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Nurs FPX 4050 Assessment 1 Preliminary Care Coordination Plan
Nurs FPX 4050 Assessment 1 Preliminary Care Coordination Plan
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Student Name
Capella University
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Course Name
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Prof Name
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FEB 24, 2024
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Preliminary Care Coordination Plan
Introduction:
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Primary care serves as the initial gateway to the healthcare system, offering accessible,
comprehensive, and patient-centered services. The preliminary care coordination plan provides
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a structured framework for delivering efficient and comprehensive primary care, delineating
actions, responsibilities, and roles of healthcare staff. It is imperative to consider physical,
cultural, and psychosocial factors to ensure patient-focused care, as neglecting these aspects
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may lead to inappropriate treatment plans. This plan aims to assess a selected health issue, set
goals, and identify vital community resources for a safe and effective care journey, serving as
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impact populations, characterized by airflow obstruction and chronic airway inflammation, often
attributed to factors like air pollutants, smoking, and genetics. COPD stands as a leading cause
of global morbidity and mortality, projected to escalate to the third most frequent cause by 2030
according to the WHO. Evidence-based best practices include lifestyle modifications such as
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smoking cessation, regular exercise, and pharmacological interventions like bronchodilators and
corticosteroids. However, uncertainties persist regarding patient adherence, disease
progression, and individual responses to treatments.
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Achievable Goals to Address Selected Healthcare Problems:
Establishing measurable and attainable goals is crucial in addressing COPD. Primary goals
include raising community awareness about lifestyle modifications through educational
sessions, promoting environmental cleanliness to reduce exposure to pollutants, and ensuring
medication compliance among affected individuals through educational interventions and
technological aids such as smartphone reminders. Effectiveness will be gauged through
improvements in patient satisfaction, community engagement, reduced COPD progression, and
enhanced quality of life.
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Community Resources for Continuum of Care:
A comprehensive care coordination plan for COPD necessitates leveraging essential community
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resources such as support groups like the American Lung Association's Better Breathers Club
to enhance knowledge and adherence to treatment regimens. Home care institutes, especially
those offering telemonitoring services, can aid in daily activities and disease management,
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potentially reducing hospitalizations. Rehabilitation programs provided by reputable institutions
like the Mayo Clinic and Cleveland Clinic are instrumental in enhancing the quality of life for
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individuals with respiratory conditions. Harnessing these community resources is vital for
optimizing care coordination and improving health outcomes, particularly for COPD patients.
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In conclusion, effective primary care coordination plans that account for patient preferences and
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various contextual factors are pivotal in enhancing health outcomes. The strategic utilization of
community resources, including support groups and home care institutes, plays a critical role in
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managing conditions like COPD. Establishing realistic, achievable, and measurable community
goals is imperative for fostering positive changes in individual lives, ultimately elevating the
quality of care and patient well-being.
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References
Ambrosino, N., & Bertella, E. (2018). Lifestyle interventions in prevention and comprehensive
management of COPD. Breathe, 14(3), 186–194. https://doi.org/10.1183/20734735.018618
Cazzola, M., Rogliani, P., Stolz, D., & Matera, M. G. (2019). Pharmacological treatment and
current controversies in COPD. F1000Research, 8, 1533.
https://doi.org/10.12688/f1000research.19811.1
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Hosseinzadeh, H., & Shnaigat, M. (2019). Effectiveness of chronic obstructive pulmonary
disease self-management interventions in primary care settings: A systematic review. Australian
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Journal of Primary Health, 25(3), 195. https://doi.org/10.1071/py18181
Joshi, M., Goraya, H., Joshi, A., & Bartter, T. (2020). Climate change and respiratory diseases:
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A 2020 perspective. Current Opinion in Pulmonary Medicine, 26(2), 119–127.
https://doi.org/10.1097/MCP.0000000000000656
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Li, X., Krumholz, H. M., Yip, W., Cheng, K. K., De Maeseneer, J., Meng, Q., Mossialos, E., Li,
C., Lu, J., Su, M., Zhang, Q., Xu, D. R., Li, L., Normand, S.-L. T., Peto, R., Li, J., Wang, Z., Yan,
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H., Gao, R., & Chunharas, S. (2020). Quality of primary health care in China: Challenges and
recommendations. The Lancet, 395(10239), 1802–1812.
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https://doi.org/10.1016/s0140-6736(20)30122-7
López-Campos, J. L., Quintana Gallego, E., & Carrasco Hernández, L. (2019). Status of and
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Yu, X., Li, X., Wang, L., Liu, R., Xie, Y., Li, S., & Li, J. (2019). Pulmonary rehabilitation for
exercise tolerance and quality of life in IPF patients: A systematic review and meta-analysis.
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