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Coordination Preliminary Care Plan
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Coordination Preliminary Care Plan
Care coordination serves to ensure that there is service integration for the satisfaction of individuals’ needs in the medical field. Services that are collaborative and those that are focused on recovery connecting people to health care opportunities and services are the main provision of the care coordination plan. Coordination care has a necessity that is primary of chronically ill patients’ management. A preliminary coordination care plan creates an illness challenge to social relation alteration and to identity that is personal and uncertain creation. Since an effect on one life sphere may affect the other sphere of life, it’s very much worrying (Jones, Coffey, Hannigan, & Simpson, 2018). Chronic diseases cause social problems, which cause a tremendous and complicated impact on the provision of service to the patient calling for friends, family, and approaches that are multidisciplinary in the provision of care in dealing with the chronic condition that mostly seems more complicated to the patient. Solely reason provides that the patient problems that are interconnected should, on rare occasions, fall in the hand of one professional (Jones, Coffey, Hannigan, & Simpson, 2018). This, therefore, resorts to the creation of coordination plans and approaches that are multidisciplinary to get a solution to chronic patient concerns.
In my new role as a health care coordinator in our health facility, I identify an individual from the community, and my coordination care plan for the coordination process with the client is as presented below.
Coordination Care Plan
Patient’s Details
Patient Name: Terry Johnson
Date of birth: 08/10/1995
Payor Source: Medical Insurance Company
Secondary Source: Journals on medicine
Preliminary Care Coordination Plan
Health Concern
On focusing on my care coordination plan of a patient known as Laetitia (not her real name), I identified depression as her health concern. Generally, depression is a mental health problem identified with an obstinately depressed state or lack of interest in a person’s usual activities that prompt consequential damage to a person’s everyday activities. Its possible causes comprise social, psychological, and biological distress sources. These factors might also bring about massive changes in the brain’s functioning, including the alteration of activities of some mind neural circuits. Laetitia is clinically depressed because of her persistent sadness and lack of interest in her usual activities, thus characterizing a significant depression that has prompted a range of physical and behavioral symptoms. Some other symptoms she displays include changes in sleeping patterns, decreased appetite, reduced concentration, and self-esteem. It was also previously reported that Laetitia had, in the past, tried to commit suicide.
However, several best practices can be applied to improve her health. One of these best approaches includes prescribing depression drugs known as antidepressant drugs for her. These drugs include the SSRIs, an abbreviation for Selective Serotonin Reuptake inhibitors, which are the most known choice since they are practical and have lesser side effects than older antidepressants. Other than SSRIs, other antidepressants that can be prescribed include escitalopram, citalopram, fluoxetine, paroxetine, and sertraline.
Another best approach is to talk about therapy or psychotherapy. This is particularly effective when merged with antidepressant treatment. Other treatments like E.C.T. (electroconvulsive therapy), V.N.S. (vagus nerve stimulation) will only be used if she does not respond to both the talk therapy the antidepressant therapy approach. Also, this calls even on the intervention of her friends and family. This is because the collaboration and coordination of health sector resources and services are solely needed for a proper solution that is not based on only one professional. This, in turn, makes it very important to have a coordinated care plan for an appropriate and well-managed service coordination process.
Treatment Plan
Laetitia’s treatment plan involves setting a few short-term and long-term goals to help her live the life she desires and manage her mental heal. Thus, this section of the paper mainly focuses on identifying the treatment goals set for Laetitia, seeking outpatient depression treatment. Some of the short-term goals include walking up by a particular time, completing the available household tasks, calling for support groups, introducing herself to new members in her workplace, exercising, and sticking to her everyday schedule. Long-term treatment goals include building or improving how she relates with her friends or family members, finding or keeping the job she enjoys, organizing her home, incrementing positive health activities like eating a healthy diet, and involving herself in community or volunteering services. Another long-term goal to get herself an encouraging support network as she works towards accomplishing these goals. One way of making this possible by having a responsible partner. A person that holds her responsible for accomplishing her goals and holds him for accomplishing his. This will improve her health condition in all ways.
Available Community Resources and Services/Referrals
There is a number of available community services; these services include; hosting of fundraising and donating money, requesting for charitable donations, charity walk and run participation, local non-profitable activities volunteering, offering free tutoring services, and many others. The community resources available for safe and effective continuum care for Laetitia include WebMD, a depression and mental health online community where she can search out for any available depression specialist within her region and discover a lot of timely data on depression from hospitals recommended by the WebMD doctors. There also mental health organizations like NAMI (National Alliance on Mental Illness) and the National Suicide Prevention Lifeline (NSPL). Nami is a mental health firm devoted to enhancing the lives of a lot of depressed Americans. NSPL, on the other hand, is a toll-free and private hotline for preventing suicide for anybody experiencing emotional distress or suicidal crisis. This will be of great help to Laetitia due to previous failed suicidal attempts. Other community resources available include:
- Hospitals
- The patient’s Community treatment hospitals that are available are; Cleveland clinic, Hero’s hospital, Rochester clinic, John-Hopkins general hospital, Cedars Sinai Medical center, UCLA Center, and New York Hospital.
- Education Services
- Education services available in the community include centers for training and instructions such as colleges, schools, training centers, and universities.
- Rehabilitation Services
- Rehabilitation services in the community include; cognitive therapy, mental health rehabilitation services, language and speech therapy, and physical and occupational therapy.
- Pharmacies
- The community’s available pharmacies include; Kroger Company, Omnicare, Safeway, Supervalu Inc., Walgreens, and Walmart stores.
- D.M.E. Equipment Providers
- D.M.E. (Durable medical equipment) providers in the community include; A.R.C. Distributors, A+ Products Inc, A.A.P. Implantate AG, Abbott, and Abilitation Inc.
- Incontinence Service Providers
- Service providers in the Incontinence field include; Jerusalem hospital, Rawls King, Einstein Hope, Safeway, and Clean-path.
- Parenteral Service and Enteral Nutrition Providers
- The community parenteral service providers include; The Walkers, Chasers Hospital, John-Hopkins general hospital, Cedars Sinai Medical center, UCLA Center, and New York Hospital.
- Social Services
- Social services available in the community include; food subsidies, education, police services, lobbying, community management adoption, job training, and fire services.
- Transition Services
- There are vocational training and post-secondary education transitional services available in the community.
- Transportation Services
- The available modes of transport include; roadways, railways, waterways, pipelines, and airways
- Skilled Nursing Services
- The skilled nursing services include nurse skills under professional supervision for management, evaluation, observation of health conditions, and therapy treatment.
Cultural Needs
Cultural needs involve individuals’ cultural norms and norms which need to be considered, for example; Religious beliefs, customs, traditions, laws, and architectural style that highly varies among communities.
Hourly Nursing and Respite Care Services
Care services include; talking at sitting with a disabled person, bathing, dressing, exercising, helping medication, helping the disabled get in and out of bed, assisting in travel lighting, housekeeping, and many others.
Conclusion
A preliminary coordination care plan is very important and more effective in managing chronic conditions. It provides a confident solution to the patient and also promotes teamwork. Patients should strictly follow the plan to manage their conditions.
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