- NURS FPX 4050 Assessment 4 Final Care Coordination Plan.
Final Care Coordination Plan
A care coordination graph is vital to the proper rehabilitation of stroke patients. As stated in the initial care coordination plan, a stroke is a debilitating illness with long-term consequences ranging from slight to extreme. The two sorts of strokes that could arise are ischemic and hemorrhagic.
In ischemic strokes, the brain suffocates due to a lack of oxygenated blood, along with the associated neurological symptoms; at the same time, in hemorrhagic strokes, the brain experiences a bleed that leaks blood, inflicting excessive strain and a lack of oxygenation (Kuriakose & Xiao, 2020). In every condition, the survival costs are bleak, with one out of six sufferers losing their lives (CDC, 2021).
On account of the irreversible harm a stroke does to the brain, patients live with a couple of secondary diseases that require meticulous care coordination to deal with. This final care coordination layout addresses three common health issues that stroke survivors face and provides coordinated plans to assist them in managing each one.
The three fitness issues that I am capable of dealing with are paralysis or motor movement loss, aphasia or the dearth of capability to apprehend language like earlier, and emotional troubles stemming from worry, despair, and anxiety.
The intention is to create synergistic surroundings where patients receive well-rounded care from groups that communicate effectively, which is crucial for achieving better healthcare outcomes (Williams et al., 2019). Explore NURS FPX 4050 Assessment 1 for more information.
- Paralysis: Motor Movement Loss
Partial or complete paralysis is one of the most common issues an affected character faces after a stroke (HHS, 2022). As a result of a stroke that affects the left or right hemisphere of the brain, the loss of motor function is typically more severe on one side of the body.
The debilitating outcomes of paralysis can thoroughly have an impact on a survivor’s capacity to perform activities of daily living (ADLs), ranging from tasks as simple as changing their clothes to feeding themselves. In more complex situations, survivors have problems swallowing food, referred to as dysphagia, which leaves them at risk for aspiration (HHS, 2022).
To address paralysis, the two primary experts who are sought after for recruitment into the coordinated care team are occupational and physical therapists. The primary goal of the occupational therapist is to assist survivors in relearning their excellent motor skills, primarily those who had to carry out activities of daily living (ADLs) independently. As a substitute, the physical therapist’s goal is to assist patients with gross motor movements, focusing on energy, balance, and coordination.
Every expert wants to start on foot with the patient as rapidly as possible; the reality is that the longer a patient waits, the less likely they shall get better. one of the desires of the Department of Fitness and Human Services (HHS) is wholesome people 2030 initiative is to growth the participation charge of stroke survivors in rehabilitation services (health.gov, 2022).
Patients need to receive data and bodily and occupational treatment to get proper admission and build up this reason. Below are three network sources that offer these services in Myers, FL.
- Aphasia: Loss of Language Comprehension
One of the scariest moments of a stroke survivor’s journey is when they recognize for the first time that they are having a tough time comprehending or speaking a language like they used to. Aphasia occurs because the affected part of the brain is the same region that controls language and speech comprehension at times.
There may be no unique method by which aphasia manifests, as the signs and symptoms vary from individual to individual and can even encompass a loss of the capacity to comprehend written language (HHS, 2022). The three forms of aphasia are expressive, wherein a person cannot speak or write; receptive, which causes comprehension problems; and global, which is all-encompassing.
NURS FPX 4050 Assessment 4 Final Care Coordination Plan
The care coordination group expert introduced directly to assist with aphasia is known as a speech-language pathologist (HHS, 2022). The primary aim of the speech-language pathologist is to help the survivor regain their pre-stroke language capabilities as much as feasible. However, in most instances, the entire restoration is unachievable.
The speech-language pathologist then works with the survivor to develop new communication strategies that they can use to interact with their family and society. Regarding the problem of dysphagia noted in advance in this paper, the speech-language pathologist is also a care team member who works with the stroke survivor to vanquish swallowing troubles.
- Emotional Issues
One of the most understated and disregarded up-stroke issues that a survivor deals with is not bodily the least bit. Rather, the emotional toll that the enjoyment locations on the affected man or woman causes them to be the cause of numerous troubles in conjunction with anxiety attacks, post-traumatic stress disorder (PTSD), major depressive disorder, a loss of self-trust, anger, and frustration (HHS, 2022).
Many survivors now do not relish the independence they once had, as they are limited in mobility and prefer to be isolated from society. This isolation results in diverse, outstanding fitness issues because it affects the survivor’s eating behavior and bodily interest and furthers cognitive degradation.
To assist survivors in addressing the emotional effects they experience, they are often referred to psychologists. One of the goals of the Department of Health and Human Services (HHS) Healthy People 2030 initiative is to increase the share of adults with depression who receive treatment (health.gov, 2022).
In keeping with this plan, the care coordination crew should include a licensed psychologist to assist in treating a survivor’s intellectual and emotional troubles. In more severe cases, the survivor may also need the help of a psychiatrist, as mood-changing medications can be vital. The most common remedies for emotional issues encompass counselling, treatment, and antidepressant drugs.
Ethical Decision Making
The registered nurse (RN) aims to take an active role in the development and coordination of care for stroke survivors throughout their continuum of care. As stated above, a couple of professionals commonly handle a survivor at any given time, targeting a particular problem; this case raises moral dilemmas regarding the affected person’s confidentiality.
There is a need for information sharing among care institution contributors, but the affected person additionally maintains the right to deny access to their protected health information (PHI). The RN plays a completely particular function because they are commonly the most trusted resource in the patients’ eyes (McCarthy, 2021).
This function provides the RN with energy that can be misused if not guided by the four foundational moral principles of nursing: autonomy, justice, beneficence, and non-maleficence (Varkey, 2021). The affected person should always have the final say in their hospital treatment preferences.
Ethical Nursing Care Principles
Beneficence and justice must be upheld when determining whether to share private patient information with care team participants when it is no longer necessary for care. RNs should remember that part of their role is maintaining patient confidentiality and respect.
The principle of justice also applies to the organization as a whole. There will inevitably be some sicker sufferers than others, and a few may be more challenging than others. In these situations, RNs and care team members should remember that each affected individual has the right to be treated fairly. Property needs to be dispensed calmly, regardless of whether the care organization member feels the affected individual will waste it.
As the announcement goes, harming human beings damages human beings. With this in mind, the RN should consider the precept of non-maleficence (Varkey, 2021) while dealing with a fancy or verbally abusive affected individual. Retaliation goes against nursing ethics.
Impact of Relevant Health Policies
The Affordable Care Act (ACA) is the most impactful rule enacted in the last two decades, undoubtedly, and two long-term donation efforts. Through the expansion of Medicare and Medicaid, low-income stroke survivors and those from rural regions have been able to take advantage of the increased access to rehabilitation and medical services (Moy, 2022).
NURS FPX 4050 Assessment 4 Final Care Coordination Plan
The ACA introduced Accountable Care Organizations (ACOs), whose sole purpose is to facilitate care coordination among a group of businesses at lower or packaged costs, supported by government investment. ACOs enable survivors who require more than one rehabilitation option to receive all of it from a single location at a significantly lower cost, as care coordination is the foundation of the program. Those efforts have been shown to reduce hospitalizations and rehospitalizations, as noted by President Obama in 2010 (Moy, 2022).
Care Plan Collaboration Priorities
At the same time as coaching the patient and family on the importance of care coordination, the immediate priority is to provide a clear explanation of how the plan will benefit the patient. Ultimately, buy-in occurs when the primary stakeholder is aware of the benefits and acknowledges their role in the process.
The RN might be the most valuable group member who educates the affected individual about the importance of having a coordinated care plan. They are usually the most trusted person in the group (McCarthy, 2021).
The RN aims to support the affected individual and their family by assigning the proper roles to minimize burnout. Long-term care is a mission that can have a profoundly negative impact on the well-being of family caregivers. With the right collaboration and buy-in from all parties, the patient’s recovery and quality of life can also be improved.
Using Literature as a Guide for Best Practices
When comparing any elaborate care coordination design, the design must align with the modern-day needs and aspirations of the HHS. At the same time, when evaluating this care diagram for the branch of Hthe ealth and Human Services (HHS) Healthy Humans 2030 initiative, it is glaring that the goals are aligned. The duties and recognition of this coordinated care layout manual align with the rehabilitation and intellectual health goals stated in the Healthy Humans 2030 initiative (fitness.gov, 2022), as evidenced above.
conclusion
Although we still have a long way to go in thoroughly educating the populace concerning stroke prevention and rehabilitation, records from the Healthful Humans 2030 initiative (health.gov, 2022) show improvement. At the same time, as cautious care coordination plans are created according to the HHS’s desires, the affected person will no longer gain solely; in the end, the United States will benefit as a whole. Meticulous care coordination is an excellent way to address and support stroke survivors. It enables care planning and recruitment of the right institutional participants to ensure that the affected person has a successful recovery process.
References
https://www.cdc.gov/stroke/facts.htm
https://doi.org/10.3390/ijms21207609
https://health.gov/healthypeople
https://www.ncbi.nlm.nih.gov/percentage/articles/PMC7923912/