NURS FPX 4050 Assessment 1 Assignment: Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1 Assignment: Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1 Assignment: Preliminary Care Coordination Plan

Preliminary Care Coordination Plan
Working in community health settings challenges nurses due to resource problems, budgetary constraints, and cultural-based approaches to healthy living in these areas. Despite the situation, nurses should always be ready and committed to providing high-quality care to diverse patients. Care coordination entails organizing patient care activities between multiple participants to ensure appropriate healthcare delivery (Karam et al., 2021). Accordingly, the nurse should understand care coordination dynamics, including patient engagement, goal-setting, and outcome evaluation. When the nurse manager tasks a nurse with care coordination, interventions should seek to optimize outcomes in a caring environment. The purpose of this paper is to develop a preliminary care coordination plan for a domestic violence victim.

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The Health Concern and Best Practices for Health Improvement
Domestic violence is a severe public health problem and a human rights issue with profound physical, emotional, and social impacts. Health statistics indicate a worrying trend, given that one-third of women and one in four men encounter intimate partner violence at some point during their lifetime (Duchesne et al., 2023). Victims present themselves in healthcare settings with different issues, including mental, physical, and sexual harm. Effective and timely patient care is critical to preventing complexities, including depression, posttraumatic stress disorder, and chronic pain. Sabri et al. (2022) identified marginalized women as a disadvantaged group experiencing higher rates of domestic violence and homicides related to intimate partner violence (IPV). Nurses coordinating care should understand these dynamics and ensure the treatment plan addresses the patient’s multidimensional needs.
Best practices for health improvement include a holistic approach, compassionate care, and timely specialized care. A holistic approach considers the patient’s physical, psychosocial, and cultural aspects of the condition during screening, treatment, and post-discharge support. Physical considerations include injuries and bruises, while emotional distress, intrusive thoughts, and anxiety are priority psychosocial considerations. From a cultural dimension, a patient’s race, socioeconomic status, and beliefs shape their health-seeking behaviors and overall well-being (Sabri et al., 2022). Compassionate care enables the nurse to establish trust with patients and prevent interactions that may re-traumatize domestic violence victims. Timely specialized care helps to prevent devastating physical and psychological health problems.
The desire for the nurse to ensure these best practices makes several assumptions. For instance, the nurse expects patients to be comfortable and open up during interactions. As per Grillo et al. (2021), nurses should elicit the voices of domestic violence victims to deliver personalized, patient-centered interventions. Intentional, unbiased communication enables the patients to open up and feel safe in the clinical environment. The other assumption is that there will be no patient care avoidance, irrespective of the patient’s cultural, religious, and ethnic inclination. Based on these assumptions, it is uncertain whether there will be adequate resources to deliver personalized care to address patients’ diverse needs.
Goals to Address the Health Care Problem
Nurses should prioritize a goal-driven approach to domestic violence to optimize outcomes and save resources. Helping the victims overcome negative feelings and thoughts is a leading goal in addressing domestic violence. Typical experiences include anxiety, guilt, confusion, and powerlessness (WomesLaw.Org, 2021). Achieving this goal requires the patient to identify three measures for overcoming negative feelings and thoughts at the end of the treatment session. The second goal is patient empowerment through counseling to enable domestic violence victims to make informed decisions (Craven et al., 2023). In this area, the nurse should educate patients to recognize different physical, emotional, and psychological manifestations of domestic violence (at least three major signs in each category). This empowerment also involves helping survivors understand their rights and where to report issues. The other crucial goal is resource identification. The patient should identify five community-based resources for safety, enhancing recovery, and timely healthcare support.
Community Resources for a Safe and Effective Continuum of Care
Domestic violence victims can utilize a wide range of community resources for safety, support, and legal assistance. Religious facilities are a readily available resource for enabling a safe and effective continuum of care. As patients overcome their troubles, they need safe spaces for hope, assurance, and a better understanding of their situations. Besides serving as first responders, religious leaders help assess an issue’s danger and urgency and refer victims to the support needed (Rumi Forum, 2023). Faith leaders also enhance coping through spiritual guidance and mental support. The other valuable resource is the police. They ensure safety when a victim is in danger.
Support groups are a prized resource for domestic violence victims in community settings. Due to the emotional and mental burden of their problems, domestic violence patients require continuous support for coping, awareness, and encouragement. Support groups bring together people facing similar issues to offer peer support and professional guidance as victims draw strength from group members (Bridges Domestic Violence Center, 2024). The continued networking with people facing similar problems offers encouragement and a shared understanding vital for overcoming domestic violence. The nurse should connect patients to the support groups near them to ensure they do not incur high travel costs to access assistance and resources.
Conclusion
Effective care coordination in community settings requires the nurse to understand the patient’s multidimensional needs, best practices, and the available resources. Optimal care for domestic violence victims involves a holistic approach, timely support, and compassionate patient-provider relationships. The goal-based approach seeks to empower patients and enable them to make informed decisions. Appropriate community-based resources include religious centers, the police, and support groups. These resources offer safety, hope, and peer support, among other essentials.

References
Bridges Domestic Violence Center. (2024). The transformative role of support groups in domestic violence recovery. https://www.bridgesdvc.org/the-transformative-role-of-support-groups-in-domestic-violence-recovery/#:~:text=Support%20groups%20facilitate%20peer%2Dto,Introduce%20Coping%20Strategies.
Craven, L. C., Fields, A. M., Carlson, R. G., Combs, E. M., & Howe, E. S. (2023). Counseling interventions for victims of intimate partner violence: a systematic review. Journal of Counseling & Development, 101(3), 346-358. https://doi.org/10.1002/jcad.12478
Duchesne, E., Nathoo, A., Walker, M., & Bartels, S. A. (2023). Patient and provider emergency care experiences related to intimate partner violence: a systematic review of the existing evidence. Trauma, Violence & Abuse, 24(5), 2901–2921. https://doi.org/10.1177/15248380221118962
Grillo, A. R., Danitz, S. B., Dichter, M. E., Driscoll, M. A., Gerber, M. R., Hamilton, A. B., … & Iverson, K. M. (2021). Strides toward recovery from intimate partner violence: Elucidating patient-centered outcomes to optimize a brief counseling intervention for women. Journal of interpersonal violence, 36(15-16), NP8431-NP8453. https://doi.org/10.1177/0886260519840408
Karam, M., Chouinard, M. C., Poitras, M. E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: a scoping review. International Journal of Integrated Care, 21(1), 16. https://doi.org/10.5334/ijic.5518
Rumi Forum. (2023). Faith as a Resource: How religious leaders & spaces can assist victims of domestic violence and abuse. https://rumiforum.org/faith-as-a-resource-how-religious-leaders-and-spaces-can-assist-victims-of-domestic-violence-and-abuse/
Sabri, B., Tharmarajah, S., Njie-Carr, V. P. S., Messing, J. T., Loerzel, E., Arscott, J., & Campbell, J. C. (2022). Safety planning with marginalized survivors of intimate partner violence: Challenges of conducting safety planning intervention research with marginalized women. trauma, violence & abuse, 23(5), 1728–1751. https://doi.org/10.1177/15248380211013136
WomesLaw.Org. (2021). Emotional and psychological abuse. https://www.womenslaw.org/about-abuse/forms-abuse/emotional-and-psychological-abuse#:~:text=Emotional%20and%20psychological%20abuse%20can%20have%20severe%20short%2D%20and%20long,compliance%2C%20powerlessness%2C%20and%20more.

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Assessment 1

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Preliminary Care Coordination Plan

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

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.

NOTE: You are required to complete this assessment before Assessment 4.

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 healthcare concern.

Instructions

Note: You are required to complete this assessment before Assessment 4.

Develop the Preliminary Care Coordination Plan

Complete the following:

Select one of the health concerns in the Assessment 01 Supplement: Preliminary Care Coordination Plan [PDF] Download Assessment 01 Supplement: Preliminary Care Coordination Plan [PDF]resource as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs.

Identify available community resources for a safe and effective continuum of care.

Document Format and Length

Your preliminary plan should be an APA scholarly paper, 3–4 pages in length.

Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.

In your paper include possible community resources that can be used.

Be sure to review the scoring guide to make sure all criteria are addressed in your paper.

Study the subtle differences between basic, proficient, and distinguished.

Supporting Evidence

Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Preliminary 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.

Analyze your selected health concern and the associated best practices for health improvement.

Cite supporting evidence for best practices.

Consider underlying assumptions and points of uncertainty in your analysis.

Describe specific goals that should be established to address the healthcare problem.

Identify available community resources for a safe and effective continuum of care.

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Organize content so ideas flow logically with smooth transitions; contain few errors in grammar/punctuation, word choice, and spelling.

Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Write with a specific purpose with your patience in mind.

Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.

Additional Requirements

Before submitting your assessment, proofread your preliminary care coordination plan and community resources list to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan. Be sure to submit both documents

Course Competencies

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

Competency 1: Adapt care based on patient-centered and person-focused factors.

Analyze health concerns and the associated best practices for health improvement.

Competency 2: Collaborate with patients and family to achieve desired outcomes.

Describe specific goals that should be established to address a selected healthcare problem.

Competency 3: Create a satisfying patient experience.

Identify available community resources for a safe and effective continuum of care.

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

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

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