Preliminary Care Coordination Plan

Preliminary Care Coordination Plan
  • NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan.

Preliminary Care Coordination Plan

Care coordination is a model of healthcare delivery developed in response to the growing prevalence and increasing cost of chronic conditions among affected populations, as well as the fragmentation and barriers inherent in a healthcare system designed around fee-for-service and acute care (Williams et al., 2019).

Care coordination requires meticulous planning, coordination, and collaboration among specialists in several fields, which is not unusual because it provides greater invulnerability and significantly better care. Even when applied effectively, care coordination efficiently reduces hospital admissions, readmissions, and safety incidents. In this paper, I will discuss the effects of proper care coordination on stroke patients.

Stroke

According to data from the CDC, in 2021, more than 795,000 people in the United States of America had a stroke every 365 days. The primary motive of a stroke is excessive blood stress, which regularly goes undetected, known as “the silent killer.” two primary types of strokes exist: ischemic and hemorrhagic. Ischemic Stroke stems from the brain’s poor blood and oxygen supply; hemorrhagic Stroke stems from bleeding or leaky blood vessels (Kyriakos & Xiao, 2020).

The common hazard elements for contracting the illness include family history, reduced bodily immunity, morbid obesity, smoking, alcoholism, and uncontrolled diabetes. While one in every six deaths from cardiovascular disorder was a result of Stroke in 2018 (CDC, 2021), survivors are often left with bodily and mental deficits that require care coordination amongst multiple specialties to enhance their quality of life.

Post-Stroke Care Coordination

The approach of rehabilitation for a stroke-affected man or woman is often lengthy and taxing. The dreams of every affected character will vary constantly about the amount of harm sustained and the individual’s physical and intellectual fortitude in recovering.

Lifestyle modifications typically include the prescription of the latest drug treatments, nutritional advice, physical activity recommendations, and regular checkups. Because of the sensory deficits resulting from a stroke, most functional care requires a multidisciplinary approach, which incorporates physiotherapy, occupational therapy, speech therapy, and nursing care (Deutschbein et al., 2020).

In the aftermath of a stroke, it is commonplace for an affected character to experience speech and language deficits. In addressing one’s deficits, the speech therapist’s position becomes critical. The speech therapist will work cautiously with the affected individual to help reduce the deficits as much as possible while developing new answers to beneficially aid verbal exchange (Deutschbein et al., 2020).

Collaborative Stroke Rehabilitation Approach

This rehabilitation approach works synergistically in collaboration with the occupational therapist. The occupational therapist’s motive is to assist the patient in achieving higher levels of independence as bodily and mentally achievable. Whilst it can no longer be viable for the affected person to revert to pre-stroke functionality, the purpose is to pursue as much freedom as feasible while working hand in hand with the care group.

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

The services furnished by the physiotherapist’s resources also enable the combined efforts of the speech and occupational therapists. The physiotherapist’s goal is to assist the affected individual in regaining functional bodily strength and mobility through regular exercise periods. This rehabilitation is completed through carefully planned physical activities tailored to the patients’ abilities and goals.

Comprehensive Post-Stroke Care and Support

The affected person can also significantly improve through a combination of retraining in speech, swallowing, conversation, independence, and mobility. Given Stroke’s immoderate societal and monetary burden, figuring out a care model to enhance healing, freedom, and superb lifestyles is crucial for stroke survivors and their caregivers (Duncan et al., 2017). 

Besides the therapists above, stroke survivors can also require the assistance of a nurse or multiple nurses. Depending on the severity of the Stroke, bedridden patients can also require constant care and supervision to avoid things like pressure sores and skin breakdown or unintended falls that would cause secondary and tertiary issues.

The intellectual strain of going from independence to partial or perhaps entire dependence frequently calls for survivors to search for recommendations from an intellectual fitness expert to deal with things like despair and suicidal ideation. The statistics are encouraging that studies employing the approach of Deutschbein et al. (2020) indicate an increase in the utilization rate of fundamental health services and a reduction in the rate of clinic readmissions through careful care coordination.

Importance of Care Coordination

As evidenced above, each placed up-stroke intervention is essential in identifying the general outstanding lifestyles that a survivor will have. Cautiously coordinating affected person-focused care with the valuable resources of numerous professional agencies will play a pivotal role in improving a survivor’s physical and intellectual well-being. Stroke sufferers will typically have the help of at least one family member in addition to the professionals listed.

NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

Cautious care coordination can also alleviate the burden placed on the family member who is liable for worrying about the affected individual. Without careful coordination, the present-day responsibilities undertaken with the aid of the usage of the approach of the circle of relatives and caregivers can regularly result in overwhelming bodily and emotional pressure, depressive signs and signs, a decline in physical and highbrow health, reduced fantastic of life, and isolation (Duncan et al., 2017).

Community Resources

Except for the immediate care team mainly assigned to the affected individual, network properties play a crucial role in helping survivors around the affected areas. One of the biggest types of network properties is patient training. Getting the proper access to academic materials focused on supporting sufferers, caregivers, and providers to recognize stroke recuperation and prevention (Duncan et al., 2017) can not help post-stroke; however, it lessens stroke sufferers’ symptoms.

Respite care facilities allow family caregivers to achieve short-term respite to loosen up and recoup while providing stroke survivors with a safe environment. However, help agencies enable survivors to meet every precise need, which creates a highly modern structure of community and social existence. The importance of these network sources can’t be overstated inside the ordinary care coordination graph.

Conclusion

At the same time, as Stroke remains a horrible, existence-changing illness that massively impacts sufferers, cautious care coordination can truly bring back some form of independence and happiness to the lives of survivors. Not only does the affected individual benefit from a more exceptional lifestyle, but the sufferer’s family and network are also affected.

A complex intervention has been examined using the method of Deutschbein et al. (2020), which argues that care coordination is a powerful tool to help stroke survivors set up and use fundamental, available community fitness services coherently.

References

Williams, M. D., Asiedu, G. B., Finnie, D., Neely, C., Egginton, J., Finney Rutten, L. J., & Jacobson, R. M. (2019, February 1). Sustainable care coordination: A qualitative observation of primary care enterprise, administrator, and insurer perspectives. BMC Health Offerings Research. Retrieved March 9, 2022, from. https://www.ncbi.nlm.nih.gov/%/articles/PMC6359857/

CDC. (2021, May 25). Stroke information. Centres for Sickness Management and Prevention. Retrieved March 9, 2022, from. https://www.cdc.gov/stroke/records.htm

Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and Treatment of Stroke: Current Status and Future Perspectives. global magazine of molecular sciences, 21(20), 7609. https://doi.org/10.3390/ijms21207609

Deutschbein, J., Grittner, U., Schneider, A., & Schenk, L. (2020). Network care coordination for stroke survivors: results of a complicated intervention test. BMC Fitness Offerings Studies, 20(1), 1143. https://doi.org/10.1186/s12913-020-05993-x

Duncan, P.W., Bushnell, C.D., Rosamond, W.D. et al. The complete placement of Acute Stroke Services (COMPASS) examines the diagram and strategies for a cluster-randomized pragmatic trial. BMC Neurol 17, 133 (2017). https://doi.org/10.1186/s12883-017-0907-1

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