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Health, Medicine, Nursing
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Topic:

Coordinating Healthcare Services

Essay Instructions:

No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Identify three healthcare professionals that should be involved in creating a comprehensive care plan for the client’s transition from acute care to post-acute care.
1. Describe specific contributions that each of the three professionals make in determining prevention, intervention, or treatment strategies for the client.
B. Describe the process for setting realistic healthcare goals for the client by doing the following:
1. Develop a plan to involve each of the following perspectives in the process of setting healthcare goals: the client, his family, and the healthcare professionals involved in his care plan.
2. Describe two potential differences of opinion that may arise between the client, his family members, or healthcare professionals when setting healthcare goals for the client, as well as a strategy to resolve these differences.
3. Describe one interviewing technique and one communication skill that can be used to encourage the client’s self-determination.
4. Develop an intervention strategy to use in the event of the client’s noncompliance with agreed-upon healthcare goals.
C. Recommend three potential community or healthcare partner resources that the client could use for ongoing support in achieving his long-term healthcare goals.
1. Identify two potential socioeconomic or physical barriers that would likely hinder the client’s access to the resources described in part C.
2. Propose a strategy to overcome each of the potential barriers described in part C1.
D. Describe how third-party insurance or reimbursement requirements may negatively impact continuity of care for the client.
E. Describe how to apply the five A’s of evidence-based practice (EBP) to support the client’s care plan.
F. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Essay Sample Content Preview:

Coordinating Health Services
Student's Name
Institution Affiliation
Date
Coordinating Health Services
Health Professionals
Creating a comprehensive plan during acute to post-acute care client's transition can be under three different health professionals, including healthcare coordinator, occupational therapist, and physician. The three professionals are necessary for the plan due to the client's condition, which requires palliative services. The three professionals can easily work together by sharing various ideologies to make the transfer successful due to the critical condition of the client involving fall risks.
Prevention, Intervention, and Treatment Strategies
The three professionals have a distinct role in enhancing prevention, intervening, or treatment strategies. The healthcare coordinator is responsible for overseeing the care plan of client transition. The healthcare coordinator would facilitate the discharge, transition, and care plan by preventing any secondary health effects to the client due to the hospital's capacity. The coordinator would also inform the patient's family regarding the transition plan due to the necessity of family engagement during acute to post-acute care transition plan (Ackerly & Grabowski, 2014). On the other hand, the occupational therapist would play a critical role in assessing the client's physical abilities due to his fall risks during the transition. Some of the prevention strategies that the occupational therapist may recommend include assistive devices and physical activeness. The physician would determine all the treatment options to increase the effective transition, and the physician would also document specific precautions and recommendations. Therefore, the physician would be responsible for a stable and smooth transition to post-acute care.
Client Involvement, Family and Health Professionals
Realistic healthcare goals for the client are necessary due to his old age and critical condition. Therefore, the client, family, and health professionals' involvement are necessary during goal setting. The plan should involve the client by assessing his health expectations and desires. Additionally, it is essential to teach him specific diagnoses to better understand the poor outcome. Engaging the client during the care plan is essential for a smooth post-acute care transition due to the minimization of medication issues (Ackerly & Grabowski, 2014). Besides, the family should ensure the client adheres to post-acute care. The assessment of the family is essential during the care plan to note their capacity to assist the client in post-acute care. Therefore, the family's engagement is necessary by incorporating their needs, capacity, and expectations in the plan. Lastly, the development of the plan requires the involvement of healthcare professionals to eliminate medical mistakes and poor results. All the relevant health care professionals, such as occupational therapists, should document their concerns and recommendation in the plan. Therefore, the involvement of the identified group would be necessary for achieving specific objectives such as patient satisfaction, family and healthcare team contentment.
Differences of Opinions
Setting realistic goals may lead to different opinions between the patient, health team, and family since he may not be ready to go to the rehabilitation center regardless of the family and health team pushing for it. The suitable strategy is teaching the patient the transition, such as the reduced risk of falls and increased mental stability due to his old age. The second difference may be between the family and healthcare team since they feel their patient may take longer in the rehab, yet he is 74 years old. The solution is teaching the family advantages of long-term rehab to the aged, such as full mental recovery.
Interview and Communication
The effective interviewing and communication technique include motivational interviewing and empathy, respectively. Motivational interviewing allows patients to envision their future (Miller & Moyers, 2017). Therefore, it would enable the patient to be optimistic in life regardless of his age and mental health instability due to head injuries, thus leading to high self-determination. On the other hand, empathy would encourage the patient due to his critical mental health and age. Empathetic communication and compassion would also improve rehabilitation outcomes, reduce anxiety and enhance patient trust making him self-determined.
Client Noncompliance to Health goals
The strategy to address the noncompliance event is educating the client on the importance of rehabilitation. The compliance education strategy would be considered in phases. The first phase is to determine the client’s health literacy level. Before initiating the education process, it would be necessary to understand whether the client would benefit from it. Health literacy involves the ability of the client to retain basic information on health directives. The phase would be essential since it would help the health expert determine how to explain health goals to the client. After determining the health literacy level, the second step of patient education is determining the reasons for noncompliance. At this stage, the experts examine specific reasons which make the clients not comply. It is necessary since it allows the health expert to be proficient while tackling the client's noncompliance. For instance, noncompliance may be seen in different instances, such as the client refusing to take medications due to his age or engaging in preventative measures such as using wheelchairs.
The second stage of compliance education involves using the education handouts. In this case, the expert would consider handouts describing the importance of mental rehabilitation among the aged and relate it to the client's condition. The...
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