Student Name Capella University NURS FPX 6610 Introduction to Care Coordination Assessment 3 Transitional Care Plan OnlineClassAssignment com August 05 2024 Prof Name Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us contact OnlineClassAssignment com Website OnlineClassAssignment com For Free MSN Sample OnlineClassAssignment com free Sample Developing an Integrated Transitional Care Plan Ensuring effective transitional care is essential for maintaining patient safety and delivering high quality care during transitions between different treatment stages This is particularly crucial for managing chronic conditions where ongoing monitoring across various treatment phases is necessary to avert severe complications This assessment focuses on Mrs Snyder a 56 year old diabetic patient admitted to Villa Hospital due to an infected toe The objective is to create a comprehensive transitional care plan for Mrs Snyder and identify potential communication barriers that could affect the success of the plan Korytkowski et al 2022 OnlineClassAssignment com To optimize patient care and ensure safety adhering to guidelines that facilitate accurate diagnostics and effective management of medical records is crucial Obtaining Mrs Snyder s medical records is essential for a comprehensive evaluation of her health These records offer critical insights into her speci c health issues and other conditions that might impact her overall well being such as depression hypertension and heart disease Chen et al 2018 Key Components and Information for Enhanced Care Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us contact OnlineClassAssignment com Website OnlineClassAssignment com For Free MSN Sample OnlineClassAssignment com free Sample Understanding Mrs Snyder s medication regimen is equally important to verify the appropriateness of her treatment Medication reconciliation is necessary to assess the effectiveness of her current medications and consider possible alternatives Fernandes et al 2020 Gathering information about emergency and advance directives is crucial for providing patient centered care that respects her religious beliefs and provides a comprehensive view of her treatment history from previous healthcare providers reducing the risk of con icts Dowling et al 2020 Creating a Care Plan and Providing Patient Education Patient feedback is invaluable as it provides crucial insights into the behavior of medical staff and the treatment process Addressing patient concerns can signi cantly improve care outcomes and reduce the likelihood of readmission Moghaddam et al 2019 Access to community and healthcare resources is crucial for preventing adverse outcomes such as hospital readmissions and high mortality rates Resources like transportation social support health education and outpatient care services are essential Yue et al 2019 Healthcare professionals are pivotal in tailoring care plans to address the unique needs of each patient This involves facilitating access to community based healthcare services and ensuring effective communication among healthcare providers Dyer 2021 OnlineClassAssignment com A thorough assessment of Mrs Snyder s needs involves gathering detailed information including medical test results post discharge prescriptions hospital stay duration counseling documentation follow up plans social support and insurance coverage details current health status safety risk assessments and a comprehensive history of treatment and medication related to her chronic conditions Humphries et al 2020 Each element of the transitional care plan is crucial for improving patient outcomes Advance directive information helps prepare for potential issues during treatment while access to community and healthcare resources addresses speci c patient needs Schultz et al 2021 The Importance of Key Elements in a Transitional Care Plan Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us contact OnlineClassAssignment com Website OnlineClassAssignment com For Free MSN Sample OnlineClassAssignment com free Sample Medication reconciliation is critical for ensuring the safe and accurate administration of medications reducing the risk of errors and adverse events Borulkar et al 2022 Patient feedback enhances understanding of individual patient needs leading to more effective patient centered care Fiorillo et al 2020 Training for healthcare professionals is necessary to deliver collaborative and culturally sensitive care Educating patients like Mrs Snyder is essential to promoting self management and encouraging healthier lifestyle choices Kaper et al 2019 The Role of Effective Communication Potential Impacts of Poor Communication Consequences of Incomplete or Inaccurate Information Transfer Incomplete or inaccurate transfer of patient information can lead to treatment delays complications and adverse outcomes For example incorrect medication information can cause errors and increase mortality rates Zirpe et al 2020 Effective communication with healthcare agencies is vital for understanding patients detailed medical histories and fostering positive interactions between patients and staff It plays a key role in making informed decisions that bene t patient well being Garcia Jorda et al 2022 OnlineClassAssignment com Barriers include understa ng incomplete medical histories and unfamiliarity with Electronic Health Records EHR technology Overworked staff may compromise information accuracy while incomplete records and gaps in EHR knowledge can hinder smooth information transfer Ilardo Speciale 2020 Tsai et al 2020 Poor communication can result in treatment delays health disparities increased healthcare costs and reduced patient satisfaction These factors negatively impact patient outcomes and the overall quality of care Raeisi et al 2019 Effective planning accurate information transfer and follow up sessions are essential for ensuring continuity of care Collaborating with receiving healthcare providers Strategies to Ensure Comprehensive Continuity of Care Barriers to Accurate Information Transfer Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us contact OnlineClassAssignment com Website OnlineClassAssignment com For Free MSN Sample OnlineClassAssignment com free Sample providing thorough discharge instructions and understanding patient perspectives are critical for successful