Posted: January 7th, 2023

Develop a 3 page preliminary care coordination plan

Develop a 3 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care 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 health care problem.
Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.
As you begin to prepare this assessment, you are encouraged to complete the Care Coordination Planning activity. Completion of this will provide useful practice, particularly for those of you who do not have care coordination experience in community settings. The information gained from completing this activity will help you succeed with the assessment. Completing formatives is also a way to demonstrate engagement.
Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan no less than 5 years old.
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To develop a preliminary care coordination plan for a selected healthcare problem, it is important to consider the physical, psychosocial, and cultural considerations related to the problem. You should also identify and list available community resources that can provide a safe and effective continuum of care. You should aim to provide a comprehensive overview of the care coordination efforts needed to address the healthcare problem and ensure that all relevant considerations are taken into account. It is also important to use credible sources, such as peer-reviewed journals or professional industry publications, to support your preliminary care coordination plan. You should aim to include at least two such sources that are no less than 5 years old in your plan.
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Preliminary Care Coordination Plan: Diabetes Management

Introduction:

The purpose of this care coordination plan is to improve the management of diabetes in the community setting. Diabetes is a chronic disease that requires ongoing medical attention and self-management to prevent complications such as heart disease, stroke, kidney disease, and blindness. Effective care coordination is essential to ensure that individuals with diabetes receive the necessary medical care, support, and education to manage their condition and prevent complications.

Physical considerations:

Provide access to primary care and specialty care, such as endocrinology, as needed.
Ensure regular monitoring of blood glucose levels, blood pressure, cholesterol, and kidney function.
Provide medication management and education on the proper use of insulin and other medications.
Encourage physical activity and provide resources for exercise programs and access to physical therapy as needed.
Educate individuals on proper nutrition and provide resources for healthy meal planning.
Psychosocial considerations:

Assess for and address any emotional or mental health issues that may impact diabetes management, such as depression or stress.
Provide support and education on coping with the daily challenges of living with diabetes.
Encourage social support and connections with others living with diabetes through support groups or peer education programs.
Help individuals in setting achievable goals and developing self-management skills.
Cultural considerations:

Consider the cultural beliefs and values of the individual and incorporate them into the care plan.
Provide education and resources in languages other than English as needed.
Address any cultural barriers to accessing healthcare or following the care plan, such as transportation or financial difficulties.
Community resources:

Primary care clinics or physicians
Endocrinology specialists
Diabetes education programs
Nutrition counseling
Exercise and physical therapy programs
Mental health resources
Support groups for individuals with diabetes
Transportation Helpance
Financial Helpance programs
References:

American Diabetes Association. (2019). Standards of medical care in diabetes-2019. Diabetes Care, 42(Suppl 1), S1-S193.
World Health Organization. (2019). Diabetes. Retrieved from https://www.who.int/news-room/fact-sheets/detail/diabetes

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