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NURS FPX 6610 Assessment 4 Attempt 1 Case Presentation

Importance of Case Study in Healthcare

Let’s start by discussing case studies’ role in the healthcare industry. Case Study describes patient medical information briefly and accurately. Case studies are very important since they include comprehensive information regarding the patient’s medical condition, diagnoses, potential health issues, and treatment options. Incorporating actual patient scenarios makes these case studies an excellent way to keep track of patients and return to these documents when necessary (Hinchliffe et al., 2020). Today, I’ll be concentrating on transitional patient care and talking about how multidisciplinary teams can collaborate to make sure their patient is getting the best treatment or not. 

Transitional Care Plan and Goals of Continuing Care

In this case presentation, I will first discuss transitional care in healthcare settings. Transitional care means focusing on the care of patients when patients are moving from one healthcare setting to another. Transitional care is required to ensure the patient’s welfare while moving from one organization to another (Daliri et al., 2019).

NURS FPX 6610 Assessment 4 Case Presentation

Additionally, the goal of hospital medical personnel is to ensure that the transfer process is stress-free and feasible for the patients. In this case, the discussion is made regarding a 56-year-old patient named Mrs. Snyder, who needs to be transferred from one medical center to another due to her critical condition. Continuing care aims to provide quality care to Mrs. Snyder and respect her religious and cultural beliefs (Jewish) as she is suffering from serious health issues. 

Stakeholder Part in Patient Health and Safety

Stakeholders are essential in establishing the patient’s quality of care and well-being (Lianov et al., 2020). It is the responsibility of stakeholders to check if their patient is cooperative and not under the excessive burden. In the case of Mrs. Snyder, healthcare professionals have to focus on transferring her from one organization to another without giving any trouble to her. It is another fact that Mrs. Snyder is Jewish, so healthcare providers participating in the transfer process from both facilities need to focus on providing the patient with complete care by respecting her religious and cultural beliefs. Mrs. Snyder’s needs and wants must be fulfilled according to her religious and cultural values. Kosher food must be provided to accommodate Mrs. Snyder’s dietary needs (Lianov et al., 2020).

Elements of Continous Care

The first and foremost component of continuous care is to identify the medical records of the patient and her family, as it will help to detect the exact root cause of the problem, as various studies confirmed that diabetes could transfer from generation to generation (Pervjakova et al., 2022). A person with a family history of diabetes has a high risk of getting diabetes than others. Secondly, accurate patient evaluation is another component of continuous care, as it will work as a cornerstone for treating patients. Thirdly, as medical documents are considered the main sources of data transmission, healthcare organizations must focus on collecting accurate medical health records of patients (Asmirajanti et al., 2019). 

Patient Assessment

Mrs. Snyder has a number of health issues that can become dangerous for her health. Knowing the patient’s medical background is essential for determining effective transitional treatment. Villa Hospital’s medical personnel ensured that the patient’s evaluation was accurate. The specifics of Mrs. Snyder’s evaluation are as follows:

Mrs. Snyder has ovarian cancer, a chronic disease that can cause mortality among individuals (Khanlarkhani et al., 2021). Her condition is extremely critical, as doctors said she has little time to live. Along with this, she also suffers from diabetes and hyperglycemia, which always remains a risk of high blood sugar levels, which can also cause death (Demir et al., 2021). Also, her weight increases due to improper healthcare management and family stress. Due to the stress, her blood pressure also fluctuates from time to time. 

Mrs. Snyder was on chemotherapy which negatively affected her health as she felt physical pain (Khanlarkhani et al., 2021). Due to all these issues, she is under so much stress and depression. She is also a housewife and always cares for her family and does not want to burden the family. As Mrs. Snyder has strong cultural and religious beliefs, she wants to move to another institution that respects cultural differences and gives her the freedom to practice her beliefs.

Interprofessional Care Team

Every medical procedure involves excellent coordination and communication with which the audience’s needs can be evaluated and controlled easily. The interprofessional team that will treat Mrs. Snyder is made up of thyroid doctors, heart specialists, cancer specialists, and nurses because she has several medical issues. With this, it will be ensured that all treatment guidelines are followed precisely and correctly. The nurse’s duty in Mrs. Snyder’s case analysis involved referring patients to other healthcare sectors for discussion and treatment from specialists. Nurses can assist the patient by modifying her vital signs’ therapy and medication doses. For example, the medical expert advised Mrs. Snyder to transfer to a health institution rather than stay in her home because she would receive greater care and treatment there (Ansa et al., 2020).

NURS FPX 6610 Assessment 4 Case Presentation

Factors Affecting Patient Outcomes

Slide 8: Patient care can be affected by various factors, including economic, bad lifestyle, poor social circle, and surroundings (Chung et al., 2020). 


The underlying assumption is that Mrs. Snyder practices Judaism and thus needs kosher food, so it is essential to consider her dietary restrictions while treating her. Additionally, her family condition is not stable. Her family is facing economic stress, and her son is an addict. Therefore, it is essential to ensure the patient does not feel insecure and overstressed in the limited facilities. This can be achieved by monitoring the patient frequently and encouraging her relatives to visit often. 

Areas of Uncertainties 

There will always be some degree of ambiguity and so, nurses should have all the necessary training to assist a patient in Mrs. Snyder’s situation who is critically sick (Chung et al., 2020).

Determination of Required Resources

Several resources will be required to care for Mrs. Snyder effectively (Howell et al., 2020). The following are some of the resources:

  • Check BP and sugar levels frequently
  • Eat healthy food and avoid excessive carbs, salts, and sugar
  • Proper and timely diabetes treatment
  • Go for exercise daily 
  • Mrs. Snyder requires nurses’ assistance for daily activities. 

Moreover, to provide the best quality of care to Mrs. Snyder, the organization must have all the equipment needed for the treatment (Howell et al., 2020).


Mrs. Snyder suffers from various health issues like cancer, diabetes, and stress. To overcome these issues, she needs to be transferred from one healthcare center to another where she gets satisfied. A transitional care plan is necessary to transfer patients from one organization to another (Daliri et al., 2019). It is also important to provide the best quality treatment to the patients by respecting their religious and cultural beliefs. With strategic initiatives, patient quality of care can be enhanced, and the mortality rate will be reduced. As I mentioned in my presentation, every patient needs transitional care and the associated initiatives. Thus, as healthcare providers, we must see that our patients’ requirements are addressed. 


Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8(3), 323. https://doi.org/10.3390/healthcare8030323 

Asmirajanti, M., Hamid, A. Y. S., & Hariyati, Rr. T. S. (2019). Nursing Care Activities Based on Documentation. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0352-0

Chung, G. K.-K., Dong, D., Wong, S. Y.-S., Wong, H., & Chung, R. Y.-N. (2020). Perceived poverty and health, and their roles in the poverty-health vicious cycle: A qualitative study of major stakeholders in the healthcare setting in Hong Kong. International Journal for Equity in Health, 19(1). https://doi.org/10.1186/s12939-020-1127-7

Daliri, S., Hugtenburg, J. G., ter Riet, G., van den Bemt, B. J. F., Buurman, B. M., Scholte op Reimer, W. J. M., van Buul-Gast, M.-C., & Karapinar-Çarkit, F. (2019). The effect of a pharmacy-led transitional care program on medication-related problems post-discharge A before—After prospective study. Plos One, 14(3), 0213593. https://doi.org/10.1371/journal.pone.0213593

Demir, S., Nawroth, P. P., Herzig, S., & Ekim Üstünel, B. (2021). Emerging targets in type 2 diabetes and diabetic complications. Advanced Science, 8(18), 2100275. https://doi.org/10.1002/advs.202100275

Hinchliffe, R. J., Forsythe, R. O., Apelqvist, J., Boyko, E. J., Fitridge, R., Hong, J. P., Katsanos, K., Mills, J. L., Nikol, S., Reekers, J., Venermo, M., Zierler, R. E., & Schaper, N. C. (2020). Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36(1). https://doi.org/10.1002/dmrr.3276

Howell, D., Mayer, D. K., Fielding, R., Eicher, M., Verdonck-de Leeuw, I. M., Johansen, C., Soto-Perez-de-Celis, E., Foster, C., Chan, R., Alfano, C. M., Hudson, S. V., Jefford, M., Lam, W. W. T., Loerzel, V., Pravettoni, G., Rammant, E., Schapira, L., Stein, K. D., & Koczwara, B. (2020). Management of cancer and health after the clinic visit: A call to action for self-management in cancer care. JNCI: Journal of the National Cancer Institute. https://doi.org/10.1093/jnci/djaa083

NURS FPX 6610 Assessment 4 Case Presentation

Khanlarkhani, N., Azizi, E., Amidi, F., Khodarahmian, M., Salehi, E., Pazhohan, A., Farhood, B., Mortezae, K., Goradel, N. H., & Nashtaei, M. S. (2021). Metabolic risk factors of ovarian cancer: A review. JBRA Assisted Reproduction. https://doi.org/10.5935/1518-0557.20210067

Lianov, L. S., Barron, G. C., Fredrickson, B. L., Hashmi, S., Klemes, A., Krishnaswami, J., Lee, J., Le Pertel, N., Matthews, J. A., Millstein, R. A., Phillips, E. M., Sannidhi, D., Purpur de Vries, P., Wallace, A., & Winter, S. J. (2020). Positive psychology in health care: Defining key stakeholders and their roles. Translational Behavioral Medicine, 10(3), 637–647. https://doi.org/10.1093/tbm/ibz150

Pervjakova, N., Moen, G.-H., Borges, M.-C., Ferreira, T., Cook, J. P., Allard, C., Beaumont, R. N., Canouil, M., Hatem, G., Heiskala, A., Joensuu, A., Karhunen, V., Kwak, S. H., Lin, F. T. J., Liu, J., Rifas-Shiman, S., Tam, C. H., Tam, W. H., Thorleifsson, G., & Andrew, T. (2022). Multi-ancestry genome-wide association study of gestational diabetes mellitus highlights genetic links with type 2 diabetes. Human Molecular Genetics, 31(19), 3377–3391. https://doi.org/10.1093/hmg/ddac050

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