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NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

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    NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan


    Capella university

    NURS FPX4050 Coordinating Patient-Centered Care

    Prof. Name


    Initial Care Coordination Plan

    Primary care serves as the initial point of contact for patients within the healthcare system, offering convenient access to comprehensive, ongoing, and patient-centered care. The preliminary care plan is a structured approach employed in healthcare to deliver efficient and comprehensive primary care. Coordination planning in primary care involves outlining a roadmap that delineates the actions, responsibilities, and roles of healthcare staff in relation to patient care. Taking into account physical, cultural, and psychosocial factors is crucial to ensuring patient-focused care and avoiding inappropriate treatment plans (Li et al., 2020). This assessment aims to scrutinize a selected health issue, establish goals, and identify crucial community resources to ensure a secure and effective care journey. Additionally, the plan acts as the foundation for providing effective patient care that addresses not only physical needs but also psychosocial and cultural aspects.

    Insightful Analysis of a Health Concern and Optimal Practices

    Pulmonary disease stands as a substantial health concern affecting a significant portion of the population, with various pulmonary diseases on the rise. Chronic Obstructive Pulmonary Disease (COPD) is a major condition characterized by airflow obstruction and chronic airway inflammation, encompassing bronchitis and emphysema. Key factors contributing to such diseases include air pollutants, smoking, and genetics (Joshi et al., 2020). COPD is a primary cause of morbidity and mortality and is projected to be the third most frequent cause of global mortality by 2030, according to the World Health Organization. Evidence-based best practices involve lifestyle modifications such as smoking cessation and regular exercise, with pulmonary rehabilitation being a recognized practice for COPD management (Ambrosino & Bertella, 2018). Pharmacological interventions, including bronchodilators and inhaled corticosteroids, are also integral. The analysis assumes the evidence-based nature of these best practices, while uncertainties lie in long-term patient adherence, disease progression, and individual responses to specific treatment regimens.

    Attainable Goals to Address Identified Healthcare Issues

    To address COPD, measurable and achievable goals can be formulated. The primary goal is to raise awareness about lifestyle modifications within the community, achievable through community-level awareness sessions providing essential information on factors improving respiratory health. Nutritional management and lifestyle changes are key factors, measured through monitoring changes in body weight, diet status, smoking cessation, and overall health improvements. Another crucial goal involves environmental cleaning to reduce exposure to allergens and pollutants, achievable through environmental sustainability programs and awareness campaigns. Ensuring medication compliance among affected individuals is another essential goal, attainable through education sessions and smartphone-based medication reminders. Effectiveness will be measured by patient satisfaction, community engagement, reduced COPD progression, and improved quality of life.

    Community Resources for Continuity of Care

    Efficient care coordination plans for COPD in the community should incorporate primary community resources. Support groups, such as the American Lung Association’s Better Breathers Club, have proven effective in enhancing COPD patients’ quality of life and adherence to treatment regimens (Hosseinzadeh & Shnaigat, 2019). Home care institutes can collaborate with healthcare professionals to assist with daily activities and disease management in patients’ homes, reducing hospitalizations and aiding in chronic disease management. Community resources offering rehabilitation programs, such as the Mayo Clinic Pulmonary Rehabilitation Program and Cleveland Clinic’s Pulmonary Rehabilitation Program, contribute to improving patients’ well-being and quality of life (Yu et al., 2019). Utilizing these community resources is crucial for enhancing health conditions, particularly for COPD patients, and improving care coordination.


    In conclusion, healthcare professionals can develop primary care coordination plans considering patients’ preferences, cultural, psychosocial, and physical factors to optimally manage various health conditions. Community resources, when effectively utilized, play a vital role in managing health conditions like COPD. Developing realistic, achievable, and measurable community goals is imperative for improving health concerns and positively impacting individuals’ lives. This approach contributes to enhancing the quality of care, achieving patient well-being, and promoting positive changes in healthcare.


    Ambrosino, N., & Bertella, E. (2018). Lifestyle interventions in prevention and comprehensive management of COPD. Breathe, 14(3), 186–194.

    Cazzola, M., Rogliani, P., Stolz, D., & Matera, M. G. (2019). Pharmacological treatment and current controversies in COPD. F1000Research, 8, 1533.

    Hosseinzadeh, H., & Shnaigat, M. (2019). Effectiveness of chronic obstructive pulmonary disease self-management interventions in primary care settings: A systematic review. Australian Journal of Primary Health, 25(3), 195.

    NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

    Joshi, M., Goraya, H., Joshi, A., & Bartter, T. (2020). Climate change and respiratory diseases: A 2020 perspective. Current Opinion in Pulmonary Medicine, 26(2), 119–127.

    Li, X., Krumholz, H. M., Yip, W., Cheng, K. K., De Maeseneer, J., Meng, Q., Mossialos, E., Li, C., Lu, J., Su, M., Zhang, Q., Xu, D. R., Li, L., Normand, S.-L. T., Peto, R., Li, J., Wang, Z., Yan, H., Gao, R., & Chunharas, S. (2020). Quality of primary health care in China: Challenges and recommendations. The Lancet, 395(10239), 1802–1812.

    NURS FPX 4050 Assessment 1 Preliminary Care Coordination Plan

    López-Campos, J. L., Quintana Gallego, E., & Carrasco Hernández, L. (2019). Status of and strategies for improving adherence to COPD treatment. International Journal of Chronic Obstructive Pulmonary Disease, 14, 1503–1515.

    Yu, X., Li, X., Wang, L., Liu, R., Xie, Y., Li, S., & Li, J. (2019). Pulmonary rehabilitation for exercise tolerance and quality of life in IPF patients: A systematic review and meta-analysis. BioMed Research International, 2019, 8498603.