Introduction
The ultimate phase of the development of care coordination planning is creating a final care coordination plan. This program will facilitate an essential part of the care coordination process. As defined in assessment 1, care coordination is the way of converting several operations and interdisciplinary teams to solve a specific patient condition (Vrijhoef, 2020). Many essential topics of care coordination will be explored during the upgrade. Jack, who has schizophrenia and a host of other health concerns, is the program’s target.
People who suffer from mental health problems are less likely to engage in health-promoting activities, making them serious health problems. Furthermore, because of the negative connotations attached to mental illness in our culture, many people have been discouraged from seeking treatment (Faulkner, 2017). A mental disorder that affects more individuals than is publicly acknowledged is schizophrenia. As a result of an aberrant perception of events, it is characterized by hallucinations or delusions (Vrijhoef, 2022). An untreated condition can lead to permanent disability, illustrating how terrible it might get. Schizophrenia’s etiology is unclear, and there is no cure for it. Improving a patient’s performance is made easier with the help of a care coordination program. A person’s prognosis is greatly improved if they receive early treatment for the condition.
Patient-centered Health Interventions and Timelines
The importance of patient-centered care has emerged as a significant component in care coordination. Patients are at the heart of this treatment plan, and they must play a significant part in guaranteeing that their healthcare is protected. Schizophrenia, as previously said, is a fatal illness that will last the rest of the patient’s life. Is it essential for patients to participate in the treatment plan? (Wigzell, 2017). Even more importantly, the friends and relatives of patients being cared for as part of patient-centered health treatments are integral to care provision.
According to Mr. Jack, who has dealt with his mental disease for some time, he has suffered seven significant crises. Next to his friends and family, he expresses how embarrassed he feels. In 2012, he was diagnosed with the disease. As a result of his disability, he has experienced several major health issues. The patient has been plagued by stress and sadness because of the economic load and embarrassment connected with depression detected in 2014.
In 2017, he was also found to have dementia, which is thought to be linked to his schizophrenia. He says he’s tired of going to so many healthcare facilities, yet he continues to suffer since he can’t get the prescribed treatment for his health issues. Based on a previous health study, the patient’s physiological parameters were previously determined to be BP 135/89, HR 104 bpm, temperature 37 degrees Celsius, and RR 45 bpm.
Patient Health Issues
Depression
Often, schizophrenia sufferers are more likely to suffer depression, as we saw before. Due to the general stigmatization, this is particularly true whenever the sickness becomes a strain on finances, family, and other aspects of daily life. Depression is a gradual process, but it may significantly impact a victim (Wigzell, 2017). Depressed patients benefit from various patient-centered care treatments, including guaranteeing that the patient’s attention does not wander and setting a daily schedule so the patient may do the same thing each day. Finally, patient training is fundamental since depression can occur unnoticed and only become apparent when too severe. People with depression should know what to look for to get help (Faulkner, 2017). Community Healthcare, Pillars of Optimism, and Northern Pines Mental Health Center are three options for patients who need help managing their depression.
Drug abuse
This is a medical problem that affects patients and is linked to depression. When a patient is unable to deal with their changed situations, they may turn to substance misuse to deal with their feelings of helplessness. It’s critical to use extreme caution while utilizing these medications because doing so does nothing but add to the patient’s load. If the situation hasn’t gotten out of hand, registering the individual in a counseling class is one option for treating alcohol and drug misuse. Rehab centers are ideal for patients who have little control over their situation. This, unfortunately, comes at a high price. Third, ensure that the patient has a strong network of family and friends who can help him heal, despite his current health challenges (Wigzell, 2017). Essential Healthcare and Brainerd Civic Engagement are some of the local resources that might help the patient.
High blood pressure
The patient is putting a lot of stress on his system because of his numerous health difficulties. The patient’s cardiac system is highly likely to be compromised. High blood pressure results when blood moves through into the arteries at a greater than usual rate; having high blood pressure can lead to cardiovascular problems; thus, it is vital to be aware of these conditions. Patients’ age is also a significant factor in their likelihood of developing hypertension. High blood pressure can be treated using patient-centered health measures, such as lowering sugar intake, maintaining a healthy body weight, and exercising regularly. Finally, the patient should monitor their anxiety levels. Brainerd Pharmacy, Essentia Health, and the Minneapolis Heart Institute are some of the community options accessible to help the patient.
Ethical Decisions in Designing Patient-Centered Health Interventions
Ethics play a significant role in determining how healthcare is provided. The efficacy of patient-centered health initiatives depends on ethical behaviors. Autonomy; justice; beneficence; and nonmaleficence are the four ethical concepts that guide healthcare practice. Healthcare enhances the response strategies outlined above. The American Nurses Association’s Code of Ethics contains several sections that dictate how healthcare is delivered to patients (Wigzell, 2017). As a result of ethical principles being adhered to, fairness features will increase, and minimal prejudice will.
If healthcare practitioner wants to improve and ensure the achievement of these features, they need to ask themselves relevant ethical issues. What if I were in this patient’s position? Would I undertake comparable measures to help my situation? Am I willing to accept responsibility if the patient suffers any harm because I replied to the patient? Finally, how could the patient have benefited from a different treatment? To determine what degree of treatment a patient should receive, one must explain these things in a certain way.
Coordinating Care in the Face of Health Policy Challenges
In recent years, the Patient Protection and Affordable Care Act (PPACA) has been one of America’s most contentious pieces of healthcare legislation. Thanks to this legislation, healthcare expenditures may be met more easily for those on low incomes and other Americans (Wigzell, 2017). Care coordination will become increasingly important as the number of patients grows to provide adequate healthcare. Under the Affordable Care Act (ACA), the Hospital Readmission Reduction Policy (HRRP) was implemented. Reducing readmission rates is an essential part of this effort (Wigzell, 2017). The ability of patients to help regulate their diseases and so lessen their reliance on medical treatment and subsequent readmissions is one of the primary benefits of care coordination.
The Health Insurance Portability and Accountability Act (HIPAA) from 1996 is the last piece of legislation. This strategy aims to improve and increase health records security. As a result, employees can maintain their current insurance coverage even if they relocate to a different region, regardless of the rules in that separate state. This is particularly important for employees with a care coordination plan that might be compromised if they relocate (Kelley, 2020). The three regulations must be implemented to ensure that the care coordination strategy succeeds.
Care Coordination Evaluation
Now and again, assessment is necessary to gauge how well care coordination is working. Accurately meeting targets will be highlighted and aspects that need to be improved and clarified. For care coordination, training lessons have been deemed vital. The training lesson should include the patient and the other members of the integrated care staff, such as the client’s relatives and friends (Prokop, 2016). Another way to evaluate is to take note of the mutually agreed-upon objectives and determine the steps taken in achieving them. Assessments from patients and the integrated care staff are essential for determining how effectively a care coordination strategy has worked and what may be done to improve it (Vrijhoef, 2020). The COVID-19 epidemic necessitated the consideration of telemedicine possibilities for both care delivery and educational sessions, which had not before been mentioned. There is a timeline for when these changes will go into effect.
Comparison of learning session content with best practices
When patients receive effective healthcare, their whole standards of living advance. In a patient-centered healthcare strategy, Vrijhoef (2020) emphasizes the need for care coordination in maintaining the quality of care. The patients save money on healthcare, improve their relationships with family and friends, lower relapse rates to health facilities, and have improved methods of handling their health conditions due to the information they receive. I can confirm this, having been saved from a patient who had attempted suicide due to his inability to continue with his illness. Financially depleted, estranged from his family, and not in good condition, he was desperate for assistance from others. In contrast, after his liberation, he could address many areas of his life, including his family’s connection with him, finding new employment, and providing for his family’s necessities. He’s a lot better at dealing with his situation now. Many more patients like him don’t think that care coordination has had a positive impact on their lives.
Aligning Teaching Sessions to Healthy People 2030
Patients and their families benefit from educational seminars when they better grasp healthcare issues. Using the Healthy People 2020 criteria, educators may create educational and health-promoting lessons. The patient’s treatment demands will be better met if the indicators and the teaching sessions are in sync (Kelley, 2020). Considering this, the teaching session must focus on social factors, heredity, behavior, physiology, and medical services. As a result, they may be focused on the patient, but they also consider society’s requirements.
Conclusion
Ultimately, the goal of the eventual care coordination plan is to ensure that all the many aspects of healthcare are addressed. Knowledge of mental health issues is low., and many individuals do not seek help. As a result, patients should be able to get treatment that is satisfactory to both parties involved, thanks to the care coordination plan. Additionally, strategies like Healthy People 2030 and others should significantly improve care coordination. Throughout the procedure, ethical standards should be observed as well. The patient’s condition will progress if these instructions are strictly followed.
References
Vrijhoef, H. J. (2020). Care coordination is necessary but insufficient to fix the health care of these patients. International Journal of Care Coordination, 23(1), 3-4.
Wigzell, O. (2017). People-centred healthcare: What empowering policies are needed.
Tønnessen, S., Ursin, G., & Brinchmann, B. S. (2017). Care managers professional choices: ethical dilemmas and conflicting expectations. BMC Health Services Research, 17(1), 1-10.
Kelley, A. (2020). An overview of public health evaluation and the social determinants of health. Public Health Evaluation and the Social Determinants of Health, 1-18.
Faulkner, A. C. (2017). The importance of relationships: care planning and care coordination in mental health. Journal of Psychiatric and Mental Health Nursing, 24(6), 335-336.