt care based on patient-centered and person-focused factors. Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system. Competency 2: Collaborate with patients and family to achieve desired outcomes. Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with a patient. Competency 3: Create a satisfying patient experience. Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. Competency 4: Defend decisions based on the code of ethics for nursing. Make ethical decisions in designing patient-centered health interventions. Competency 5: Explain how health care policies affect patient-centered care. Identify relevant health policy implications for the coordination and continuum of care. Preparation In this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1 and https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_233645_1&content_id=_8455281_1 1/3 3/26/2020 Assessment 4 Instructions: Final Care Coordination Plan &ndash... communicate the plan to the patient in a professional, culturally sensitive, and ethical manner. To prepare for the assessment, consider the patient experience and how you will present the plan. Make sure you schedule time accordingly. Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions Note: You are required to complete Assessment 1 before this assessment. For this assessment: Complete the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session. Communicate in a professional, culturally sensitive, and ethical manner. Collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan. Reminder: The time you spend presenting your final care coordination plan must be logged in the CORE ELMS system. The total time spent in securing individual participation in this activity in Assessment 1 and presenting your plan in this assessment must be at least three hours. The CORE ELMS link is located in the courseroom navigation menu. Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours. Document Format and Length Build on the preliminary plan document you created in Assessment 1. Your final plan should be 5–7 pages in length. Supporting Evidence Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2020 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 care delivered through direct clinical interaction that is logged in the CORE ELMS system. Address three patient health issues. Design an intervention for each health issue. Identify three community resources for each health intervention, so the patient may make an informed decision about what resources to use. Make ethical decisions in designing patient-centered health interventions. Consider the practical effects of specific decisions. 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. Cite specific health policy provisions. https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_233645_1&content_id=_8455281_1 2/3 3/26/2020 Assessment 4 Instructions: Final Care Coordination Plan &ndash... Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with the patient. What aspects of the session would you change? How might revisions to the plan improve future outcomes? Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. What changes would you recommend to improve patient satisfaction and better align the session with Additional Requirements Healthy People 2020 goals and leading health indicators? Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. You must submit your hours to the CORE ELMS system before you can complete this assessment and course. Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course. SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. VIEW SCORING GUIDE  https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=_233645_1&content_id=_8455281_1 3/3 ...
Purchase answer to see full attachment
Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool's honor code & terms of service.

Final Answer

Hey buddy,Attached is the complete assignment.Please have a look at it and feel free to seek any further clarification.If
there's no further work to be done. I'd really appreciate if you could
leave a 5 star⭐ ⭐ ⭐ ⭐ ⭐ review for me on Studypool. This would be so
helpful in me securing further work and continue to tutor.Thanks. 😉

Running head: FINAL CARE COORDINATION PLAN

Final Care Coordination Plan
Name
Course
Instructor
Date

1

FINAL CARE COORDINATION PLAN

2

Preliminary Care Coordination Plan
Henry Green Monroe is a 54-year old male retired firefighter with a history of noninsulin dependent type II diabetes, hypertension, and hyperlipidemia. From my initial interview
with Henry, I noted that the history of heart-related complications in his family predisposes him
to the same. Both his parents died from cardiovascular complications. Therefore, Henry needs to
start taking deliberate measures to ensure he does not face the same fate. As such, we agreed to
meet over the weekend so that I can present my care coordination plan to him. The coordinated
care plan aims to ensure that Monroe maintains a healthy heart, given he already has the other
predisposing factors.
Health Issue #1
• High blood pressure is, by many, considered a silent killer. That is because it has a close
link to heart disease. Hypertension causes the heart to work harder than usual, and if left
untreated, it scars and damages the arteries and leads to, among other illnesses, heart
attack. A study by Escobar (2015) shows that hypertension leads to endothelial
dysfunction, cause exacerbation of the atherosclerotic process, and it makes the
atherosclerotic plaque more unstable. For that reason, the link between arterial
hypertension and coronary heart disease appears to be a strong one. Additionally, Henry
will also need to modify his lifestyle by limiting his alcohol consumption. According to
Gupta and Guptha (2010), research studies indicate the existence of a direct and dosedependent relationship between alcohol intake and BP, more specifically, when an
individual’s daily alcohol intake exceeds two drinks.
Interventions

FINAL CARE COORDINATION PLAN

3

• Henry will have to procure a blood pressure reading machine to monitor his blood
pressure twice each day, in the morning after waking up and in the evening before getting
to bed. Further, to confirm the accuracy of his blood pressure measuring equipment,
Henry will need to compare the readings she gets at home to those he gets from his
physician (Centers for Disease Control and Prevention, 2013).
• After a month of self-monitoring his blood pressure, Henry will need to make an
appointment with an Endocrinologist where they will go over the results of his blood
pressure and reevaluate his medications if need be.
• Henry is not yet alcoholic but has been taking high amounts of alcohol for someone with
hypertension. My analysis shows that he is in the Early Alcoholic stage. We agreed,
therefore, that Henry needs to stop the consumption of alcohol in the next three weeks.
During which he will have to join a SMART Recovery program in Atlanta.
Community Resources
1. Jennifer Gilligan, MD - Endocrinologist
35 Collier Road NW, Suite 775, Atlanta 30309
404-367-3210
An Endocrinologist is a diabetes specialist since he specializes in the glands of the endocrine
(hormone) system. Therefore, the specialist will be in charge of carrying out a periodical
reassessment of medications for diabetes type 2 and the development of a management plan that
works for Henry.
2. Medi-Source Home Medical – DME supplier
91 Margaret Ave NE Marietta, GA 30060
(770) 528-9559
Medi-Source Home Medical Inc. prides itself on the provision of a wide selection and quality
medical caregiver products sourced from top manufacturers around the world to its customers.

FINAL CARE COORDINATION PLAN

4

For that reason, Henry can be sure that she will find a quality blood testing machine form this
DME equipment provider. Moreover, the company is the preferred provider for dozens of
referral medical care professionals in Atlanta.
3. SMART Recovery Meertings in Atlanta
Georgia Tech Wesley Foundation
189 4th street NW, Atlanta, GA 30313
Unlike the 12-step program offered by Alcoholic Anonymous America, SMART Recovery
Meertings is a 4-point ...

Prof_Holley (9850)
UC Berkeley

Anonymous
The tutor managed to follow the requirements for my assignment and helped me understand the concepts on it.

Anonymous
The tutor was knowledgeable, will be using the service again.

Anonymous
Awesome quality of the tutor. They were helpful and accommodating given my needs.

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4
Similar Questions
Related Tags