Preliminary Care Coordination Plan Essay

Healthcare providers are keen to coordinate care by deliberately organizing and planning patient care activities and disseminating information among the participants involved in a patient’s care, thus enhancing safer and more effective care. Coordination of care is particularly essential in addressing various health concerns in the community. The focus of this assessment is the coordination of care involving trauma in the community. The plan will include the evidence-based practices used in managing trauma, goals that should be established to address trauma in the community, and the community resources available for a safe and effective continuum of care.

Analysis of Trauma and the Associated Best Practices for Health Improvement

Trauma is the emotional response to a life-threatening event such as a natural disaster, accident, or sexual assault (Weisner, 2020). Trauma impacts the behavioral and physical health of an individual. Trauma is a community health concern that is rarely discussed. However, it impacts not only the individual’s mental health but also their health and quality of life due to its possible contribution to other health conditions. There are three types of trauma, namely, acute, chronic and complex trauma. Acute trauma is the emotional response resulting from exposure to a traumatic event. Chronic trauma is repeated exposure to a traumatic event, and complex trauma is exposure to multiple traumatic events.

Trauma has lasting adverse effects on the individual. Some of the effects include disruption of neurodevelopment, cognitive, social, and emotional impairment, adoption of unhealthy/risky health behaviors, disease, disabilities, and other health problems, and also early death. One of the significant causes of trauma is exposure to early life stress and adverse childhood experiences. Trauma in childhood is more likely to impact the child’s development, more so their adulthood, or contribute to adulthood trauma.

There are various trauma management best-practice interventions that are evidence-based and are used in health improvement. These interventions include psychoeducation, psychological first-aid, Trauma-focused Cognitive Behavioral Therapy, and immediate management of the physical effects of trauma. Psychoeducation is the provision of education focusing on basic knowledge of a specific illness, including the nature of the illness, its etiology, progression, prognosis, consequences, treatment, and alternatives (Sarkhel, Singh, & Arora, 2020). Psychological first aid is the attention given to individuals after exposure to a traumatic event. Psychological first aid includes enhancing safety, connectedness, and hope.

According to Al-Tamimi and Leavey (2022), trauma-focused therapies are interventions designed to manage trauma in individuals affected by exposure to traumatic events. Cognitive behavioral therapy is a psychological treatment that focuses on changing the behavior that exposure to trauma has influenced. Additionally, individuals exposed to trauma may have physical manifestations of the effects, which require immediate attention. Jonker, Graupner and Rossouw (2020) note that one of the evidence-based interventions for trauma management is immediate attention to manage the physical effects of trauma. These practices enhance improvement in trauma management.

One of the underlying assumptions in this analysis is that the community members are aware of trauma and its various impacts on different aspects of life. Trauma is one of the community’s most felt mental health conditions; it is assumed that people are aware of it and the issues that can lead to trauma, including exposure to early life stressors. A significant area of uncertainty in this analysis is that many mental health issues and other health conditions surrounding trauma, including post-traumatic stress disorder, have not been discussed. However, these issues are vital when planning for care coordination in a community since they are interrelated and impact each other.

Specific Goals that should be Established to Address Trauma

Various goals exist in addressing trauma in the community. The first goal is the creation of safe public spaces in the community. The community disruptions and the other factors following community disruption mainly cause community trauma. Creating safe spaces in the community will encourage cohesion and openness and prevent the causes of trauma.

The second goal is creating awareness at the individual and community level on trauma and the impact of trauma on an individual’s mental, physical and behavioral aspects. Trauma is one of the mental health concerns in there is a lot of stigmatization surrounding it. Addressing trauma should begin with creating awareness at the individual and community levels, thus encouraging people to seek help when they experience trauma or its effects.

The third goal is to develop trauma-informed environments across all institutions and interactions. According to Champine et al. (2019), establishing a trauma-informed environment helps to counter community trauma symptoms, Support healing and connections that facilitate healing, and propagate norms that encourage healthy behaviors. Training and awareness creation in the community about trauma and the importance of maintaining a trauma-informed environment will help support healing and prevent preventable occurrences of traumatic events such as exposure to adverse childhood experiences.

The fourth goal in addressing trauma is encouraging the use of other non-pharmacologic strategies for coping with trauma. These strategies include journaling, reaching out for help, yoga, exercise, and meditation. These individual-focused approaches are known to address trauma through prevention, healing, and avoiding remissions. Healthcare professionals can apply this approach, especially where the stigmatization and other factors surrounding trauma and mental health are profound.

Available Community Resources

Various community resources are available to facilitate a safe and effective continuum of care in trauma. Community resources play a significant role in health promotion and creating a healing environment for individuals affected by trauma. They also help rehabilitate individuals whose effects of trauma have spread to impact their physical health and life quality. Additionally, community resources provide information on trauma and its impact on the individual and community. One of the community resources available is local trauma support groups. Duane et al. (2019) note that community support groups are influential if offering social support that helps the patient in the healing process. Additionally, these groups act as referrals to healthcare institutions when their members require medical attention.

Other community resources are non-profit, faith-based, and community-based organizations that provide the community with information on trauma, treatment options, management, and prevention. Some of these resources also support research on trauma, which helps identify evidence-based practices to enhance prevention, treatment, and management. The organizations provide information to the community members, thus reducing stigma, enhancing treatment-seeking behavior, and adherence to trauma treatment.

Conclusion

Trauma is a significant health concern requiring attention using best-practice interventions. Some of these interventions include psychoeducation, psychological first-aid, Trauma-focused Cognitive Behavioral Therapy, and immediate management of the physical effects of trauma. Care coordination focused on addressing trauma should have specific goals. Community resources play a significant role in trauma prevention, management, and treatment. Care providers should collaborate with these resources to address the health concern.

 

References

Al-Tamimi, S. A. G., & Leavey, G. (2022). Community-based interventions for treating and managing conflict-related trauma in low-middle income, conflict-affected countries: A Realist Review. Journal of Child & Adolescent Trauma, 15(2), 441-450. https://doi.org/10.1007/s40653-021-00373

Champine, R. B., Lang, J. M., Nelson, A. M., Hanson, R. F., & Tebes, J. K. (2019). Systems measures of a trauma‐informed approach: A systematic review. American Journal of Community Psychology, 64(3-4), 418-437. https://doi.org/10.1002/ajcp.12388

Duane, A. M., Stokes, K. L., DeAngelis, C. L., & Bocknek, E. L. (2020). Collective trauma and community support: Lessons from Detroit. Psychological trauma: Theory, Research, Practice, and Policy, 12(5), 452. https://psycnet.apa.org/doi/10.1037/tra0000791

Jonker, B. E., Graupner, L. I., & Rossouw, L. (2020). An Intervention Framework to Facilitate Psychological Trauma Management in High-Risk Occupations. Frontiers in Psychology, 11, 530. https://doi.org/10.3389/fpsyg.2020.00530

Sarkhel, S., Singh, O. P., & Arora, M. (2020). Clinical Practice Guidelines for Psychoeducation in Psychiatric Disorders General Principles of Psychoeducation. Indian Journal of Psychiatry, 62(Suppl 2), S319–S323. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_780_19

Weisner, L. (2020). Individual, and Community Trauma: Individual Experiences in Collective Environments. https://icjia.illinois.gov/researchhub/articles/individual-and-community-trauma-individual-experiences-in-collective-environments

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Assessment 2 Instructions: Ethical and Policy Factors in Care

Coordination

Select a community organization or group that you feel would be interested in learning about ethical and policy issues that affect the coordination of care. Then, develop and record a 10-12-slide, 20-minute presentation, with audio, intended for that audience. Create a detailed narrative script or speakers notes for your presentation, 4-5 pages in length.

 

As coordinators of care, nurses must be aware of the code of ethics for nurses and health policy issues that affect the coordination of care within the context of the community. To help patients navigate the continuum of care, nurses must be proficient at interpreting and applying the code of ethics for nurses and health policy, specifically, the Affordable Care Act (ACA). Being knowledgeable about ethical and policy issues helps ensure that care coordinators are upholding ethical standards and navigating policy issues that affect patient care.

This assessment provides an opportunity for you to develop a presentation for a local community organization of your choice, which provides an overview of ethical standards and relevant policy issues that affect the coordination of care. Completing this assessment will strengthen your understanding of ethical issues and policies related to the coordination and continuum of care, and will empower you to be a stronger advocate and nursing professional.

It would be an excellent choice to complete the Vila Health: Ethical Decision Making activity prior to developing the presentation. The activity provides a helpful update on the ethical principles that will help with success in this assessment.

 

Your nurse manager at the community care center is well connected and frequently speaks to a variety of community organizations and groups. She has noticed the good work you are doing in your new care coordination role and respects your speaking and presentation skills. Consequently, she thought that an opportunity to speak publicly about contemporary issues in care coordination would be beneficial for your career and has suggested reaching out to a community organization or support group to gauge their interest in hearing from you, as a care center representative, on a topic of interest to both you and your prospective audience.

You have agreed that this is a good idea and have decided to research a community organization or support group that might be interested in learning about ethical and policy issues related to the coordination of care. Your manager has suggested the following community organizations and support groups, but acknowledges that the choice is yours.

• Homeless
• Local religious
• Nursing
• Local community organizations (Rotary Club or Kiwanis Club).

 

To prepare for this assessment, you may wish to:

 

• Research your selected community organization or support group.
• Review the Code of Ethics for Nurses With Interpretive Statements and associated health policy issues, specifically, the ACA.
• Review the assessment instructions and scoring guide to ensure you understand the work you will be asked to
• Allocate sufficient time to rehearse your presentation before recording the final version for

 

Recording Equipment Setup and Testing

Check that your audio speaker and PowerPoint software are working properly. You can record audio directly to your slides, using PowerPoint or other presentation software.

Note: Technical support about the use of PowerPoint, including voice recording and speaker notes, can be found on Campus’s Microsoft Office Software page.

• If using Kaltura, refer to the Using Kaltura tutorial for directions on recording and uploading your presentation

in the courseroom.

Note: If you require the use of assistive technology or alternative communication methods to participate in this

activity, please contact DisabiIityServices@capeIIa.edu to request accommodations.

 

For this assessment:

 

• Choose the community organization or support group that you plan to
• Develop a PowerPoint with typed speaker notes (the script for your voice recording) and audio voice-over recording, intended for that audience. Video is not

Note: PowerPoint has a feature to type the speaker notes directly into the presentation. You are encouraged to use that feature or you may choose to submit a separate document. See Microsoft Office Software for technical support about the use of PowerPoint, including voice recording and speaker notes.

For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not

required to deliver your presentation to an actual audience.

Presentation Format and Length

You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

• Title

« Presentation title.

• Your
• Course number and

• References (at the end of your presentation).

Your slide deck should consist of 1 0—12 slides, not including a title and references slide with typed speaker notes

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and audio voice over. Your presentation should not exceed 20 minutes.

Create a detailed narrative script for your presentation, approximately 4—5 pages in length.

 

Supporting Evidence

Cite 3—5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.

Grading Requirements

The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination 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.

• Explain how governmental policies related to the health and/or safety of the community affect the

coordination of care.

• Provide examples of a specific policy affecting the organization or

o     Refer to the assessment resources for help in locating relevant policies.

• Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).

•    Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care

coordination.

• What are the implications and consequences of specific policy provisions?
• What evidence do you have to support your conclusions?

• Assess the impact of the code of ethics for nurses on the coordination and continuum of

» Consider the factors that contribute to health, health disparities, and access to services.

Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.

• Provide evidence to support your

• Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.

« Present a concise overview.

• Support your main points and conclusions with relevant and credible

Additional Requirements

Before submitting your assessment, proofread your presentation slides and speaker notes to minimize errors that

could distract readers and make it more difficult for them to focus on the substance of your presentation.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.

 

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 4: Defend decisions based on the code of ethics for

« Assess the impact of the code of ethics for nurses on the coordination and continuum of care.

• Competency 5: Explain how health care policies affect patient-centered
  • Explain how governmental policies related to the health and/or safety of a community affect the

coordination of care.

• Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.

• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered