Assessment 3 Transitional Care Plan Student Name Capella University Course Name Prof Name June 10 2024 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Transitional Care Plan Patient care quality and well being significantly depend on transitional care which aims to provide advanced facilities and services during patient transitions between treatment stages Continuous monitoring is crucial especially in chronic illnesses to prevent mortality and a transitional care plan serves this purpose This assessment focuses on Mrs Snyder a 56 year old diabetic patient admitted to Estate Hospital with an infected toe The discussion outlines the transitional care plan for Mrs Snyder and examines communication barriers affecting the overall transitional plan Korytkowski et al 2022 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Key Elements Information Needed for High Quality Treatment Patient care quality and safety rely on clear guidelines to ensure effectiveness Accuracy in diagnosing the patient s condition is essential as is the continuous tracking and storage of medical records Proper diagnosis of Mrs Snyder s issues requires access to her medical records enabling the identification of other health problems like depression hypertension and heart issues Chen et al 2018 Watts et al 2020 Medication Reconciliation In addition to medical records knowledge of Mrs Snyder s medication list is crucial Medication reconciliation ensures that the prescribed medications positively contribute to her health avoiding potential adverse effects For instance reconciliation is essential for accurately providing Mrs Snyder with insulin doses Fernandes et al 2020 Emergency and Advance Directive Information A patient focused approach is necessary for a transitional care plan Understanding Mrs Snyder s religious beliefs is vital and obtaining advance directive information from primary healthcare providers is essential to comprehend her past treatment and prevent potential issues Dowling et al 2020 Patient Feedback Patient feedback on clinical staff behavior and the treatment process is another key element This information helps healthcare professionals understand Mrs Snyder s needs and preferences ensuring she receives essential information about her condition and treatment and promoting active engagement in her healthcare Moghaddam et al 2019 Plan of Care and Education Healthcare professionals must be thoroughly prepared to provide patient centered care Tailoring the transitional care plan to meet individual patient requirements is critical This includes offering community based healthcare services and facilitating rapid information exchange among healthcare professionals Dyer 2021 Community and Health Care Resources To prevent negative outcomes such as hospital readmissions and mortality rates sufficient community services including mobility options social support health education and outpatient treatment are essential Yue et al 2019 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Insightful Assessment of the Patient s Needs Transferring Mrs Snyder to another healthcare facility requires comprehensive information including clinical test results post discharge prescriptions time spent in the previous hospital counseling records follow up plans social support and insurance coverage details current illness risk assessments and a thorough treatment and medication history related to chronic diseases Humphries et al 2020 Importance of Key Elements of a Transitional Care Plan Each key element is critical in enhancing patient care quality within transitional care plans Obtaining patient emergency and advance directive information from previous healthcare facilities ensures preparation for potential issues Additionally understanding Mrs Snyder s religious and cultural beliefs prevents conflicts Advanced care planning facilitates the assessment of the patient s needs and desires Blackwood et al 2019 For Mrs Snyder community and healthcare resources play a vital role in addressing her concerns Ensuring appropriate facilities such as ground floor rooms or elevators is crucial for her mobility Medication reconciliation avoids errors particularly with insulin doses Patient feedback guides healthcare professionals in addressing Mrs Snyder s concerns improving treatment options and avoiding readmissions Fiorillo et al 2020 Borulkar et al 2022 Schultz et al 2021 Moreover advanced preparation by healthcare professionals and patients is vital for enhancing Mrs Snyder s care Effective collaboration and communication coupled with patient education contribute to improved well being and lifestyle management Tailoring care plans to individual patient requirements remains crucial Kaper et al 2019 Potential Effects of Incomplete or Inaccurate Information on Care Transferring complete and accurate patient information is essential to prevent treatment delays complications and adverse events Incomplete or inaccurate information may lead to medication errors delays in treatment and increased mortality rates Zirpe et al 2020 Importance of Effective Communication Effective communication with other healthcare agencies is vital for comprehensive patient care It fosters positive patient staff interactions builds trust and encourages commitment to care plans In Mrs Snyder s case stress and depression necessitate effective collaboration and moral support emphasizing the importance of clear communication Garcia Jorda et al 2022 Yazdinejad et al 2020 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Potential Effects of Ineffective Communications Ineffective communication can result in delayed untimely or inappropriate treatment leading to serious consequences Lack of immediate treatment during emergencies health disparities increased treatment costs decreased patient satisfaction and compromised care quality are among the potential