NURS FPX 6610 Assessment 3 Transitional Care Plan
NURS FPX 6610 Assessment 3 Transitional Care Plan
Name
Capella university
NURS-FPX 6610 Introduction to Care Coordination
Prof. Name
Date
Transitional Care Plan
Transitional care is a critical component of patient safety and quality of care. Its primary purpose is to ensure that patients receive seamless, advanced care as they transition between treatment phases. This approach is especially vital for individuals with chronic conditions who require continuous monitoring to prevent adverse outcomes. This document presents a transitional care plan for Mrs. Snyder, a 56-year-old patient with diabetes who has been admitted to Villa Hospital due to an infected toe. The discussion highlights key elements of her care, potential communication barriers, and strategies to improve transitional care delivery (Korytkowski et al., 2022).
Key Elements and Required Information for Quality Treatment
Effective transitional care necessitates strict adherence to guidelines to ensure optimal patient outcomes. Precision in diagnosing the patient’s condition is paramount to avoid complications (Watts et al., 2020). For Mrs. Snyder, comprehensive medical records, medication reconciliation, emergency information, and patient feedback are critical for high-quality care. Her medical history provides insight into other health conditions such as hypertension or depression, aiding in the creation of a holistic treatment plan (Chen et al., 2018).
Medication reconciliation ensures that her current medications align with her treatment goals, preventing adverse drug interactions (Fernandes et al., 2020). Additionally, emergency and advance directives address her personal and cultural preferences in healthcare decisions, fostering a patient-centered approach (Dowling et al., 2020). Community resources, such as mobility assistance, social support, and outpatient services, further contribute to her recovery and well-being (Yue et al., 2019).
Summary Table of Transitional Care Plan
| Heading | Details | References |
|---|---|---|
| Key Elements | Comprehensive medical records, medication reconciliation, patient feedback, and emergency directives are vital. | Chen et al. (2018), Fernandes et al. (2020), Dowling et al. (2020). |
| Communication | Effective communication with healthcare teams minimizes treatment errors, delays, and patient dissatisfaction. | Garcia-Jorda et al. (2022), Yazdinejad et al. (2020). |
| Challenges | Incomplete records, EHR system inefficiencies, and inadequate staff training hinder care continuity. | Cullati et al. (2019), Tsai et al. (2020). |
Insight into Patient Needs and Communication Challenges
A successful transitional care plan requires an insightful understanding of Mrs. Snyder’s needs. Key information includes her medical test results, a list of post-discharge prescriptions, and details of her previous hospital stay. It is equally important to address potential communication barriers. Miscommunication can lead to treatment delays, medical errors, and heightened healthcare costs (Raeisi et al., 2019). Training healthcare professionals on effective collaboration and EHR use can mitigate these risks (Tsai et al., 2020).
Strategies for Enhancing Transitional Care
Developing a collaborative approach is essential for seamless care transitions. Proper planning ensures that all necessary medical information, including medication reconciliation lists, is transferred to the receiving healthcare team (Glans et al., 2020). Follow-up sessions provide valuable feedback on the care process, highlighting areas for improvement. Additionally, educating Mrs. Snyder on self-management strategies, such as maintaining a healthy diet and regular exercise, fosters long-term well-being (Spencer & Singh Punia, 2020).
Conclusion
Transitional care plans play a pivotal role in ensuring that patients, like Mrs. Snyder, receive continuous, high-quality treatment. By addressing communication barriers, fostering collaboration, and focusing on patient education, healthcare providers can significantly reduce complications and improve patient satisfaction. This approach not only benefits individual patients but also contributes to better outcomes across healthcare systems.
References
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NURS FPX 6610 Assessment 3 Transitional Care Plan
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NURS FPX 6610 Assessment 3 Transitional Care Plan
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NURS FPX 6610 Assessment 3 Transitional Care Plan
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NURS FPX 6610 Assessment 3 Transitional Care Plan
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