NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan – Step-by-Step Guide

The first step before starting to write the NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. 

Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

An Example NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan Follows:

Preliminary Care Coordination Plan

Taking the role of care coordination as an RN in the community care center, it is essential to acknowledge age-related and elder care health issues. Aging encompasses numerous physical, psychosocial, and cultural issues, making it very demanding and, therefore, requires a multi-faceted approach to achieve optimum health for our elderly citizens. This initial plan for care coordination has HF as the focus for elderly patients in a community care context.

The staff shortage in the dedicated care management area prompts the development of a different approach, where the functions of the nurses predominate in care coordination. The plan below encompasses physical, psychosocial, and cultural considerations for elderly patients with HF, as well as community resources that can provide a safe and effective continuum of care.

Analysis of Health Concerns and Best Practices

Heart failure (HF) is a chronic condition resulting from the weakening of the heart’s pumping function; thus, the blood flow becomes insufficient throughout the body. It becomes more common with age, making it a significant problem in older adults (Hajouli & Ludhwani, 2022). The established guidelines for managing HF connotes drug adherence, lifestyle changes, and patient education.

Examples of drug treatment include diuretics, angiotensin-converting enzyme (ACE) inhibitors, and beta-blockers (Hajouli & Ludhwani, 2022). Lifestyle modifications aim at advancing a healthy diet, weight management, regular physical activity, and quitting smoking. Education for patients is one of the main pillars that enable HF patients to competently manage their conditions, among them identification of the symptoms associated with deterioration of heart failure (Allida et al., 2020).

While the introduction of these best practices for elderly patients into a community setting has some distinctive challenges, they provide significant advantages. The elderly frequently experience polypharmacy, where multiple drugs are used, thereby complicating the task of medication adherence (Unlu et al., 2020). Moreover, age-related cognitive decline, a frequently occurring occurrence in older persons, can interfere with the mastery of educational materials and the application of self-management approaches (Yang et al., 2022).

Specific Goals

The following specific goals are intended to address the issues experienced by older individuals with HF in a community care setting:

  1. Increase drug adherence by 80% within three months. Implement medication reminders, educate patients on the purpose of medications, and simplify prescription regimens to improve adherence.
  2. Increase participation in an appropriate exercise program by 70% within two months. Collaborate with physical therapists and provide transportation to encourage older people to participate in personalized exercise regimens.
  3. Increase patient education by 60% in one month: Use more straightforward materials, include family members in education sessions, and provide educational resources in preferred languages to improve good comprehension and self-management of HF.
  4. Reduce hospital readmission rates by 50% in 6 months: Focus on early detection of increasing symptoms and prompt communication with healthcare providers to avoid unnecessary hospitalizations.

Physical Considerations

Physical limitations, such as fatigue, shortness of breath, and low exercise tolerance, are highly prevalent among elderly patients with heart failure. Such restrictions may prohibit everyday activities, making falling more likely or increasing crash skills. The care coordination plan addresses these needs through:

  • Working with physical therapists to formulate proper and safe exercise regimens to increase mobility and muscle strength.
  • Assessment for devices, such as crutches and walkers that support the body’s strength and take away the risk of slipping.
  • Nutritional counseling to ensure a well-balanced diet enriched in weight management that lowers cardiovascular risk factors.

Psychosocial Considerations

Social isolation and depression are recurring problems for the elderly suffering from HF (Goodlin & Gottlieb, 2023). Psychosocial factors that are concerned with the well-being of both body and mind often have a negative impact on self-care and health results. The plan addresses these needs by:

  • Working on creating a social support group exclusively for individuals who have HF as one of the main objectives to foster social engagement and ward off loneliness.
  • Examination of depression symptoms and placement of assistance with either referral to mental health professionals.
  • Providing emotional support and taking care of the fears related to the chronic nature of HF.

Cultural Considerations

Cultural beliefs and values affecting health and illness can determine the decision to seek medical help, as well as the exact level of medication compliance in elderly patients (Crisp & K.Petrucka, 2021). The plan addresses these needs through:

  • Patient-centered communication that is culturally sensitive and acknowledges patients’ personalities and attitudes toward their health.
  • Using interpreters whenever needed to make sure that the communication is clear and the decisions are informed.
  • Developing educational resources that pay attention to cultural sensitivity and do a critical job of addressing the issues of culture in relation to HF.

Available Community Resources

Establishing a resilient network of community resources is critical in guaranteeing a seamless and efficient progression of care for elderly individuals afflicted with heart failure (HF). Utilizing these resources makes it possible to improve the overall well-being and quality of life of the geriatric demographic. The following community resources are essential for geriatric HF patients and are tailored to their specific needs:

  • Senior Centers: These facilities function as indispensable centers for senior adults’ fitness activities, health education programs, and social interaction. Through active involvement in these programs, geriatric patients with heart failure can cultivate social bonds, partake in activities that improve health, and counteract sentiments of seclusion.
  • Transportation Services: To attend healthcare appointments, join exercise programs, or obtain any of the necessary services, then transportation becomes essential for geriatric HF patients.
  • Mental Health Services: The role that mental health services play in the treatment of depression and anxiety among individuals with advanced heart failure is undoubtedly pivotal (Goodlin & Gottlieb, 2023). These services are designed to alleviate the burden of depression, anxiety, and psychological health issues in general, with the objective of improving quality of life and physical health.
  • Programs for Nutritional Counseling: Providing a proper kind of nutrition becomes a necessity both for cardiac failure prevention and the reduction of cardiovascular risk factors. Nutritional counseling programs initiate the process of patient education on heart-healthy routine diets and enable older persons with heart failure to make rational decisions concerning their diet, minimizing the general negative impact on the quality of life.
  • Support Groups: Sharing burden is a role of peers that helps patients of geriatric heart failure to deal with difficulties of managing a chronic illness. Support groups provide a forum for fellow people to exchange private histories, receive emotional assistance, as well as to get linked to others who are grappling with the same struggles as them. The presence of this feeling of being understood and bonded has the possibility of not only amplifying coping mechanisms but also improving psychological well-being as a whole.

Through availing the community resources, the community will be able to build an environment boosting individuals’ mental and physical well-being for those with senior heart failure, and this will allow them to manage the ailment competently, which will have an impact on their overall wellness and flourishing in our local community.

Conclusion

A comprehensive strategy that incorporates a patient’s physical, social, and cultural aspects is required to improve care for the elderly with heart failure. By strategically establishing objectives and leveraging community resources, it is possible to create a series of services that guarantee a secure and empathetic progression of healthcare for the most susceptible members of our community. By means of collaborative efforts and the pursuit of culturally sensitive treatment provision, it is possible to achieve the intended result of optimizing the well-being and healthcare services of geriatric patients diagnosed with heart failure.

NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan References

Allida, S., Du, H., Xu, X., Prichard, R., Chang, S., Hickman, L. D., Davidson, P. M., & Inglis, S. C. (2020). MHealth education interventions in heart failure. Cochrane Database of Systematic Reviews, 7. https://doi.org/10.1002/14651858.cd011845.pub2

Goodlin, S. J., & Gottlieb, S. H. (2023). Social isolation and loneliness in Heart Failure. JACC: Heart Failure. https://doi.org/10.1016/j.jchf.2023.01.002

Hajouli, S., & Ludhwani, D. (2022, December 23). Heart failure and ejection fraction. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK553115/

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(158), 1–10. https://doi.org/10.1186/s12912-021-00684-2

Unlu, O., Levitan, E. B., Reshetnyak, E., Kneifati-Hayek, J., Diaz, I., Archambault, A., Chen, L., Hanlon, J. T., Maurer, M. S., Safford, M. M., Lachs, M. S., & Goyal, P. (2020). Polypharmacy in older adults hospitalized for heart failure. Circulation: Heart Failure, 13(11). https://doi.org/10.1161/circheartfailure.120.006977

Yang, M., Sun, D., Wang, Y., Yan, M., Zheng, J., & Ren, J. (2022). Cognitive impairment in heart failure: Landscape, challenges, and future directions. 8. https://doi.org/10.3389/fcvm.2021.831734

Welcome to NURS-FPX4050 Assessment 1 Preliminary Care Coordination Plan. We are ready to walk with you through this class, offering professional guidance as and when needed. This assignment forms the basis for completing the next task, which is NURS-FPX4050 Assessment 2 Ethical and Policy Factors in Care Coordination.

Frequently Asked Questions (FAQs)

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