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NURS FPX 4050 Assessment 1 Coordination Patient Centered Care

Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1 Coordination Patient Centered Care

Successful collaboration is a diverse cooperative technique that is helpful in providing patient-centered results while utilizing nursing’s status as the health care system establishing a plan. In addition, to fully benefit from the collaboration of care methods, the unified health service must incorporate the patient’s perspective. Working as professional nursing staff at a health care facility is not an easy task. Owing to the epidemic’s consequences and the global recession, the facility has had to reduce its funding and reassign inpatient facilities. The issue is that the effectiveness of nurse mental health services is a major problem for both patients as well as healthcare staff. In this setting, a care coordination plan is vital since it assists nursing staff as well as other professionals in efficiently managing present patients. The management has given me the fiduciary duty coordination nursing staff because I am experienced with challenging responsibilities. 

Due to the fairly evident increased patients of mental health in the middle of the worldwide epidemic, the emphasis of my nursing center coordination plan of care is on “mental health.” The coordination plan will take into account individuals’ social, physiological, as well as cultural requirements, as well as assist in identifying resources in the community accessible for efficient and secure continuity of care (Egan, 2019). Furthermore, the current approach will determine the best strategies for enhancing individuals’ mental health inside the healthcare center in order to meet healthcare objectives.

Analysis of the Health Concern with Respects to Underlying Assumptions

Depression and Other Mental Illnesses affect over 56 million individuals in the US.  The fact stands that nursing staff and mental health experts frequently work alongside patients from many origins and ethnicities, each with its own system of values and behavioral requirements (Lee & Bae, 2019). This multi-cultural care facility approach is fraught with concerns such as economics, culture, ethnicity, race, and social standing. Cultures explain the societal conventions of people with mental health problems, emigrants, and refugees by providing a system of values from a societal standpoint. They feel constantly anxious or depressed about the nation’s greater levels of economic disparity, which has a negative influence on the general healthy lifestyle choices as well as mental health.

NURS FPX 4050 Assessment 1 Coordination Patient Centered Care

Another research, done by Marx (2017), reveals that several people with mental health issues experience isolation and unfit in their surroundings. Work-related anxiety and supply mechanisms have a significant influence on mental wellbeing in the setting of workplace setting. Care coordination is an essential step for supporting such psychologically disturbed persons in gaining access to programs that will help them recover. As a result, the purpose of care coordination plans and operations should have been to enhance the health of patients, particularly those with complicated physiological & cognitive demands. As a result, nurses should constantly collaborate with interdisciplinary teams and psychologists in order to enable and incorporate the finest psychiatric therapy. This indicates that nursing staff should appreciate patients’ values and develop constructive connections with them in order to satisfy patients’ needs. 

According to current advances in psychoanalysis, depression is a mental healthcare condition that causes agony and contributes to a variety of physiological difficulties in patients, such as persistent exhaustion, heart conditions, and appetite loss (Weaver et al., 2019). Nursing staff really shouldn’t ignore these signals and therefore should prioritize patients’ physiological requirements in order to break the negative feedback loop of ailments such as strokes, hyperglycemia, and kidney infections. Furthermore, nursing staff must create goals and aims to understand patients’ sad and furious sentiments in order to have a greater influence on their circumstances. To deliver the finest treatment, they should exercise tolerance and admit their faults.

Specific Goals for Mental Health Improvement in Nursing Centre

I had some interaction with a teenage serious mental patient population as a component of the clinical practice for people with mental health problems. Since I uncovered certain best techniques for improving mental care effects in such individuals, this demographic has revolutionized my entire profession. Studies contend that nursing staff must use alternative approaches to truly accept guidelines because they confront several obstacles while continuing to treat individuals with a prolonged mental condition, like ambiguity about medication usages, insufficient comprehension of psychoanalytical and therapeutic approaches, and enlarged patient care period.

During 1st stage, certain targets are set in attempt to improve the effectiveness of treatment for mentally troubled individuals. Nursing staff nowadays require a strong foundation for diagnosing and treating patients with mental disorders in terms of managing depression. Since many patients really aren’t prepared for this kind of therapy, individuals have to experience mentally well again in order to live a decent life, which is a big challenge for nursing staff in reducing the number of adolescent patients with major depression. Nursing staff, for example, frequently struggle to execute good psychoanalytic procedures and requires a considerable amount of effort to persuade patients to engage with treatment. The following best goals and aims should include: 

  • Understand behavioral strategies such as resolving issues and emotional management.
  • Exercise for 30 minutes every day.
  • Begin to recognize unpleasant, regressive ideas as well as how to substitute those with much more optimistic, adaptable thinking.
  • Understand how to communicate and resolve conflicts.
  • To work on self-love as well as self-compassion. 
  • Start taking care and respect the health physically and mentally.
  • Spend time to practice meditation.
  • Seek additional strategies to deal with distress, tension, and sadness.
  • Ask for assistance from family or any close relative or friend. 
  • Create limits and decide when and how to respond “yes” or when to answer “no.”
  • Give importance as well as value the emotions.

Nursing staff should restrict the number of individuals admitted. Nursing staff must only permit the facility to admit patients who are reasonably curable to avoid overcrowding and uncertainty. Nursing staff should be conversant with psychotherapeutic and psychotropic medications recommendations to administer sufficient dosages to patients and gradually lower the quantities of the drug (Bethell et al., 2021). Nurses should take a constructive strategy to lead mentally ill patients. They should employ behavioral strategies to properly manage admitted patients. One of the most key elements of performance is developing a productive connection with emergency departments and specialized mental institutions, including with hospital personnel (Bethell et al., 2021). Nursing staff must promote the utilization of telehealth in nursing facility contexts to improve protracted interaction and care delivery for those suffering from mental illnesses. 

Available Community Resources 

NURS FPX 4050 Assessment 1 Coordination Patient Centered Care

    Whenever mental health disorders are long-term and serious, the care provided by nursing staff at the care facility frequently fails. This necessitates the utilization of the finest accessible community resources in terms of providing secure and reliable care facilities. Our psychiatrist nursing staff should engage in community-based environments with clients and their families to encourage them to achieve the best alternatives (Elliott, 2021). This indicates that, to enhance care delivery, routine medical attention and behavioral healthcare treatment should be integrated into primary nursing settings. The following resources can help nurses to better deal with mental health patients:

Home care, for example, provides more assistance for people suffering from a variety of mental illnesses. Community and social care clinical staff can assist people with mental health problems in managing money, residential concerns, and transportation. Nursing staff can work as care coordinators with patients to enhance the plan of care. Community mental health teams support patients alongside nursing staff, counsellors, and therapists to aid with the treatment plan. Furthermore, a nursing assistant with an advanced diploma or a certificate might earn the ANA accreditation to enhance mental health nursing skills. House visiting, which links nursing staff with patients’ families, is yet another useful technique (Weaver et al., 2019).

Another community resource is Active Minds. “Active Minds” has over 450 branches around the US and provides awareness and communication tools for young adults affected by mentally illness problems. Active Minds is expanding up the dialogue on mental wellbeing and making permanent difference in the manner mental health gets discussed, managed for, and acknowledged in US via training, study, engagement, and a concentration on younger individuals aged 14–25. This resource will help patient regarding mental health awareness and getting education and understanding about how to control emotions as well as how they can learn about their mental and psychological needs. 

Community Mental health team is another community resource for individual with mental disorders. The CMHTs are a community-based mental wellbeing service that offers evaluation and EBP strategies to patients with presumed or identified mental disorders who, given the complexity, intensity, or dearth of therapeutic efficacy, requires specialized resources.  It is understood that there would be unusual instances when it is therapeutically acceptable to diverge from such principles, but in those cases, the extent & justification for the deviation should be thoroughly documented.  Because of disparities , there is local diversity in how treatments are provided. The southern and middle zones often have separate CMHTs, whilst the northern and western provide resources under the District Integration Group approach.

Another example of a community resource is support groups. Participants of a support group offer each other different sorts of assistance, generally nontechnical and spiritual, for a common, typically onerous, attribute. A support group allows participants to discuss their own emotions and thoughts, coping mechanisms, or direct knowledge about disorder or therapies. Participation in a group allows us to interact with others who are inclined to have a shared goal and to appreciate each other. The following are some of the advantages of joining a support group: Reduced lonesome, secluded, or criticized. Lowering stress, despair, and weariness.

References 

Bethell, J., Aelick, K., Babineau, J., Bretzlaff, M., Edwards, C., Gibson, J. L., Hewitt Colborne, D., Iaboni, A., Lender, D., Schon, D., & McGilton, K. S. (2021). Social connection in long-term care homes: a scoping review of published research on the mental health impacts and potential strategies during COVID-19. Journal of the American Medical Directors Association22(2), 228–237.e25. https://doi.org/10.1016/j.jamda.2020.11.025

Egan K. P. (2019). Supporting mental health and well-being among student-athletes. Clinics in Sports Medicine38(4), 537–544. https://doi.org/10.1016/j.csm.2019.05.003

Lee, J. J., & Bae, S. G. (2019). Implementation of a care coordination system for chronic diseases. Yeungnam University Journal of Medicine, 36(1), 1–7. https://doi.org/10.12701/yujm.2019.00073

Marx, W., Moseley, G., Berk, M., & Jacka, F. (2017). Nutritional psychiatry: the present state of the evidence. The Proceedings of the Nutrition Society76(4), 427–436. https://doi.org/10.1017/S0029665117002026

Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature reviews. Cardiology18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7

Weaver, S. J., Che, X. X., Petersen, L. A., & Hysong, S. J. (2018). Unpacking care coordination through a multiteam system lens: a conceptual framework and systematic review. Medical Care56(3), 247–259. https://doi.org/10.1097/MLR.0000000000000874

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