ESSAY NURS-FPX4050: Coordinating Patient-Centered Care Essays

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ESSAY NURS-FPX4050: Coordinating Patient-Centered Care Essays

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Final Care Coordination Plan
In the US and across the globe, hypertension is a serious public health concern….View more

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Final Care Coordination Plan

Name Institution Course Instructor Date

Final Care Coordination Plan In the US and across the globe, hypertension is a serious public health concern. Heart complications, both severe and non-fatal, are primarily caused by uncontrolled hypertension. A considerable proportion of cardiovascular deaths could be avoided by lowering blood pressure. An individual, the hospital’s primary care physician, and other professionals, including a nurse, pharmacist, dietician, social worker, or community medical provider, are all participating in the integrated treatment approach founded on scientific research. Coordination of care has improved hypertension management for those with hypertension in a healthcare context. Despite this, it is not used enough. Reducing service costs, substandard clinical outcomes, and substandard quality are the main objectives of care coordination as a solution to healthcare issues. These issues must be tackled by addressing impediments preventing well-being and healthy development from enhancing patients’ general health results. An integrated care strategy for the management of hypertension is presented in this report.

Patient-Centred Health Interventions

Smoking

Smoking causes a sudden rise in heart rate and blood pressure (BP), which is connected to malignant hypertension. Cigarette smoke has been recognized as a key element that can harm the endothelium physiologically and momentarily impair activity threshold testing, possibly due to nicotine and carbon monoxide. The cardiovascular system arteries are harmed by dangerous compounds in smoking cigarettes, including nicotine and carbon monoxide. The dangerous effects of these two substances manifest in distinct ways. Various transmitter interactions immediately harm the cardiovascular system. The first has major effects on the heart and

can assist patients. Here, patients receive counselling and treatment sessions to help them stop smoking. They can also sign up for community-based self-help programs.

Pulmonary Rehabilitation

The workout regimen is among the most important, secure, and economical treatment options, which is highly helpful in treating several illnesses. Increasing life quality, wellbeing, and muscle mass are frequently advised in healthy individuals. The heart is just one part of the body that exercise affects. As a result, differences in cardiovascular function between athletes and controls with less rigorous exercise programs can be seen. Early diastolic performance is improved by prolonged aerobic activity. Also, when combined with other cardiovascular risk factors such as tobacco consumption, overweight, and increased blood pressure, sedentary behaviour has been found as a possible risk element for glycemic control in healthy individuals. Therefore, it has been recommended to engage in some little physical exercise to prevent several cardiovascular issues. Starting at the close of the first week, activities lasting approximately 30 and 60 minutes significantly lower both systolic and diastolic BP. The patient needs pulmonary rehabilitation as part of their recuperation from hypertension’s side effects. It is advised that the patient be accompanied by instructional and physical initiatives to enhance the efficacy of pulmonary rehabilitation in order to attain these health goals (Eichstaedt et al., 2019). This ensures that the care is provided with a balance of dietary changes, improvement in physical conditioning, and boosted immunological activity to support the treatment program. Accessible walking and biking pathways and gym facilities are a few of the community amenities that patients could use.

Depression and Anxiety

Individuals with high blood pressure frequently experience depression, which can impair control. A specific technique that can aid in boosting health is depression screening in patients with hypertension. All patients with high blood pressure should have themselves examined. Anxious and depressed people are more prone to smoke, drink excessively, and put on weight, which can raise blood pressure and cause heart issues. Shang et al.’s (2022) study suggest a more direct connection between depression and hypertension. According to Shang et al. (2022), anxiety and sadness keep the body on constant high alert, taxing several body organs. As a function, in order to recover from depression and anxiety, the patient requires extensive assistance in overcoming their root causes and associated hazards. Here, both medicinal and psychiatric support is necessary. As nurses, we must coordinate the patient’s care and see to it that their needs are satisfied. Quitting smoking, being active, and treating any potential health issues that the patient may have related to melancholy and anxiety are all necessary for helping the patient manage sadness and worry. Developing coping mechanisms, behavioural modifications, and assistance to increase resilience are typically required for those with depression and anxiety difficulties. Care plans for psychological distress must be developed by nutritionists, doctors, counsellors, psychiatrists, cognitive counsellors, and pharmacists to assist emotional, psychological, social, and physiological recovery. In this case, a multidisciplinary collaborative team is created. Pharmaceutical and behavioural therapy are required to treat depression and help patients recover and develop coping mechanisms. A range of stakeholders should be engaged to improve care outcomes. In order to ensure that each specialist involved in the patient’s care is competent and enhanced, the medical coordination plan is essential. Close family and friends could be permitted to engage in the program to guarantee that the individual has access to public interaction and care. Patients should be educated on suitable depression and

patient safety, has another influence on policy. These regulations ensure that customers address hypertension-related concerns, including stopping smoking and managing despair and stress while coping with improved health outcomes. These qualities are required not only to get outstanding medical benefits but also to advance one’s general wellbeing and way of living. Owing to these interventions, patients with high blood pressure are likely to experience improved quality of life and wellbeing, which will result in higher-quality care.

Priorities of the Care Coordination Plan The patient’s overall health and improved social wellbeing should be the main goals of care coordination. A commitment to compassionate integration is necessary to ensure that the patient’s needs are satisfied. In addition, helping the person get high-quality care and advancing their quality of life was the primary objective of the comprehensive care plan, which was included in the structure of the multidisciplinary collaborative team. The success of the intervention program depends on the commitment to stopping smoking and improving the quality of life in the implementation of Healthy People 2030 on health outcomes. By promoting patient welfare and supporting illness rehabilitation through interdisciplinary teamwork, these strategies are forecast to increase overall health outcomes.

Learning Session Outcomes The goals of hypertension management align with the healthcare outcomes goals of the Healthy People 2030 (n.) proposal, emphasizing effective health promotion initiatives that enhance the quality of life. One of the elements covered in Healthy People 2030 is participation in duties relating to prevention and treatment. The plan emphasizes an ethical approach, including quitting smoking, better psychological healthcare results, and recovery of healthcare

quality that benefits everyone. Behavioural modification, a lifestyle change approach, and improved physical activity participation are essential steps to better health outcomes. In order to fulfil the Healthy People 2030 effort to achieve the quality of healthcare through care coordination, these activities are essential.

Conclusion Coordinated care delivery strategies are required to manage public health issues from a collaborative and engaging perspective. Reducing service costs, subpar patient outcomes, and subpar quality are the main objectives of establishing care coordination and resolving healthcare issues. By removing potential hurdles that can prevent the quality of life and well-being improvements, these issues must be addressed in order to improve patients’ overall health. These health issues that affect overall medical results can be treated with the help of holistic and recovery-focused therapy. Conditions including COPD, smoking, melancholy, and stress can be treated with patient-centred therapy. These three health issues demand a comprehensive approach to ensure that the therapy is delivered with the highest level of quality and safety.
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Final Care Coordination Plan
In the US and across the globe, hypertension is a serious public health concern. Heart
complications, both severe and non-fatal, are primarily caused by uncontrolled hypertension. A
considerable proportion of cardiovascular deaths could be avoided by lowering blood pressure.
An individual, the hospital’s primary care physician, and other professionals, including a nurse,
pharmacist, dietician, social worker, or community medical provider, are all participating in the
integrated treatment approach founded on scientific research. Coordination of care has improved
hypertension management for those with hypertension in a healthcare context. Despite this, it is
not used enough. Reducing service costs, substandard clinical outcomes, and substandard quality
are the main objectives of care coordination as a solution to healthcare issues. These issues must
be tackled by addressing impediments preventing well-being and healthy development from
enhancing patients’ general health results. An integrated care strategy for the management of
hypertension is presented in this report.
Patient-Centred Health Interventions
Smoking
Smoking causes a sudden rise in heart rate and blood pressure (BP), which is connected
to malignant hypertension. Cigarette smoke has been recognized as a key element that can harm
the endothelium physiologically and momentarily impair activity threshold testing, possibly due
to nicotine and carbon monoxide. The cardiovascular system arteries are harmed by dangerous
compounds in smoking cigarettes, including nicotine and carbon monoxide. The dangerous
effects of these two substances manifest in distinct ways. Various transmitter interactions
immediately harm the cardiovascular system. The first has major effects on the heart and
3
sympathoadrenal system. Due to nicotine-receptor affinity, repeated nicotine infusion is also
connected to the emergence of sensitivity. Due to these mechanisms, nicotine causes different
levels of dependency, nerve stimulation and changes in blood physicochemical behaviour with
high solubility.
Establishing integrated care strategies is necessary since quitting smoking represents a
big behavioural change. Patients may need between two weeks and one month to recover from
the progressive nature of this intervention and stop suffering withdrawal effects. For people to
sustain a healthy living, strict codes of care are required by persons’ fundamental rights to health.
Treciokiene et al. (2021) demonstrate that a collaborative strategy is necessary for the efficient
delivery of care for individuals trying to quit smoking to ensure that all of the individuals’ needs,
including dietary and behavioural modifications, are satisfied in a coordinated manner. A
multidisciplinary collaborative team strategy will be needed to ensure the efficiency of recovery
and control side effects related to these social behaviours due to multiple professionals’
involvement in quitting attempts to control potential hypertension concerns. The involvement of
the patient’s family in smoking cessation programs is also crucial.
In reality, nurses employ effective methods to help patients stop smoking by assuring that
they will receive support from behavioural counsellors or psychiatrists, physicians, care
assistants, and nutritionists to ensure that the patient’s best interests are taken care of. One
resource for this kind of clinical area and individual concerns is the American Lung Association.
They offer patients looking for quitting smoking therapies important resources and assistance.
Phone calls, email exchanges, and other media engagement strategies are frequently offered to
patients who want to stop smoking. The American Lung Association can give the patient the
knowledge and support they need to successfully stop smoking. Additionally, healthcare facilities
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can assist patients. Here, patients receive counselling and treatment sessions to help them stop
smoking. They can also sign up for community-based self-help programs.
Pulmonary Rehabilitation
The workout regimen is among the most important, secure, and economical treatment
options, which is highly helpful in treating several illnesses. Increasing life quality, wellbeing,
and muscle mass are frequently advised in healthy individuals. The heart is just one part of the
body that exercise affects. As a result, differences in cardiovascular function between athletes
and controls with less rigorous exercise programs can be seen. Early diastolic performance is
improved by prolonged aerobic activity. Also, when combined with other cardiovascular risk
factors such as tobacco consumption, overweight, and increased blood pressure, sedentary
behaviour has been found as a possible risk element for glycemic control in healthy individuals.
Therefore, it has been recommended to engage in some little physical exercise to prevent several
cardiovascular issues. Starting at the close of the first week, activities lasting approximately 30
and 60 minutes significantly lower both systolic and diastolic BP. The patient needs pulmonary
rehabilitation as part of their recuperation from hypertension’s side effects. It is advised that the
patient be accompanied by instructional and physical initiatives to enhance the efficacy of
pulmonary rehabilitation in order to attain these health goals (Eichstaedt et al., 2019). This
ensures that the care is provided with a balance of dietary changes, improvement in physical
conditioning, and boosted immunological activity to support the treatment program. Accessible
walking and biking pathways and gym facilities are a few of the community amenities that
patients could use.
Depression and Anxiety
5
Individuals with high blood pressure frequently experience depression, which can impair
control. A specific technique that can aid in boosting health is depression screening in patients
with hypertension. All patients with high blood pressure should have themselves examined.
Anxious and depressed people are more prone to smoke, drink excessively, and put on weight,
which can raise blood pressure and cause heart issues. Shang et al.’s (2022) study suggest a more
direct connection between depression and hypertension. According to Shang et al. (2022),
anxiety and sadness keep the body on constant high alert, taxing several body organs. As a
function, in order to recover from depression and anxiety, the patient requires extensive
assistance in overcoming their root causes and associated hazards. Here, both medicinal and
psychiatric support is necessary. As nurses, we must coordinate the patient’s care and see to it
that their needs are satisfied. Quitting smoking, being active, and treating any potential health
issues that the patient may have related to melancholy and anxiety are all necessary for helping
the patient manage sadness and worry. Developing coping mechanisms, behavioural
modifications, and assistance to increase resilience are typically required for those with
depression and anxiety difficulties. Care plans for psychological distress must be developed by
nutritionists, doctors, counsellors, psychiatrists, cognitive counsellors, and pharmacists to assist
emotional, psychological, social, and physiological recovery. In this case, a multidisciplinary
collaborative team is created. Pharmaceutical and behavioural therapy are required to treat
depression and help patients recover and develop coping mechanisms. A range of stakeholders
should be engaged to improve care outcomes. In order to ensure that each specialist involved in
the patient’s care is competent and enhanced, the medical coordination plan is essential. Close
family and friends could be permitted to engage in the program to guarantee that the individual
has access to public interaction and care. Patients should be educated on suitable depression and
6
anxiety control techniques to help with hypertension treatment. Patients can use complimentary
counselling services, a national PTSD centre, and medical facilities that provide psychological
counselling, among other resources.
Ethical Considerations
The foundation of care partnership is morality. One strategy that promotes rapid
resolution in care delivery is patient-centred solutions. The client must be involved in
rehabilitation to ensure that resources and interdisciplinary teams operate reliably. This care
coordination approach upholds moral principles. Individual autonomy is attained through
engaging patients in different health decision-making processes (Rao, 2020). Second, the
interdisciplinary team ensures that the patient sustains the least amount of harm and that their
strategic interests are advanced throughout the healing process, based on moral principles of
beneficence and non-maleficence for the best outcomes in hypertension treatment. It is important
to develop respect, honesty, morality, and diversity awareness as the cornerstones of proper
conduct when providing care.
Policy Implications
The process of care coordination is frequently impacted by healthcare policy. The HIPAA
regulation ensures that protected health information (PHI) is protected and securely upheld to
achieve the best health outcomes and is most adversely impacted. However, this law can make it
difficult for healthcare professionals working in an interdisciplinary team to share individual data
types categorized as PHI (Rao, 2020). The integrated treatment provider must preserve HIPAA
compliance to protect medical privacy, safety, and confidentiality. The Patient Protection and
Affordable Treatment Act, which aims to enhance care delivery by increasing access to advanced
7
patient safety, has another influence on policy. These regulations ensure that customers address
hypertension-related concerns, including stopping smoking and managing despair and stress
while coping with improved health outcomes. These qualities are required not only to get
outstanding medical benefits but also to advance one’s general wellbeing and way of living.
Owing to these interventions, patients with high blood pressure are likely to experience improved
quality of life and wellbeing, which will result in higher-quality care.
Priorities of the Care Coordination Plan
The patient’s overall health and improved social wellbeing should be the main goals of
care coordination. A commitment to compassionate integration is necessary to ensure that the
patient’s needs are satisfied. In addition, helping the person get high-quality care and advancing
their quality of life was the primary objective of the comprehensive care plan, which was
included in the structure of the multidisciplinary collaborative team. The success of the
intervention program depends on the commitment to stopping smoking and improving the
quality of life in the implementation of Healthy People 2030 on health outcomes. By promoting
patient welfare and supporting illness rehabilitation through interdisciplinary teamwork, these
strategies are forecast to increase overall health outcomes.
Learning Session Outcomes
The goals of hypertension management align with the healthcare outcomes goals of the
Healthy People 2030 (n.d.) proposal, emphasizing effective health promotion initiatives that
enhance the quality of life. One of the elements covered in Healthy People 2030 is participation
in duties relating to prevention and treatment. The plan emphasizes an ethical approach,
including quitting smoking, better psychological healthcare results, and recovery of healthcare
8
quality that benefits everyone. Behavioural modification, a lifestyle change approach, and
improved physical activity participation are essential steps to better health outcomes. In order to
fulfil the Healthy People 2030 effort to achieve the quality of healthcare through care
coordination, these activities are essential.
Conclusion
Coordinated care delivery strategies are required to manage public health issues from a
collaborative and engaging perspective. Reducing service costs, subpar patient outcomes, and
subpar quality are the main objectives of establishing care coordination and resolving healthcare
issues. By removing potential hurdles that can prevent the quality of life and well-being
improvements, these issues must be addressed in order to improve patients’ overall health. These
health issues that affect overall medical results can be treated with the help of holistic and
recovery-focused therapy. Conditions including COPD, smoking, melancholy, and stress can be
treated with patient-centred therapy. These three health issues demand a comprehensive approach
to ensure that the therapy is delivered with the highest level of quality and safety.
9
References
Eichstaedt, C. A., Benjamin, N., Xanthouli, P., Marra, A. M., & Grünig, E. (2019). The role of
rehabilitation in patients with pulmonary arterial hypertension. Current Opinion in
Pulmonary Medicine, 25(5), 398-404. https://doi.org/10.1097/mcp.0000000000000609
Healthy people 2030. (n.d.). https://health.gov/healthypeople
Rao, P. R. (2020). Ethical considerations for healthcare organizations. Seminars in Speech and
Language, 41(03), 266-278. https://doi.org/10.1055/s-0040-1710323
Shang, S., Chang, Y., Ho, W., Liu, C., & Chien, C. (2022). Quality of life in patients with
pulmonary hypertension. Clinical Nursing Research,
Treciokiene, I., Postma, M., Nguyen, T., Fens, T., Petkevicius, J., Kubilius, R., Gulbinovic, J., &
Taxis, K. (2021). Healthcare professional-led interventions on lifestyle modifications
for hypertensive patients – a systematic review and meta-analysis. BMC Family
Practice, 22(1). https://doi.org/10.1186/s12875-021-01421-z

ESSAY NURS-FPX4050: Coordinating Patient-Centered Care Essays