Develop a 3-4 page preliminary care coordination plan for a selected health care

Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this healthcare problem. Identify and list available community resources for a safe and effective continuum of care.
The first step in any effective project is planning. This assignment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular healthcare problem.
Include physical, psychosocial, and cultural considerations for this healthcare problem. Identify and list available community resources for a safe and effective continuum of care.
Preparation: Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.
To prepare for this assessment, you may wish to:
• Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
• Allow plenty of time to plan your chosen healthcare concern.
Develop the Preliminary Care Coordination Plan
Complete the following:
• Identify a health concern as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs. Possible health concerns may include, but are not limited to:
1-Stroke.
2- Heart disease (high blood pressure, stroke, or heart failure).
3-Home safety.
4- Pulmonary disease (COPD or fibrotic lung disease).
5- Orthopedic concerns (hip replacement or knee replacement).
6- Cognitive impairment (Alzheimer’s disease or dementia).
7-Pain management.
o Mental health.
8-Trauma.
• Identify available community resources for a safe and effective continuum of care.
Document Format and Length
• Your preliminary plan should be an APA scholarly paper, 3–4 pages in length.
Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.
• In your paper include possible community resources that can be used.
Supporting Evidence: Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.
Grading Requirements: The requirements, outlined below, correspond to the grading criteria in the Preliminary 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.
• Analyze your selected health concern and the associated best practices for health improvement.
– Cite supporting evidence for best practices.
-Consider underlying assumptions and points of uncertainty in your analysis.
• Describe specific goals that should be established to address the healthcare problem.
• Identify available community resources for a safe and effective continuum of care.
• Organize content so ideas flow logically with smooth transitions; contain few errors in grammar/punctuation, word choice, and spelling.
• Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
– Write with a specific purpose with your patient in mind.
-Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.
Competencies Measured:
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. Analyze a health concern and the associated best practices for health improvement.
• Competency 2: Collaborate with patients and families to achieve desired outcomes. Describe specific goals that should be established to address a selected healthcare problem.
• Competency 3:Create a satisfying patient experience, Identify available community resources for safe and effective continuum of care.
• Competency 6: Apply professional, scholarly communication strategies to lead patient-centered care.
Organize content so ideas flow logically with smooth transitions; contain few errors in grammar/punctuation, word choice, and spelling. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
1- Provides a perceptive analysis of a health concern and the associated best practices for health improvement.
Provides credible evidence for best practices and articulates underlying assumptions and points of uncertainty in the analysis.
2- Describes specific goals that should be established to address a selected healthcare problem. Ensures that the goals are realistic, measurable, and attainable.
3- Identifies significant and available community resources for a safe and effective continuum of care. Provides a comprehensive list of resources, with credible evidence of their contribution toward improving community health.
4- Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
5- Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.