Evaluate the Preliminary Care Coordination for Bariatric patient

Use APA 7th edition
For this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

This assessment provides an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for a hypothetical patient with a selected health care problem.

You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.

Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Adapt care based on patient-centered and person-focused factors.
Design patient-centered health interventions and timelines for a selected health care problem.
Competency 2: Collaborate with patients and family to achieve desired outcomes.
Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
Competency 3: Create a satisfying patient experience.
Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2020 document.
Competency 4: Defend decisions based on the code of ethics for nursing.
Consider ethical decisions in designing patient-centered health interventions.
Competency 5: Explain how health care policies affect patient-centered care.
Identify relevant health policy implications for the coordination and continuum of care.
Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Preparation
In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss how the plan includes elements of Healthy People 2020.

Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions
Note: You are required to complete Assessment 1 before this assessment.

For this assessment:

Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.
Document Format and Length
Build on the preliminary plan document you created in Assessment 1. Your final plan should be a scholarly APA formatted paper, 5–7 pages in length, not including title page and reference list.

Supporting Evidence
Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2020 resources. Cite at least three credible sources.

Grading Requirements
The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

Design patient-centered health interventions and timelines for a selected health care problem.
Address three health care issues.
Design an intervention for each health issue.
Identify three community resources for each health intervention.
Consider ethical decisions in designing patient-centered health interventions.
Consider the practical effects of specific decisions.
Include the ethical questions that generate uncertainty about the decisions you have made.
Identify relevant health policy implications for the coordination and continuum of care.
Cite specific health policy provisions.
Describe priorities that a care coordinator would establish when discussing the plan with a patient and family member, making changes based upon evidence-based practice.
Clearly explain the need for changes to the plan.
Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to the Healthy People 2020 document.
Use the literature on evaluation as guide to compare learning session content with best practices.
Align teaching sessions to the Healthy People 2020 document.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Additional Requirements
Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.

See attached Assessment 1
PRELIMINARY CARE COORDINATION PLAN 2

The Intriguing Dynamics of Preliminary Care Coordination for Bariatric Patients

Preliminary care consists of measures taken by a health care system for patients during the initial interaction between the health care system and the patient. Patients visiting a health center face a wide plethora of health challenges, and a health care system needs to develop a health care plan to help a patient. Different challenges face patients whenever they visit a health care center. Therefore, the health care system should develop specific plans to address the body challenges patients experience. The discussion below will focus on Bariatric treatment as one health concern that will require the development of a preliminary care coordination plan.
Bariatric treatment is a medical intervention that aims at treating patients with obesity and measures to prevent the causes of obesity (Stevens, 2020). Obesity is a health disorder where a patient has excess fat in the body that affects the entire body’s normal functioning. A person is said to have obesity disorder when the body fat quantity is above the body mass index. The body mass index value for a healthy person is 30, meaning that people with obesity disorder have a body mass index value above 30 (Stevens, 2020). Obesity is a serious health disorder, and sometimes obesity is associated with other chronic illnesses such as diabetes, heart failure, high blood pressure, sleeping disorders, and even stroke. Therefore, there is a great need to improvise a preliminary care coordination plan for bariatric treatment in health centers. The preliminary

PRELIMINARY CARE COORDINATION PLAN 3
care coordination plan that I will develop will address the physical, psychosocial, and cultural needs bariatric patients experience.
One strategic plan that I will include in the preliminary care coordination concerns developing an engaging therapy talk with bariatric patients (Chen & Cheng, 2020). A good therapy talk with the bariatric patient will help address the patients’ physical, psychosocial, and cultural needs. The therapy talk will involve a professional counselor who will engage in an interactive talk with the patient. Engaging a professional counselor is essential to obtain more effective treatment of bariatric patients than engaging general medical personnel.
Regarding physical needs, the therapy talk will involve discussing the physical needs a bariatric patient faces (Chen & Cheng, 2020). Bariatric patients’ physical challenge is the body’s abnormal size, where the body parts enlarge more than the normal size. Body parts such as the stomach and legs become swollen due to excess fat accumulation. Increased size in these body parts becomes a challenge to bariatric patients whenever they carry on with their daily activities. A good example is that patients with abdominal distention find it hard when it comes to running, and therefore, it becomes hard for them to engage in sporting activities. Therefore, the therapy talk will offer solutions on how bariatric patient can overcome challenges that result from increased body size. An example of a solution is advising the patient on a proper diet and physical exercises.
Another category of needs that the therapy talk will engage in is bariatric patients’ psychosocial needs (Chen & Cheng, 2020). Examples of psychosocial needs include depression, eating challenges, anxiety, and alcohol and other drug abuse. The therapy talk in the preliminary
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care coordination will address how the bariatric patients will overcome the above psychosocial disorders. A healthy talk with a bariatric patient experiencing depression helps engage the
patient’s mind, making it active. Bariatric patients develop depression since the patients tend to isolate themselves from other people. Therefore, the minds of such bariatric patient cases are usually inactive. Engaging the bariatric patient in a therapy talk will make the mind more active, thereby overcoming depression.
A therapy talk will help the bariatric patients by informing them that alcohol and other drug abuse is not a solution to overcoming obesity disorders. Many bariatric patients will engage in drugs since they believe that drugs such as marijuana and alcohol can help reduce body size (Hansen, Decroix, Devos, Nocca , Cornelissen, Dillemans & Lannoo, 2020). Therapy talk will also address psychosocial needs, such as eating disorders. Bariatric patients tend to believe that altering eating patterns will help reduce body size. The therapy talk will help explain to the patient that skipping meals cannot help them get over their obesity disorder.
Therapy talk in the preliminary care coordination plan will address the cultural needs that bariatric patients experience. Example of cultural needs that bariatric patients experience includes stigmatization and discrimination. Society has a cultural perception that bariatric patients are abnormal people different from other people; therefore, it ends up discriminating against them (Hansen, Decroix, Devos, Nocca, Cornelissen, Dillemans & Lannoo, 2020). Stigmatization is another challenge that bariatric patients experience where society associates bariatric patients with laziness and powerlessness. Engaging bariatric patients in a therapy talk

PRELIMINARY CARE COORDINATION PLAN 5
will develop solutions to cultural needs. The counselor will advise the bariatric patient on how to boost self-esteem associated with cultural stigmatization.
Another strategic plan that I will include in the preliminary care coordination is physical engagement exercises for bariatric patients. Physical engagement activities include social bonding and engaging in sporting activities. Such activities can involve a group of bariatric
patients brought together in the process of treatment. Medical practitioners can carry out physical engagement activities within our health center, where bariatric patients can access easily. The
physical engagement practices will also address the physical, psychosocial, and cultural needs that bariatric patients experience.
Physical engagement practices will address the physical needs since they will engage bariatric patients’ bodies, making the bodies to be active. Engaging the body in active practice will help reducing the fat content in bariatric patients’ bodies (Hansen, Decroix, Devos, Nocca, Cornnelissen, Dillemans & Lannoo, 2020). If a bariatric patient is engaged in physical exercises for more than one month, the body’s fat level will decrease significantly. Engaging the bariatric in numbers creates a healthy motivation that creates more urge in the patients to practice.
Physical engagement will also address the psychosocial needs that bariatric patients experience. Physical engagement can solve Psychosocial challenges such as depression, anxiety, drug, and substance abuse (Chen & Cheng, 2020). One-way physical engagement can help overcome psychosocial needs is by engaging bariatric patients’ minds to make the minds busy. Active minds mean that the patients will not have time to be depressed. Physical activities create an interaction where the bariatric patients will learn from one another, reducing their anxiety.
PRELIMINARY CARE COORDINATION PLAN 6
Physical engagement activities also make the bariatric patient’s schedule fully engaged, and the patient will have no time to engage in alcohol and other drugs.
Physical engagement activities will also address cultural needs that bariatric patients experience. Medical practitioners can solve cultural needs such as stigmatization and discrimination by focusing on a bariatric patient’s mind on physical activities (Hansen, Decroix, Devos, Nocca, Cornelissen, Dillemans & Lannoo, 2020). The physical activities will isolate the bariatric patients from the larger society, creating another society of bariatric patients with no room for discrimination. Physical engagement activities will help overcome cultural needs because bariatric patients will feel energetic, overcoming laziness stigmatization.
Available community resources can be of great help in improving health care for bariatric patients. Medical practitioners engaging in bariatric health care can use social halls as venues where bariatric patients can meet for health services. Other resources that can benefit the preliminary care coordination plan are the social grounds that medical practitioners can use to host bariatric patients’ physical engaging activities. Other resources available in the community are religious institutions where patients can enroll instead of isolating themselves from other people.
A preliminary care coordination system for bariatric patients in health center can be of great help. Many patients experiencing obesity disorders do noy fully recover from bariatric illness through pharmaceutical treatment only. For a complete recovery, medical personnel must address physical, and psychosocial, and cultural needs in bariatric patients. For the preliminary care coordination system to work effectively. The medical practitioners in preliminary care
PRELIMINARY CARE COORDINATION PLAN 7
coordination needs to have enough information in handling bariatric patients. It is also important to use the community’s available resources to treat bariatric patients more effectively.

PRELIMINARY CARE COORDINATION PLAN 8
References

Chen, C. C., & Cheng, S. H. (2020). Care continuity and care coordination: A preliminary
examination of their effects on hospitalization. Medical Care Research and Review, 1077558720903882.
Hansen, D., Decroix, L., Devos, Y., Nocca, D., Cornelissen, V., Dillemans, B., & Lannoo, M. (2020). Towards optimized care after bariatric surgery by physical activity and exercise intervention: a review. Obesity surgery, 30(3), 1118-1125.
Stevens, C. (2020). Sick but healthy: bariatric patients and the social construction of illness and disability. Sociology of health & illness, 42(4), 907-924.

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