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1. Discussion: Coordination Care Plan in Medical Fields
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PLAGIARISM-FREE PAPERS ON Discussion: Coordination Care Plan in Medical FieldsI have
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Coordination Care Plan Erik Hovsepyan Capella University COORDINATING CARE 2
Coordination Care plan Introduction Care coordination serves to ensure that there is service
integration for the satisfaction of individuals’ needs in the medical field. Services that are
collaborative and those that are focused on recovery connecting people to health care
opportunities and services are the main provision of the care coordination plan.
Coordination care has a necessity that is primary of chronically ill patients’ management. A
preliminary coordination care plan creates an illness challenge to social relation alteration
and to identity that is personal and uncertain creation. Since an effect on one life sphere
may affect the other sphere of life, it’s very much worrying (Jones et al, 2018).Chronic
diseases cause social problems, which cause a tremendous and complicated impact on the
provision of service to the patient calling for friends, family, and approaches that are
multidisciplinary in the provision of care in dealing with the chronic condition that mostly
seems more complicated to the patient. Solely reason provides that the patient problems
that are interconnected should, on rare occasions, fall in the hand of one professional (Jones
et al., 2018). This, therefore, resorts to the creation of coordination plans and approaches
that are multidisciplinary to get a solution to chronic patient concerns. In my new role as a
health care coordinator in our health facility, I identify an individual from the community,
and my coordination care plan for the coordination process with the client is as presented
below. Coordination Care Plan Depression Patient’s Details Patient Name: Terry Johnson
COORDINATING CARE 3 Date of birth: 08/10/1995 Address: tjohnson@gmail.com Payer
Source: Discussion: Coordination Care Plan in Medical FieldsMedical Insurance Company
Secondary Source: Journals on medicine Preliminary Care Coordination Plan Health
Concern On focusing on my care coordination plan of a patient known as Laetitia (not her
real name), I identified depression as her health concern. Generally, depression is a mental

2. health problem identified with an obstinately depressed state or lack of interest in a
person’s usual activities that prompt consequential damage to a person’s everyday
activities. Its possible causes comprise social, psychological, and biological distress sources
(Battle et al, 2010). These factors might also bring about massive changes in the brain’s
functioning, including the alteration of activities of some mind neural circuits. Laetitia is
clinically depressed because of her persistent sadness and lack of interest in her usual
activities, thus characterizing a significant depression that has prompted a range of physical
and behavioral symptoms. Some other symptoms she displays include changes in sleeping
patterns, decreased appetite, reduced concentration, and self-esteem. It was also previously
reported that Laetitia had, in the past, tried to commit suicide. Several best practices can be
applied to improve her health. One of these best approaches includes prescribing
depression drugs known as antidepressant drugs for her.These drugs include the SSRIs, an
abbreviation for Selective Serotonin Reuptake inhibitors, which are the most known choice
since they are practical and have lesser side effects than older antidepressants. Other than
COORDINATING CARE 4 SSRIs, other antidepressants that can be prescribed include
escitalopram, citalopram, fluoxetine, paroxetine, and sertraline. Another best approach is to
talk about therapy or psychotherapy. This is particularly effective when merged with
antidepressant treatment. Other treatments like E.C.T. (electroconvulsive therapy), V.N.S.
(vagus nerve stimulation) will only be used if she does not respond to both the talk therapy
the antidepressant therapy approach (Hallgren et al., 2010). Also, this calls even on the
intervention of her friends and family. This is because the collaboration and coordination of
health sector resources and services are solely needed for a proper solution that is not
based on only one professional. This, in turn, makes it very important to have a coordinated
care plan for an appropriate and well-managed service coordination process. Treatment
Plan Laetitia’s treatment plan involves setting a few short-term and long-term goals to help
her live the life she desires and manage her mental heal.Thus, this section of the paper
mainly focuses on identifying the treatment goals set for Laetitia, seeking outpatient
depression treatment. Some of the short-term goals include walking up by a particular time,
completing the available household tasks, calling for support groups, introducing herself to
new members in her workplace, exercising, and sticking to her everyday schedule
(Hannigan et al., 2018). Long-term treatment goals include building or improving how she
relates with her friends or family members, finding or keeping the job she enjoys,
organizing her home, incrementing positive health activities like eating a healthy diet, and
involving herself in community or volunteering services. Another long-term goal to get
herself an encouraging support network as she works towards accomplishing these goals.
One way of making this possible by having a responsible partner. A person that holds her
responsible for COORDINATING CARE 5 accomplishing her goals and holds him for
accomplishing his. This will improve her health condition in all ways. Available Community
Resources and Services/Referrals There is a number of available community services; these
services include; hosting of fundraising and donating money, requesting for charitable
donations, charity walk and run participation, local non-profitable activities volunteering,
offering free tutoring services, and many others. The community resources available for
safe and effective continuum care for Laetitia include WebMD, a depression and mental

3. health online community where she can search out for any available depression specialist
within her region and discover a lot of timely data on depression from hospitals
recommended by the WebMD doctors. Discussion: Coordination Care Plan in Medical
FieldsThere also mental health organizations like NAMI (National Alliance on Mental
Illness) and the National Suicide Prevention Lifeline (NSPL). Nami is a mental health firm
devoted to enhancing the lives of a lot of depressed Americans. NSPL, on the other hand, is a
toll-free and private hotline for preventing suicide for anybody experiencing emotional
distress or suicidal crisis. This will be of great help to Laetitia due to previous failed suicidal
attempts. Other community resources available include: • Hospitals ✓The patient’s
Community treatment hospitals that are available are; Cleveland clinic, Hero’s hospital,
Rochester clinic, John-Hopkins general hospital, Cedars Sinai Medical center, UCLA Center,
and New York Hospital. • Education Services COORDINATING CARE 6 ✓Education services
available in the community include centers for training and instructions such as colleges,
schools, training centers, and universities. • Rehabilitation Services ✓Rehabilitation
services in the community include; cognitive therapy, mental health rehabilitation services,
language and speech therapy, and physical and occupational therapy.• Pharmacies ✓The
community’s available pharmacies include; Kroger Company, Omnicare, Safeway, Supervalu
Inc., Walgreens, and Walmart stores. • D.M.E. Equipment Providers ✓D.M.E. (Durable
medical equipment) providers in the community include; A.R.C. Distributors, A+ Products
Inc, A.A.P. Implantate AG, Abbott, and Abilitation Inc. • Incontinence Service Providers ✓
Service providers in the Incontinence field include; Jerusalem hospital, Rawls King, Einstein
Hope, Safeway, and Clean-path. • Parenteral Service and Enteral Nutrition Providers ✓The
community parenteral service providers include; The Walkers, Chasers Hospital, John-
Hopkins general hospital, Cedars Sinai Medical center, UCLA Center, and New York Hospital.
• Social Services COORDINATING CARE • 7 Social services available in the community
include; food subsidies, education, police services, lobbying, community management
adoption, job training, and fire services. • Transition Services ✓There are vocational
training and post-secondary education transitional services available in the community. •
Transportation Services ✓The available modes of transport include; roadways, railways,
waterways, pipelines, and airways • Skilled Nursing Services ✓The skilled nursing services
include nurse skills under professional supervision for management, evaluation,
observation of health conditions, and therapy treatment. CulturalNeeds Cultural needs
involve individuals’ cultural norms and norms which need to be considered, for example;
Religious beliefs, customs, traditions, laws, and architectural style that highly varies among
communities. Schizophrenia Patient’s Details Patient Name: Mia Malik Date of birth:
16/11/1987 Address: malikm@gmail.com COORDINATING CARE Payer Source: Medical
Insurance Company Secondary Source: Journals on medicine 8 Preliminary Care
Coordination Plan Health concerns During the care plan identified, the patient had
schizophrenia, a mental disorder that causes the affected patients to have an abnormal
interpretation of reality. Some of the symptoms include delusions and hallucinations. Also,
the patients experience behavior and thinking disorder that disrupts their daily activities.
Mia was suffered from schizophrenia since she could not coordinate speech and could have
episodes of hallucination and delusions because he claimed to experience scenarios that

4. were not present at the moment (Conley, 2016). The exact causes of the condition are
unknown, but the researchers suggest that some environmental factors, including stress,
can contribute to schizophrenia disorder. The patients’ health condition can be improved by
combining some approaches, including antipsychotic medication, which manipulates the
patients’ serotonin and dopamine hormones to manage delusions and hallucinations. Also,
physiological therapy, including psych educations and cognitive behavioral therapy. The
management must incorporate the family from training skills on schizophrenia
management. Treatment plan Mia’s treatment plan involves both the long-term and short-
term goals for the patient’s medications and treatments to realize reality-based thought and
execute verbal communication. Also, for the patient to conduct neural activity topics and
share the environmental observation, Discussion: Coordination Care Plan in Medical
FieldsCOORDINATING CARE 9 which represents the treatment’s short-term results. In the
long term, the patient is expected to communicate in an understandable manner to her
friends and family members. Interventions Establishing a baseline that will ensure realistic
goals for the effective care plan identifies the psychotic medication plan. Also, ensure when
talking to the patients, the voice is low and in a calm environment. Short, frequent sessions
should be planned with the patients by using simple words and gentle directions. Focus on
meaningful activities should be maintained, and replace negative perception with a
constructive and positive thought. Community resources The community support groups of
schizophrenia involve health care facilities, national alliances on mental health, and mental
health facilities that ensure robust support for the affected patients. The pharmacies
offering emergency medications are also viable community resources. Anxiety disorder
Patient’s Details Patient Name: John White Date of birth: 14/12/1995 Address:
malikm@gmail.com Payer Source: Medical Insurance Company Secondary Source: Journals
on medicine COORDINATING CARE 10 Preliminary Care Coordination Plan Health concerns
After interaction with the patient, I discovered the patient was suffering from an anxiety
disorder, which manifested in depicting unusual panic disorders without significant reasons
and exhibiting unwavering worries and unwarranted fear of various objects.The anxiety
causes the affected patient to have distress, which impairs their daily expressions. Jacob
presented with episodes of panic attacks, which were sufficient markers to suffer from
anxiety disorders. Interventions Some of the interventions to realize resilience include
recognizing a patient’s anxiety and ensuring presence and touch to remind patients they are
not alone. Also, familiarize patients with new individuals and environment and ensure
peaceful interaction with the patients. Another crucial measure is communicating using
simple language and reinforcing the patient’s expressions of discomfort and pain (Craske,
2015). Also, the patients should be assisted in identifying anxiety triggers to have a
situational response and encouraging them to maintain a positive perception that anxiety is
not lethal. Community resources The community resources that exist to reinforce anxiety
disorders management include mental health facilities that offer medication services and
follow up. Support groups that ensure there are psychosocial assistances, including anxiety
disorder associations. Mental institutes and health facilities. The community resources offer
both management and treatment services to the affected individuals. COORDINATING CARE
11 Hourly Nursing and Respite Care Services Care services include; talking at sitting with a

5. disabled person, bathing, dressing, and exercising, helping medication, helping the disabled
get in and out of bed, assisting in travel lighting, housekeeping, and many others. Conclusion
A preliminary coordination care plan is very important and more effective in managing
chronic conditions. It provides a confident solution to the patient and also promotes
teamwork. Patients should strictly follow the plan to manage their conditions.A preliminary
coordination care plan creates an illness challenge to social relation alteration and to
identity that is personal and uncertain creation. Since an effect on one life sphere may affect
the other sphere of life, it’s very much worrying. COORDINATING CARE 12 References
Battle, C. L., Uebelacker, L., Friedman, M. A., Cardemil, E. V., Beevers, C. G., & Miller, I. W.
(2010). Treatment goals of depressed outpatients: a qualitative investigation of goals
identified by participants in a depression treatment trial. Journal of psychiatric practice,
16(6), 425. Cardoso, E. M., Reis, C., & Manzanares-Céspedes, M. C. (2018). Chronic
periodontitis, inflammatory cytokines, and interrelationship with other chronic diseases.
Postgraduate medicine, 130(1), 98-104. Conley, R. R., & Kelly, D. L. (2016). Management of
treatment resistance in schizophrenia. Biological psychiatry, 50(11), 898-911. Craske, M. G.,
Stein, M. B., Sullivan, G., Sherbourne, C., Bystritsky, A., Rose, R. D., & RoyByrne, P. (2015).
Disorder-specific impact of coordinated anxiety learning and management treatment for
anxiety disorders in primary care. Archives of General Psychiatry, 68(4), 378-388. Hallgren,
M., Kraepelien, M., Lindefors, N., Zeebari, Z., Kaldo, V., & Forsell, Y. (2015). Physical exercise
and internet-based cognitive–behavioral therapy in the treatment of depression: a
randomized controlled trial. The British Journal of Psychiatry, 207(3), 227-234. Hannigan,
B., & Simpson, A. ORCID: 0000-0003-3286-9846, Coffey, M., Barlow, S. ORCID: 0000-0002-
2737-8287 and Jones, A.(2018). Care Coordination as Imagined, Care Coordination as Done:
Findings from a Cross-national Mental Health Systems Study. International Journal of
Integrated Care, 18(3), 12. COORDINATING CARE 13 Hannigan, B., Simpson, A., Coffey, M.,
Barlow, S., & Jones, A. (2018). Care coordination as imagined, care coordination as done:
findings from a cross-national mental health systems study—International Journal of
Integrated Care, 18(3). Jones, A., Hannigan, B., Coffey, M., & Simpson, A. (2018).Traditions of
research in community mental health care planning and care coordination: A systematic
meta-narrative review of the literature. PloS one, 13(6), e0198427. Nakimuli-Mpungu, E.,
Wamala, K., Okello, J., Alderman, S., Odokonyero, R., Mojtabai, R., & Musisi, S. (2015). Group
support psychotherapy for depression treatment in people with HIV/AIDS in northern
Uganda: a single-center randomized controlled trial. The Lancet H.I.V., 2(5), e190-e199.
12/8/2020 Capella University Scoring Guide Tool NURS-FPX4050 u04a1 – Final Care
Coordination Plan Learner: Erik , Hovsepyan OVERALL COMMENTS Hi Erik Thank you for
your work on this final assessment. I think you did a very nice job of presenting a final care
coordination plan for your selected patient. I like that you included specific health
interventions and timelines grounded in evidence-based practice. This is so important and
is often overlooked, especially considering the different ethical issues and policies that
guide the care of your unique patient population. Overall, this is a very good effort on this
final care coordination plan, and I value your time and professionalism and creativity in
preparing this.I hope you will take the information you learned on creating this final care
coordination plan back to your facility to identify opportunities to improve health

6. outcomes. This would be a great way to share nursing knowledge. I look forward to seeing
what you do in your future educational endeavors. **Please fill out the end of course survey
when you receive it. Thanks Dr. Hooven RUBRICS
https://scoringguide.capella.edu/grading-web/gradingdetails 1/13 12/8/2020 Capella
University Scoring Guide Tool CRITERIA 1 Design patient-centered health interventions and
timelines for a selected health care problem. COMPETENCY Adapt care based on patient-
centered and person-focused factors. NON_PERFORMANCE: Does not design patient-
centered health interventions and timelines for a selected health care problem. BASIC:
Designs patient-centered health intervention for a selected health care problem.
PROFICIENT: Designs patient-centered health interventions and timelines for a selected
health care problem. DISTINGUISHED: Designs patient-centered health interventions and
timelines for a selected health care problem that includes community resources. Discussion:
Coordination Care Plan in Medical FieldsComments: I like that you designed a care plan for
depression/anxiety/schizophrenia that provides a comprehensive and patient-centered
plan that provides health interventions and timelines for care that reflect patient needs and
preferences based on the availability of essential resources available in your community.
https://scoringguide.capella.edu/grading-web/gradingdetails 2/13 12/8/2020 Capella
University Scoring Guide Tool CRITERIA 2 Consider ethical decisions in designing patient-
centered health interventions. COMPETENCY Defend decisions based on the code of ethics
for nursing. NON_PERFORMANCE: Does not consider ethical decisions in designing health
interventions. BASIC: Considers ill-defined or ambiguous ethical decisions in designing
patient-centered health interventions. PROFICIENT: Considers ethical decisions in
designing patient-centered health interventions. DISTINGUISHED: Considers insightful
ethical decisions in designing patient-centered health interventions. These decisions are
supported by the literature. Comments: I see that you made ethical decisions in designing
patient-centered health interventions. To earn distinguished in this criterion, I recommend
you address insight ethical decisions informed by relevant ethical considerations, the
practical effects of specific actions, and the significance of key uncertainties. Can you discuss
the code of ethics for nurses in here? https://scoringguide.capella.edu/grading-
web/gradingdetails 3/13 12/8/2020 Capella University Scoring Guide Tool CRITERIA 3
Identify relevant health policy implications for th …