Patient-centered Health Interventions & Timelines for Selected Healthcare Problem NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Patient-centered Health Interventions & Timelines for Selected Healthcare Problem

Patient-centered care coordination revolves around the idea of addressing the needs of patients and concentrates on providing them with the best possible treatment that yields enhanced and better clinical outcomes. This intervention includes specifically patient centred, the treatment varies from patient to patient. Patient-centered intervention has become increasingly popular in the healthcare world because it helps the healthcare facility achieve the objective of providing personalized care and patient satisfaction. The Villa Health Hospital is also uplifting its objective of dealing with Gestational Diabetes patients in an effective and efficient manner via the road of patient-centered care coordination. The patient-centered treatment plan is concerned with the wellness of the patients. It is the coordination between patients, healthcare workers, and patients’ families to integrate and mobilize all the available resources to support and treat the patient, educate them, and provide them with quality care (Otero, et al., 2015).

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A care coordination plan is a methodology devised for delivering improved, efficient, safe, and quality healthcare services and also help patient manage their health and wellbeing, as diabetic patient requires to take care of their health, diet and physical activity. The patient-centered health care plan purpose to promote diabetes self-management by implementing systematic improvements to improve primary care quality and delivery. Scheduled appointments, mini-group health consultations, and a Self-Management program. The first step is the “self-management goal cycle”. Its main objective is to guide individuals in developing clear, achievable goals that they are confident they can achieve. The patient is analyzed to see where they think the intensity of their disease lie, secondly it is analyzed that to which extent patient believe that they will be able to achieve their goals to control diabetes. All goals are written in the medical chart and available to the whole patient care team, which is a great advantage of this Cycle. This guarantees that patients goals are reviewed at every moment of interaction with the patient, resulting in a uniform healthcare continuum (Langford et al., 2007).

In next step, a detailed evaluation is made regarding the patient diet and daily routine. In this an evaluation can, be made to see what routines patient has followed previously and whether those evaluations have worked for them. Based on this information, the patient’s healthcare team can help him or her develop a thorough and coherent objective that is meaningful to them. The team may make a duplicate of the aim and provide it to the patient. The improvement of patients based on this plan can checked by quarterly or monthly floow0up visits or through telephone appointment with the healthcare team (Martinez et al., 2017; Ritchie et al., 2021). This will make both sides more familiar with the approach and will ultimately be capable of achieving high goals without using formal goal-setting tools. The procedure gradually will become a standard part of primary care visits and is easily combined with clinical treatment. 

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Another intervention will be the use of patient education. Several diabetes-controlling strategies have been implemented. Understanding an illness and its possible therapeutic techniques is critical for conquering its detrimental consequences. When people have prior information about a sickness and its remedy, it is far easier for them to manage that sickness than when patients are completely uninformed of the ailment. As a result, developing and disseminating knowledge about various diseases to the broader nursing and healthcare professionals might be an effective intervention for lowering blood pressure.

A t2dm health promotion plan in a nursing care home will normally include care objectives, pharmaceutical and sugar levels monitoring data, as well as insulin administration details. Nevertheless, because treatment plans are customized for each individual, particular facts may differ. The doctors and therapists must plan for the right medication and various physical activities to uproot the risk of developing Type 2 diabetes. Secondly, the psychologist must help them to get rid of unnecessary stress via sessions and therapies. Thirdly, a dietitian must organize and design a proper diet plan for the mother as