Illnesses are a part of life, and human beings must learn to live and cope with them. As a way of improving health outcomes, care coordination provides a smooth transition of care. Nurses play a vital role in promoting care coordination and use evidence-based practices to help people live healthily. A significant part of nurses’ engagement in people’s care plans involves understanding people’s health issues in-depth, environments, and community resources. Based on these factors, nurses are better positioned to customize care plans that promote healing and improve a patient’s quality of life. The previous assessment reviewed a care plan for a patient with chronic obstructive pulmonary disease (COPD). This paper explains the final care coordination plan and focuses on patient-centered health interventions, ethical decisions, policy implications, priorities when discussing the care plan, and learning session content.
According to Thomas (2018), organizational culture is defined as the various beliefs, values, assumptions, and interactive strategies contributing to an organization’s unique social and psychological environment. Positive working culture is developed when employees and employees share aligned values with each other and the organization. To ensure the success of organizational culture, the first step is for all employees and employers to clearly understand the organization’s values and the belief of the organization. Barriers caused by an organizational culture can cause nursing leaders to feel powerless, and one of those barriers is a negative environment. For example, having a facility or hospital poorly managed by administration personnel or having an administration team that does not communicate with front-line staff creates low workplace morale. When there is a negative environment created around front-line staff, there is a lack of production, increased call-outs, and high turnover rates. “Authority Is maintained centrally, reducing the effectiveness of front-line staff” (Jackson et al., 2021). Employees begin to feel excluded start to feel that the facility or hospital is not ensuring their beliefs and values stay aligned in the best interest of the patients.
Patient-Centered Health Interventions and Timelines
Patient-centered care is better delivered by first understanding the patient’s issues. One of the major issues associated with COPD is the damaged quality of life. In a review of COPD’s burdening impacts, Miravitlles and Ribera (2017) found that COPD imposes a huge burden on individuals since they have to cope with the disease’s range of symptoms, including breathlessness, sputum production, and chest tightness. The other issue characterizing COPD is mental health problems, including depression. Miravitlles and Ribera (2017) noted that this problem worsens when patients find it hard to handle activities of daily living and requiring too much support from others, particularly family members. COPD also poses a huge social and financial burden to the affected and families. Based on these issues, practical interventions are necessary to allow patients to live more productively.
One of the patient-centered interventions is patient education. A patient with COPD should have a steady supply of information on illness management, mainly on the options available to treat COPD and avoiding complications (Folch et al., 2017). This intervention can improve the quality of life, particularly on lessening the possibility and magnitude of complications. Mental health support is also necessary to deal with issues such as depression. The other important intervention is enhanced self-care and social support. In this area, patients can use the available community resources for patients with COPD to help them live healthy lives. It is a case that requires a multidimensional approach to achieve the best results.
Various community resources are available for patients with COPD. For patient education, resources include health care centers, the media, and community support groups. Jointly, they help patients to understand best practices, including environmental and personal care and coping with complications. Mental health support can be obtained from community support groups, peer and family groups, and seminars. Through such programs, information exchange occurs as patients share their care plans and experiences. They are also centers for information as patients clarify what they have been going through and challenging areas. Sources of self-care and social support include nurses, community social workers, and immediate family members. For be
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