Vila Health: Cultural Competence

 

 

 

 

 

Develop the final care coordination strategy you based on your health care concern and population in Assessment 2 using best practices found in the literature.


Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.
Please watch the following brief video message for an overview of what to keep in mind as you complete your Care Coordination Strategy.
• Final Care Coordination Strategy.
Preparation
You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment.
In this assessment, you will evaluate the preliminary care coordination infographic you developed in Assessment 2 using best practices found in the literature.
To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the strategy based upon evidence-based practice and discuss how the strategy includes elements of Healthy People 2030.
Instructions
Build on your preliminary care infographic and selected health concern and population and create a detailed comprehensive final care coordination strategy.
It is suggested that you use the following outline to organize your 5–7 page paper, including headings:
• Design patient-centered health interventions and timelines for your selected healthcare problem. 
o Address three patient healthcare issues related to your selected healthcare problem and patient population
 Example: Healthcare problem: Type 1 diabetes in pediatric patients.
 Health issues.
 Depression.
 Exercise.
 Poor glucose control.
o Design an intervention for each health issue.
o Identify three community resources for each health intervention.
o Establish timelines for implementing these interventions.
o Include evidence to support your ideas.
• Consider the ethical decisions in designing patient-centered health interventions for your selected healthcare problem.
o Include the ethical questions that generate uncertainty about the decisions you have made.
o Include evidence to support your ideas.

 

Ethical Decisions in Designing Patient-Centered Health Interventions

 

The design of patient-centered interventions, especially for a pediatric population, is fraught with ethical complexities. The primary challenge is balancing the principles of beneficence (acting in the patient's best interest) and autonomy (respecting the patient's and parent's right to self-determination).

 

Ethical Questions Generating Uncertainty

 

Balancing Paternalism and Autonomy (Adherence):

Question: When a teenager consistently demonstrates poor adherence (e.g., skipping insulin doses) that leads to dangerous HbA1c levels, how far can the care team go in imposing monitoring or reporting (violating autonomy) before it constitutes unethical coercion, yet still fulfills the duty of beneficence to prevent long-term complications?

Ethical Consideration: The "assent" of the minor must be respected as they mature. The care coordinator must mediate between the parental desire for control and the teen's need for independence, aiming for shared decision-making rather than simple compliance (Lantos, 2013).

Sample Answer

 

 

 

 

 

 

Final Care Coordination Strategy: Type 1 Diabetes in Pediatric Patients

 

The care coordination strategy for pediatric patients with Type 1 Diabetes (T1D) focuses on facilitating a seamless transition from diagnosis into independent self-management. This involves addressing not only physiological needs but also complex psychosocial issues and educational gaps. The strategy is built upon principles of patient-centered care, ethical decision-making, and alignment with Healthy People 2030 objectives to improve quality of life and reduce complications.

 

Design Patient-Centered Health Interventions and Timelines

 

The primary role of the care coordinator is to address the multifaceted challenges of T1D management through targeted, evidence-based interventions. The key issues are categorized below, with corresponding interventions, community resources, and timelines.