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NURS FPX 4065 Assessment 5 Final Care Coordination Strategy

Student Name Capella University NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Final Care Coordination Strategy Care coordination is a structured process that promotes continuous, well-organized care across different healthcare settings, particularly for individuals with complex or chronic conditions. Effective coordination enhances patient outcomes, reduces health inequities, and strengthens overall satisfaction with care delivery (Garfin et al., 2022). This paper presents a comprehensive strategy for adults with mental illness in Florida, a population significantly impacted by both behavioral and physical health challenges. The discussion includes patient-centered health interventions, timelines, community resources, ethical concerns, policy considerations, and alignment with Healthy People 2030 goals. Patient-Centered Health Interventions and Timelines Florida has nearly 2.9 million adults living with mental illness, many of whom face not only psychiatric challenges but also physical comorbidities, cultural stigma, and psychosocial barriers (Garfin et al., 2022). To provide meaningful support, care coordination must be personalized, evidence-based, and inclusive of community partnerships. The following table outlines three patient-centered interventions to address comorbid physical illness, cultural stigma, and emotional dysregulation with proposed timelines. Interventions, Community Resources, and Timelines Barrier Intervention Community Partners Timeline & Monitoring Physical Comorbidities (e.g., cardiovascular disease, diabetes) Regular screenings (BMI, glucose, lipid profiles, BP), lifestyle counseling integrated into therapy Care Resource, Caron Florida, MHACF (Mental Health Connections program) Screening at intake, repeat after 3 months, ongoing lifestyle counseling from month 1 Cultural Stigma & Low Mental Health Literacy Biweekly culturally sensitive education sessions (bilingual resources, peer-led awareness programs) NAMI Florida, MHACF (outreach), Care Resource (minority-focused education) Begin 2 weeks post-diagnosis, continue biweekly for 6 months, surveys pre/post sessions Emotional Dysregulation (depression, anxiety) Weekly Mindfulness-Based Cognitive Therapy (MBCT) sessions Caron Florida (MBCT programs), Outlook Clinic (MHACF), NAMI Florida (mindfulness workshops) Start within 1 month of diagnosis, weekly for 6 months, target 40% PHQ-9 improvement Ethical Decisions in Designing Patient-Centered Health Interventions Care interventions for adults with mental illness present several ethical challenges. Relevant Health Policy Implications Supportive health policies create a foundation for sustainable care coordination. Priorities for Care Coordinators in Patient and Family Discussions on Mental Illness Care coordinators should emphasize trust, transparency, and cultural awareness in patient-family discussions. This collaborative approach ensures patients and families are active partners in the care process. Learning Session Content with Best Practices and Healthy People 2030 Best practices emphasize sustainability and cultural relevance in mental health care. These align with Healthy People 2030 goals by targeting disparities, improving health literacy, and promoting equitable mental health outcomes. Need for Change The current plan could be improved by integrating feedback mechanisms (e.g., post-session evaluations, focus groups) and peer-support facilitators to ensure cultural relevance and patient responsiveness. Without these, the strategy risks being rigid or less impactful. Implementing these changes will strengthen patient engagement, align with Healthy People 2030, and promote sustainable behavioral health improvements. Conclusion This coordinated care strategy addresses the multifaceted needs of adults with mental illness in Florida by focusing on physical health integration, stigma reduction, and emotional regulation. Community partnerships, ethical considerations, and supportive policies ensure interventions are inclusive and effective. By embedding evaluation tools, culturally sensitive education, and MBCT programs, this approach not only aligns with Healthy People 2030 but also empowers patients, improves access, and advances long-term mental health outcomes. References Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus. https://doi.org/10.7759/cureus.39549 Care Resource. (2025). Behavioral health. Care Resource. https://careresource.org/services/behavioral-health/ NURS FPX 4065 Assessment 5 Final Care Coordination Strategy Caron Florida. (2024). Mental health program. Caron Transformational Care. https://www.caron.org/treatment-programs/mental-health-program CMS. (2024, September 10). The mental health parity and addiction equity act (MHPAEA). Centers for Medicare & Medicaid Services. https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity Garfin, D. R., Thompson, R. R., Holman, E. A., Wong-Parodi, G., & Silver, R. C. (2022). Association between repeated exposure to hurricanes and mental health in a representative sample of Florida residents. JAMA Network Open, 5(6), e2217251. https://doi.org/10.1001/jamanetworkopen.2022.17251 Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Mindfulness-based cognitive therapy in clinical practice: A systematic review of neurocognitive outcomes and applications for mental health and well-being. Journal of Clinical Medicine, 14(5), 1703. https://doi.org/10.3390/jcm14051703 Healthy People 2030. (2020). Mental health and mental disorders. Health.gov. https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders Liu, W., Yuan, J., Wu, Y., Xu, L., Wang, X., Meng, J., Wei, Y., Zhang, Y., Kang, C.-Y., & Yang, J.-Z. (2024). A randomized controlled trial of mindfulness-based cognitive therapy for major depressive disorder in undergraduate students: Dose- response effect, inflammatory markers and BDNF. Psychiatry Research, 331. https://doi.org/10.1016/j.psychres.2023.115671 MHACF. (2025). About us. Mental Health Association of Central Florida. https://mhacf.org/learn-more/ Nagaoka, M., Koreki, A., Kosugi, T., Ninomiya, A., Mimura, M., & Sado, M. (2023). Economic evaluation alongside a randomized controlled trial of mindfulness-based cognitive therapy in healthy adults. Psychology Research and Behavior Management, 16, 2767–2785. https://doi.org/10.2147/prbm.s406347 NURS FPX 4065 Assessment 5 Final Care Coordination Strategy NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/ Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature Reviews Cardiology, 18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7

NURS FPX 4065 Assessment 4 Care Coordination Presentation to Colleagues

Student Name Capella University NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Care Coordination Presentation to Colleagues Care Coordination (CC) is central to achieving improved patient outcomes and ensuring seamless healthcare delivery. Nurses play a pivotal role in connecting patients, families, and interprofessional teams, facilitating effective communication and continuity of care. According to Karam et al. (2021), CC enhances patient engagement, supports informed decision-making, and addresses diverse needs across care settings. This presentation explores evidence-based strategies for collaboration, highlights the importance of change management, explains the rationale for coordinated care, and discusses the impact of healthcare policies on patient outcomes. Evidence-Based Strategies Shared Decision-Making (SDM) One of the most effective strategies in CC is Shared Decision-Making (SDM). It allows patients and providers to collaboratively choose treatment options, ensuring decisions reflect both medical evidence and patient values. As Resnicow et al. (2021) explain, SDM must remain flexible, as some patients may need additional guidance depending on their health literacy, cultural beliefs, or emotional state. Nurses strengthen SDM by: These practices empower patients, foster autonomy, and improve adherence to care plans. Cultural Competence Equally important is cultural competence, which ensures care is equitable and respectful of cultural and linguistic diversity. The U.S. Department of Health and Human Services (HHS) provides standards to guide culturally responsive care for Culturally and Linguistically Diverse (CALD) populations. Examples include: This approach builds trust and reduces disparities in healthcare access and outcomes. Family Involvement Family engagement is another pillar of effective CC. Patients with chronic conditions such as diabetes or asthma often require long-term family support. Nurses educate families about medication adherence, self-care, and community resources. When families receive culturally relevant and literacy-sensitive resources, they can support patients more effectively at home, reducing complications and unnecessary readmissions (Karam et al., 2021). Change Management Change management in CC goes beyond policies—it requires preparing nurses to lead transitions effectively. Clear and consistent communication during care transitions prevents fragmented services, duplicated tests, and medication errors. Lewin’s Change Model in Nursing Practice Stage Description Application in Care Coordination Unfreezing Recognizing the need for change Nurses identify care gaps and prepare teams for new processes. Changing Implementing new practices Introduction of tools like team-based care and standardized discharge processes. Refreezing Sustaining changes New processes become part of standard nursing practice. Barrow (2022) emphasizes that this structured approach allows nurses to confidently lead initiatives while ensuring patient safety. Enhancing Patient Experience Patient experiences improve when small but meaningful changes occur consistently. For instance: Unlike traditional satisfaction surveys, these patient-centered strategies focus on tangible outcomes such as pain management, timely communication, and feeling heard. Ultimately, effective change management strengthens patient trust and ensures care continuity. Rationale for Coordinated Care Coordinated care is grounded in ethical principles that emphasize justice, dignity, autonomy, and beneficence. According to the American Nurses Association (ANA, 2025), nurses have a professional duty to safeguard patients’ rights and ensure compassionate, person-centered care. Key ethical considerations include: Ilori et al. (2024) argue that ethical CC not only improves patient satisfaction but also reduces moral distress for nurses. By aligning care with professional codes of ethics, nurses build trust, enhance communication, and promote equitable care delivery. Impact of Health Care Policy Provisions Healthcare policies directly shape how CC is delivered. Affordable Care Act (ACA) The ACA expanded Medicaid coverage and mandated preventive services, enabling more patients to access early interventions and manage chronic conditions (Ercia, 2021). It also introduced Accountable Care Organizations (ACOs), which encourage interdisciplinary collaboration—where nurses play a crucial role in patient education and discharge follow-ups. HIPAA The Health Insurance Portability and Accountability Act (HIPAA) ensures patient confidentiality. By adhering to HIPAA, nurses build trust, safeguard sensitive data, and promote patient engagement. Breaches in privacy not only compromise care but also reduce willingness to seek services. Telehealth Expansion Post-COVID-19 policies have increased telehealth access, allowing patients in underserved areas to receive timely support. Nurses now use telehealth to monitor symptoms, provide medication guidance, and conduct regular follow-ups. Moulaei et al. (2023) note that this approach significantly enhances patient satisfaction by improving convenience and continuity. Nurse’s Role in Coordination Nurses act as the primary coordinators of care transitions across different healthcare settings. Their role includes: Policies such as value-based care models and the CMS Chronic Care Management (CCM) program emphasize nurse-led initiatives that reduce costs and improve outcomes. When empowered, nurses can bridge care gaps, minimize hospital readmissions, and create patient-centered systems that are responsive and sustainable (Karam et al., 2021). Conclusion Effective CC enhances patient safety, satisfaction, and health outcomes. Nurses, through evidence-based practices, cultural sensitivity, and ethical decision-making, drive patient-focused care across transitions. Policies like the ACA, HIPAA, and telehealth reforms further strengthen coordination by expanding access and safeguarding patient trust. Ultimately, CC supports a more inclusive, equitable, and patient-centered healthcare system. References American Nurses Association. (2025). Ethics and human rights. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/ Barrow, J. M., & Annamaraju, P. (2022). Change management in health care. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459380/ NURS FPX 4065 Assessment 4 Care Coordination Presentation to Colleagues Ercia, A. (2021). The impact of the Affordable Care Act on patient coverage and access to care: Perspectives from FQHC administrators in Arizona, California and Texas. BioMed Central Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9 Ilori, O., Kolawole, O., & Aderonke, J. (2024). Ethical dilemmas in healthcare management: A comprehensive review. International Medical Science Research Journal, 4(6), 703–725. https://doi.org/10.51594/imsrj.v4i6.1251 Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1), 1–21. https://doi.org/10.5334/ijic.5518 Moulaei, K., Sheikhtaheri, A., Fatehi, F., Yazdani, A., & Bahaadinbeigy, K. (2023). Patients’ perspectives and preferences toward telemedicine versus in-person visits: A mixed-methods study on 1226 patients. BioMed Central Medical Informatics and Decision Making, 23(1). https://doi.org/10.1186/s12911-023-02348-4 NURS FPX 4065 Assessment 4 Care Coordination Presentation to Colleagues Resnicow, K., Catley, D., Goggin, K., Hawley, S., & Williams, G. C. (2021). Shared decision making in health care: Theoretical perspectives for why it works and for whom. Medical Decision Making, 42(6), 755–764. https://doi.org/10.1177/0272989×211058068

NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination

Student Name Capella University NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Ethical and Policy Factors in Care Coordination Hello, I am _________, and I am pleased to share this presentation with you today. I currently serve as a care coordinator at the Longevity Center, an organization dedicated to supporting individuals with mental health conditions through education, advocacy, and access to essential care services. Agenda This discussion focuses on the ethical and policy aspects that influence care coordination in mental health at the Longevity Center. It explores: The primary emphasis is on reducing disparities, ensuring cultural sensitivity, and developing sustainable systems that promote patient-centered mental health care. Significance of Care Coordination in Chronic Disease Management Care coordination plays a vital role in addressing mental health challenges. At the Longevity Center, it ensures timely and integrated support across multiple specialties. Individuals living with mental health conditions often require input from psychiatrists, nurses, social workers, and community organizations. When services are fragmented, patients face worsening symptoms, frequent crises, and escalating healthcare costs. In Florida alone, more than 2.8 million adults live with mental health disorders. In 2021, nearly 41% of adults reported symptoms of depression (National Alliance on Mental Illness [NAMI], n.d.). Effective coordination ensures these individuals receive holistic support while reducing the burden on emergency care. Governmental Policies’ Effect on Care Coordination Both federal and state-level policies in Florida strongly shape how mental health services are coordinated at the Longevity Center. Federal and State Provisions Role of Community Resources Organizations such as NAMI Florida offer peer support, educational programs, and resource navigation. These services complement clinical care at the Longevity Center and reduce fragmentation in the system. Ethical Questions or Dilemmas for Care Coordination Policies influence care delivery but also raise ethical challenges. National Policy: The Affordable Care Act (ACA) The ACA broadens access to mental health care and promotes cost management through integrated care models. However, standardized protocols sometimes conflict with patient autonomy, particularly in mental health cases requiring individualized treatment (Braun et al., 2023). State Policy: Florida Medicaid Behavioral Health Programs Medicaid expands access for underserved groups but often results in delayed care, shortages of specialists, and administrative complexity. These barriers compromise the ethical principle of beneficence, as patients may experience worsened outcomes due to systemic inefficiencies (Patel et al., 2025). Local Policy: Community Mental Health Programs Community-based initiatives supported by groups like NAMI Florida provide free counseling, screenings, and educational resources (NAMI Florida, 2025). Yet, inconsistent funding and resource limitations create issues of justice and fairness, as not all patients gain equal access. Table 1 Ethical and Policy Dilemmas in Care Coordination Policy Level Provision Ethical Challenge Impact at Longevity Center National Affordable Care Act Tension between standardized protocols and patient autonomy Risk of cost-driven care overriding individualized treatment State Florida Medicaid Programs Beneficence compromised by care delays and provider shortages Vulnerable patients face worsening mental health Local Community Mental Health Services Justice concerns in resource distribution Unequal access undermines fairness and trust Impact of the Code of Ethics for Nurses The ANA Code of Ethics is a guiding framework for addressing these challenges. At the Longevity Center, nurses often confront inequities, especially in underserved or rural communities. Applying ethical principles—autonomy, beneficence, justice, and non-maleficence—helps ensure safe, equitable, and person-centered care. By adhering to these values, nurses also improve long-term treatment adherence. Social Determinants of Health and Health Equity Mental health outcomes are closely tied to social determinants of health (SDOH). Patients at the Longevity Center frequently encounter: These barriers hinder equal access and compromise ethical principles of justice and fairness. The ANA Code of Ethics urges nurses to respond to these inequities with culturally sensitive and context-specific interventions (ANA, 2025). Recommendations for Support and Collaboration Strengthening ethical and policy-based care coordination requires collaborative strategies: Conclusion Ethical and policy-driven care coordination is essential to addressing mental health disparities at the Longevity Center. Guided by the ANA Code of Ethics, nurses and healthcare teams can advocate for fairness, autonomy, and justice while collaborating with community organizations. By integrating culturally sensitive strategies and supporting policy reforms, the Longevity Center can advance equity and deliver sustainable mental health care solutions. References ANA. (2025). Code of ethics for nurses. American Nurses Association. https://codeofethics.ana.org/home Braun, E., Scholten, M., & Vollmann, J. (2023). Assisted suicide and the discrimination argument: Can people with mental illness fulfill beneficence‐ and autonomy‐based eligibility criteria? Bioethics, 38(1), 61–68. https://doi.org/10.1111/bioe.13243 Bury, D., Hendrick, D., Smith, T., Metcalf, J., & Drake, R. E. (2022). The psychiatric nurse care coordinator on a multi-disciplinary, community mental health treatment team. Community Mental Health Journal, 58(7), 1354–1360. https://doi.org/10.1007/s10597-022-00945-7 Florida Department of Children and Families. (2024). Baker act | Florida DCF. https://www.myflfamilies.com/crisis-services/baker-act NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination MHACF. (2025). About us. Mental Health Association of Central Florida. https://mhacf.org/learn-more/ NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/ National Alliance on Mental Illness. (n.d.). Mental health in Florida. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf Patel, R., Baser, O., Waters, H. C., Huang, D., Morrissey, L., Rodchenko, K., & Samayoa, G. (2025). Open access to antipsychotics in state Medicaid programs: Effect on healthcare resource utilization and costs among patients with serious mental illness. Journal of Health Economics and Outcomes Research, 12(1), 222–229. https://doi.org/10.36469/001c.137909 Pincus, H. A., & Fleet, A. (2022). Value-based payment and behavioral health. JAMA Psychiatry, 80(1), 6–8. https://doi.org/10.1001/jamapsychiatry.2022.3538 NURS FPX 4065 Assessment 3 Ethical and Policy Factors in Care Coordination Subbian, V., Galvin, H. K., Petersen, C., & Solomonides, A. (2021). Ethical, Legal, and Social Issues (ELSI) in mental health informatics. Health Informatics, 479–503. https://doi.org/10.1007/978-3-030-70558-9_18

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Student Name Capella University NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Preliminary Care Coordination Plan for Adult Mental Health Patients in an Acute Health Setting This preliminary care coordination plan focuses on adult patients with mental health conditions admitted to acute healthcare settings. Such individuals frequently experience overlapping physical, cultural, and psychosocial challenges that complicate care. A coordinated approach can promote holistic recovery, enhance quality of life, and ensure continuity of care. Physical Considerations and Best Practices Risks Adults with serious mental health disorders are at heightened risk of physical health complications such as cardiovascular diseases, diabetes, and chronic respiratory problems. Research highlights that individuals with severe psychiatric conditions have a life expectancy that is approximately 15–20 years shorter compared to the general population (Nielsen et al., 2021). Factors such as sedentary lifestyles, poor dietary habits, limited access to healthcare, and side effects of psychotropic medications further increase vulnerability. Best Practices To address these concerns, several best practices should be embedded into care plans: NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan Physical Consideration Best Practice Approach Increased risk of cardiovascular, respiratory, and metabolic disorders Routine health checks (BMI, glucose, cholesterol, blood pressure) Reduced lifespan in individuals with severe mental illness Lifestyle modification programs (exercise, smoking cessation, healthy diet) Medication side effects contributing to poor health Close monitoring of psychotropic medication and early intervention Mental Illness Mental illness refers to significant disturbances in thought processes, mood regulation, or behavior. These disruptions are linked to biological, psychological, or developmental dysfunctions that impair cognitive abilities and overall functioning (Stein et al., 2021). In the U.S., approximately one in five adults experiences some form of mental health challenge annually. In Florida alone, 2.8 million adults are affected by mental health disorders, with nearly 41% reporting anxiety and depression in 2021 (National Alliance on Mental Illness [NAMI], n.d.). The widespread nature of these conditions underlines the importance of coordinated, evidence-based care approaches. Cultural Considerations and Best Practices Barriers and Challenges Cultural stigma, misconceptions, and traditional beliefs can prevent individuals from seeking timely psychiatric help. Patients from diverse cultural backgrounds may hesitate to pursue therapy due to fear of discrimination or misunderstanding. Best Practices To overcome these barriers, care strategies must be culturally responsive: Cultural Challenge Recommended Best Practice Stigma and misconceptions Provide culturally sensitive education to reduce stigma Reluctance to seek professional help Integrate patients’ cultural values into care planning Lack of awareness of mental illness Offer multilingual and culturally tailored health education Psychosocial Considerations and Best Practices Psychosocial aspects of mental illness affect how individuals think, feel, and interact with society. Challenges may include difficulty regulating emotions, strained relationships, poor coping mechanisms, and challenges in decision-making. Evidence-Based Practices Psychosocial Need Evidence-Based Practice Emotional instability Mindfulness-Based Cognitive Therapy (MBCT) Stress management Yoga, meditation, breathing techniques Social isolation Group psychotherapy for belonging and mutual support NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan Underlying Assumptions and Uncertainties SMART Goals Community Resources Several community-based organizations provide accessible and affordable care options that support continuity of treatment for adults with mental health needs: Resource Services Provided Contact Information Mental Health Association of Central Florida (MHACF) Peer counseling, free mental health treatment, educational programs Phone: 407-898-0110Address: 605 E Robinson St., Suite 450, Orlando, FL 32801 Caron Florida Individual and group therapy, CBT, DBT, psychiatric medication management, education programs Phone: 1-855-548-0352Address: 7789 NW Beacon Square Blvd, Boca Raton, FL NAMI Florida Advocacy, patient support, mental health awareness programs Phone: 850-671-4445Address: P.O. Box 302, Ocala, FL 34478 Care Resource Individual and group therapy, patient-centered care, low-cost or grant-funded services Phone: 305-576-1234Address: 3510 Biscayne Blvd. Miami, FL 33137 References Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus. https://doi.org/10.7759/cureus.39549 Care Resource. (2025). Behavioral health. Care Resource. https://careresource.org/services/behavioral-health/ Caron Florida. (2024). Mental health program. Caron Transformational Care. https://www.caron.org/treatment-programs/mental-health-program Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Mindfulness-based cognitive therapy in clinical practice: A systematic review of neurocognitive outcomes and applications for mental health and well-being. Journal of Clinical Medicine, 14(5), 1703. https://doi.org/10.3390/jcm14051703 Koomen, M., van, J., Deenik, J., & Cahn, W. (2022). Lifestyle interventions for people with a severe mental illness living in supported housing: A systematic review and meta-analysis. Frontiers in Psychiatry, 13, 966029. https://doi.org/10.3389/fpsyt.2022.966029 Marmarosh, C. L., Sandage, S., Wade, N., Captari, L. E., & Crabtree, S. (2022). New horizons in group psychotherapy research and practice from third wave positive psychology: A practice-friendly review. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3), 643. https://doi.org/10.4081/ripppo.2022.643 MHACF. (2025). About us. Mental Health Association of Central Florida. https://mhacf.org/learn-more/ NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/ National Alliance on Mental Illness. (n.d.). Mental health in Florida. National Alliance on Mental Illness. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature Reviews Cardiology, 18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7 Stein, D. J., Palk, A. C., & Kendler, K. S. (2021). What is a mental disorder? An exemplar-focused approach. Psychological Medicine, 51(6), 894–901. https://doi.org/10.1017/S0033291721001185

NURS FPX 4065 Assessment 1 BSN Practicum Conference Call Worksheet

Student Name Capella University NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date BSN Practicum Conference Call Worksheet Learner Name: _____________ Preceptor Name and Credentials: Clinic: Longevity Center Phone: (561) 843-5955 Email: Practicum Location: Call Date: _________ Attending Call: __________ Meeting Topic The initial practicum planning call with Dr. David Harrow focused on strategies to address mental health and wellness concerns among patients at the Longevity Center. The discussion emphasized the importance of evidence-based practices, the integration of interdisciplinary healthcare teams, and creating a sustainable wellness framework tailored to the patient population. Practicum Goals The practicum aims to promote holistic mental wellness while aligning with BSN competencies such as evidence-based practice, interprofessional collaboration, and patient-centered care. Goal 1 Assess the current mental health needs of patients at the Longevity Center through structured interviews, patient observations, and data collection. Goal 2 Develop and implement at least one evidence-based intervention to enhance patient well-being, such as mindfulness sessions, coping skills workshops, or stress reduction programs. Goal 3 Evaluate the effectiveness of the intervention and prepare recommendations for long-term integration into the clinic’s services. Notes on Mental Wellness Needs A holistic approach to mental wellness is required, integrating physical, emotional, and social dimensions of health. Opportunities exist for collaboration with interdisciplinary professionals, such as nurses, psychologists, counselors, and nutritionists. The Longevity Center currently lacks a structured mental health program, which provides space for innovation and program development. Practicum Schedule The practicum will be completed during weekdays, with structured hours distributed across different stages including orientation, implementation, and evaluation. Phase Activities Timeline Orientation/Assessment Orientation with staff, patient interviews, and needs assessment Weeks 1–2 Implementation Initiation of evidence-based wellness interventions Weeks 3–6 Mid-Practicum Review Reflection, feedback, and adjustments to interventions Week 5 Final Phase Evaluation of intervention outcomes, collection of feedback, and presentation Weeks 7–8 Action Items Submit finalized practicum schedule and goal plan to the faculty advisor. Draft an intervention proposal for discussion with Dr. Harrow during the next meeting. Practicum Documentation Proper documentation is essential to ensure accountability, monitor progress, and comply with institutional policies. Documentation will be maintained weekly, securely stored, and follow HIPAA guidelines. Tools will include weekly logs, reflective journals, and structured progress reports. Dr. Harrow will co-sign documentation and approve any external or public-facing materials. Action Items Create a digital system for efficient documentation and tracking. Review and sign confidentiality and practicum-related agreements. Expectations Professionalism and accountability are critical for the success of this practicum. The learner is expected to maintain punctuality and consistent communication with the preceptor and healthcare team. Attendance at all scheduled meetings and active participation in discussions regarding mental health initiatives is required. Weekly reflective journals must be submitted along with midterm and final evaluations. Action Items Email weekly summaries to Dr. Harrow each Friday. Schedule a midpoint evaluation meeting during week 5. Summary The initial practicum session successfully set the foundation for a mental wellness project at the Longevity Center. Key focus areas include identifying gaps in mental health services, implementing evidence-based wellness strategies, and evaluating their long-term effectiveness. These efforts aim to strengthen the center’s overall healthcare delivery system. Through this practicum, the student will gain hands-on experience in developing community-based mental health programs, enhancing collaboration among interdisciplinary teams, and contributing to sustainable healthcare improvements. This project aligns with BSN program outcomes by advancing patient-centered care, evidence-based practice, and quality improvement initiatives. References American Psychiatric Association. (2023). Promoting mental health and well-being: Evidence-based approaches. APA Publishing. Care Resource. (2025). Behavioral health services. Care Resource. https://careresource.org/services/behavioral-health/ NURS FPX 4065 Assessment 1 BSN Practicum Conference Call Worksheet World Health Organization. (2023). Mental health: Strengthening our response. WHO. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response