NURS FPX 4050 Assessment 4 Final Care Coordination Plan Final Care Coordination Plan
Health Care Issue 1: Medication Adherence in Hypertensive Patients
One critical healthcare issue associated with heart diseases, particularly hypertension, is medication non-adherence. Many patients struggle to consistently adhere to their prescribed antihypertensive medications, leading to suboptimal blood pressure control and increased cardiovascular risks (Sarfo et al., 2020). To address this issue, a multifaceted intervention plan is proposed. This involves comprehensive patient education on the importance of medication adherence, personalized counseling sessions to identify and overcome barriers, and the implementation of reminder systems, such as mobile apps or pill organizers. The intervention timeline spans several months, incorporating regular follow-up appointments to assess progress, address emerging challenges, and reinforce the importance of sustained medication adherence. Timeline interventions for medication adherence are:
NURS FPX 4050 Assessment 4
● Months 1-2: Conduct initial patient assessments, including medication history and potential barriers to adherence.
● Months 3-4: Initiate personalized counseling sessions to address identified challenges and provide education on the significance of adherence.
● Months 5-6: Introduce reminder systems, tailored to individual patient preferences, and assess their effectiveness.
● Ongoing: Implement regular follow-up appointments every 2-3 months to reinforce medication adherence, assess blood pressure control, and adjust the intervention as needed.
Health Care Issue 2: Lifestyle Modification Challenges
Another significant healthcare issue related to heart diseases is the impact of lifestyle factors, such as poor diet and lack of physical activity in conditions like hypertension. Patients often face challenges in adopting and maintaining positive lifestyle modifications (Franklin et al., 2020). To address this, a comprehensive intervention plan is recommended. This involves personalized dietary counseling, structured exercise programs, and the utilization of community resources such as support groups and fitness classes. The intervention timeline spans several months, allowing for gradual lifestyle changes and continuous support. Regular follow-ups are integral to assess progress, address barriers, and reinforce positive habits, ultimately contributing to sustained improvements in heart health. Here are the timeline interventions for lifestyle modifications.
● Months 1-2: Conduct comprehensive lifestyle assessments, including dietary habits and physical activity levels.
● Months 3-4: Initiate personalized dietary counseling and provide patients with tailored exercise programs.
● Months 5-6: Integrate community resources such as support groups and fitness classes, encouraging social engagement and sustained lifestyle changes.
● Ongoing: Implement regular follow-up appointments every 3-4 months to assess progress, address emerging challenges, and reinforce positive lifestyle modifications.
Health Care Issue 3: Limited Access to Cardiovascular Rehabilitation Programs
Limited access to cardiovascular rehabilitation programs poses a significant barrier to the recovery of patients with heart diseases. To overcome this challenge, an intervention plan should involve community partnerships to enhance accessibility. It includes collaboration with local fitness centers, the establishment of telehealth options, and leveraging community health workers. The intervention timeline extends over several months, allowing for the development and implementation of community partnerships, ensuring a sustainable and accessible cardiovascular rehabilitation program for affected patients. The timeline interventions for access to rehabilitation programs are:
● Months 1-2: Identify local fitness centers and establish partnerships for community-based rehabilitation programs.
● Months 3-4:Develop and implement telehealth options to provide remote access to rehabilitation resources.
● Months 5-6: Collaborate with community health workers to facilitate program enrollment and engagement.
● Ongoing: Implement regular follow-up assessments every 4-6 months to evaluate the effectiveness of the interventions, address challenges, and optimize accessibility to cardiovascular rehabilitation programs.