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NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment

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    NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment

    Student Name

    Capella University

    NURS-FPX 6610 Introduction to Care Coordination

    Prof. Name

    Date

    Comprehensive Needs Assessment

    Conducting a comprehensive needs assessment is imperative for healthcare professionals to utilize diverse resources that enhance patient care. This assessment is crafted to identify gaps in patient care and address them through effective care coordination. It also facilitates the recognition of patients’ needs and the development of strategies to assess and meet those needs. The importance of care coordination in patient care is emphasized, and various strategies to enhance patient care are explored. The assessment also delves into interdisciplinary team collaboration in the context of care coordination.

    Current Gaps in Patient Care

    A case study involving a 79-year-old diabetic patient, Mr. Decker, illustrates existing gaps in patient care. Factors such as Mr. Decker’s low-income status, insufficient communication about post-discharge care, and lack of post-discharge evaluation contribute to gaps in his care. Utilizing the Patient-Centered Assessment Method, the assessment tool emphasizes an effort-based approach to address not only Mr. Decker’s physiological needs but also his social, religious, and psychological requirements (Perazzo et al., 2020).

    Informational Needs for Optimal Patient Care

    To assess the current level of care, essential patient information includes medical records (e.g., age, weight, allergies), emotional behavior, desires, medical schedule, and religious beliefs. Gathering additional necessary data involves conducting preliminary discussions and interviewing Mr. Decker’s family members, considering factors such as his interests, diet, and social connections. Electronic health records, patient registration documents, and routine follow-up procedures are also employed, ensuring adherence to HIPAA compliance (Shah & Khan, 2020).

    Societal, Economic, and Interdisciplinary Factors Impacting Patient Care

    Factors such as financial crisis, aging, and insufficient social support significantly impact patient care. Aging, in particular, poses additional risks for complications in chronic patients like Mr. Decker. Economic determinants, such as Mr. Decker’s low income, affect his access to recommended therapies. Limited social support from family members further complicates post-discharge procedures, potentially leading to serious complications (Ko et al., 2019; Palileo-Villanueva et al., 2022).

    Professional Standards and Care Coordination Outcomes

    Organizations like the National Quality Forum and the Agency for Healthcare Research and Quality play crucial roles in establishing standards for safety, care coordination outcomes, and evaluation benchmarks. Models such as the Care Coordination and Transition Management Logic Model and evidence-based practices contribute to effective care coordination, focusing on patient-centered care and multidisciplinary collaboration (Hofmann & Erben, 2020; Artiga et al., 2020).

    Evidence-Based Practices for Patient Care Coordination

    Evidence-based strategies like GENESIS, routine evaluation of older patients, and the sepsis six bundles are recommended for managing elderly patients with infection. These practices aim to identify and address infection outbreaks, monitor essential signs, and provide timely interventions to reduce mortality rates associated with sepsis (Kregel et al., 2022; LeRoith et al., 2019; Bleakley & Cole, 2020).

    Benefits of a Multidisciplinary Approach to Patient Care

    A multidisciplinary approach in healthcare enhances patient care by considering various aspects of a patient’s health simultaneously. This approach minimizes errors, particularly those related to socioeconomics and age-related variables. Mr. Decker’s care gaps, influenced by social, economic, and interprofessional factors, could have been mitigated through a multidisciplinary team. Research suggests that a multidisciplinary approach can reduce readmissions and provide more thorough care to patients (Ni et al., 2019).

    Conclusion

    In conclusion, care coordination is integral for improving overall patient care quality. Identifying and addressing gaps in patient care, particularly those influenced by socioeconomic, age-related, and interdisciplinary factors, requires a comprehensive needs assessment. This assessment, coupled with evidence-based practices and adherence to professional standards, contributes to enhanced patient care. The incorporation of a multidisciplinary approach further strengthens patient care outcomes.

    References

    Artiga, S., Orgera, K., & Pham, O. (2020). Issue brief disparities in health and health care: Five key questions and answers. Deancare.com. https://deancare.com/getmedia/e00c9856-28d0-4c63-b2c0-9bf68cadcebb/Disparities-in-Health-and-Health-Care-Five-Key-Questions-and-Answers.pdf

    Bleakley, G., & Cole, M. (2020). Recognition and management of sepsis: The nurse’s role. British Journal of Nursing, 29(21), 1248–1251. https://doi.org/10.12968/bjon.2020.29.21.1248

    Hofmann, F., & Erben, M. J. (2020). Organizational transition management of circular business model innovations. Business Strategy and the Environment, 29(6), 2770–2788. https://doi.org/10.1002/bse.2542

    Ko, H., Park, Y.-H., Cho, B., Lim, K.-C., Chang, S. J., Yi, Y. M., Noh, E.-Y., & Ryu, S.-I. (2019). Gender differences in health status, quality of life, and community service needs of older adults living alone. Archives of Gerontology and Geriatrics, 83, 239–245. https://doi.org/10.1016/j.archger.2019.05.009

    Kregel, H. R., Murphy, P. B., Attia, M., Meyer, D. E., Morris, R. S., Onyema, E. C., Adams, S. D., Wade, C. E., Harvin, J. A., Kao, L. S., & Puzio, T. J. (2022). The geriatric nutritional risk index as a predictor of complications in geriatric trauma patients. Journal of Trauma and Acute Care Surgery, 93(2), 195–199. https://doi.org/10.1097/TA.0000000000003588

    LeRoith, D., Biessels, G. J., Braithwaite, S. S., Casanueva, F. F., Draznin, B., Halter, J. B., Hirsch, I. B., McDonnell, M. E., Molitch, M. E., Murad, M. H., & Sinclair, A. J. (2019). Treatment of diabetes in older adults: An endocrine society* clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 104(5), 1520–1574. https://doi.org/10.1210/jc.2019-00198

    NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment

    Liu, X., Xu, Y., An, M., & Zeng, Q. (2019). The risk factors for diabetic peripheral neuropathy: A meta-analysis. Plos one, 14(2), 0212574. https://doi.org/10.1371/journal.pone.0212574

    Mertens, F., Debrulle, Z., Lindskog, E., Deliens, L., Deveugele, M., & Pype, P. (2020). Healthcare professionals’ experiences of inter-professional collaboration during patient’s transfers between care settings in palliative care: A focus group study. Palliative Medicine, 35(2), 026921632096874. https://doi.org/10.1177/0269216320968741

    Milgrom, J., Hirshler, Y., Reece, J., Holt, C., & Gemmill, A. W. (2019). Social support—A protective factor for depressed perinatal women? International Journal of Environmental Research and Public Health, 16(8). https://doi.org/10.3390/ijerph16081426

    Namburi, N., & Lee, L. S. (2022). National quality forum.Europepmc.org https://europepmc.org/article/med/31751044

    Ni, Y., Liu, S., Li, J., Dong, T., Tao, L., Yuan, L., & Yang, M. (2019). The effects of nurse-led multidisciplinary team management on glycosylated hemoglobin, quality of life, hospitalization, and help-seeking behavior of people with diabetes mellitus. Journal of Diabetes Research, 2019, 1–9. https://doi.org/10.1155/2019/9325146

    NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment

    Villanueva, L. M.P., Palafox, B., Amit, A. M. L., Pepito, V. C. F., Ab-Majid, F., Ariffin, F., Balabanova, D., Isa, M.-R., Mat-Nasir, N., My, M., Renedo, A., Seguin, M. L., Yusoff, K., Dans, A. L., & Mckee, M. (2022). Prevalence, determinants and outcomes of traditional, complementary and alternative medicine use for hypertension among low-income households in Malaysia and the Philippines. BMC Complementary Medicine and Therapies, 22(1). https://doi.org/10.1186/s12906-022-03730-x

    Perazzo, M. F., Serra-Negra, J. M., Firmino, R. T., Pordeus, I. A., Júnior, P. A.M., & Paiva, S. M. (2020). Patient-centered assessments: How can they be used in dental clinical trials? Brazilian Oral Research, 34(2). https://doi.org/10.1590/1807-3107bor-2020.vol34.0075

    Shah, S. M., & Khan, R. A. (2020). Secondary use of electronic health record: Opportunities and challenges. IEEE Access, 1–1. https://doi.org/10.1109/access.2020.3011099