Online Class Assignment

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

Care coordination is the process of overseeing a patient’s medical care to make sure that every part of the healthcare system is operating as efficiently as possible to deliver the best possible care and results for the patient. This entails organizing every aspect of the patient’s care, from making appointments to speaking with the patient’s medical team. Which makes sure that all services are delivered on time and efficiently. Communication between all of the patient’s physicians is made easier by care coordination, allowing for the sharing of medical information and the timely and proper implementation of any modifications or updates to the patient’s care plan (Droz et al., 2019).

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

Nurses are the first line of defense in recognizing and treating possible health risks and issues. Moreover, nurses are essential in educating patients about correct disease treatment, preventative care, and health maintenance, helping them to live healthier, more active lives. They frequently act as patient advocates, making sure that their needs and rights are addressed (Swan et al., 2019). Similarly, patients are more capable of making wise decisions about their health when they are provided with the relevant resources. This evaluation offers the chance to do literature reviews and apply data to support the best teaching, learning, and communication techniques required for cardiac patients with high blood pressure.

Patient-Centered Health Interventions and Timelines

Cardiac patients with the medical condition of high blood pressure commonly have issues with diet and nutrition, physical activity, and stress or anxiety (Schultchen et al., 2019). Diet and nutrition are crucial for cardiac patients with high blood pressure. A tailored nutrition plan comprising advice on healthy eating, portion control, and salt intake monitoring is given to cardiac patients with high blood pressure as an intervention toward this goal. Community resources include nearby dietitians, nutrition education programs provided by community centers or hospitals, and websites with information on healthy eating (Zhou et al., 2021). This intervention should be completed in one week.

Unlock this document FREE

to view all pages

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

Physical exercise is thought to be essential for cardiac patients with high blood pressure. Patients will receive a personalized fitness regimen as part of the intervention. Local physical therapists, fitness courses provided by neighborhood hospitals or community centers, and internet exercise resources are examples of community resources (Fuchs & Whelton, 2020). The exercise intervention should be completed in two weeks. In cardiac patients, stress can make hypertension worse (Espejo et al., 2018). Among the interventions is teaching patients stress-reduction methods including yoga, meditation, and deep breathing exercises (Fischer et al., 2022). Local yoga studios, meditation programs provided by community centers or hospitals in the area, and internet tools for stress management are examples of community resources. Stress management intervention should be completed in one month.

Ethical Decisions in Designing Patient-Centered Healthcare Interventions

Ethical issues should be taken into account while developing patient-centered healthcare solutions for cardiac patients. The informed consent issue is one of the most important ethical issues (Arifin, 2018). It is crucial to guarantee that patients are making an educated decision about their care and are aware of the risks and advantages of the intervention. Further, it’s essential to ensure the solution is customized to the patient’s specific needs. It’s crucial to respect the patient’s autonomy and preferences when it comes to making decisions about their medical treatment (Arifin, 2018).

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

The patient must have access to the information and tools needed to make educated decisions regarding their food and nutrition (Dunn & Conard, 2018). This involves offering access to nutritionists and dieticians who can provide tailored advice and counseling. Additionally, it’s critical to support a nutritious diet that is customized to each person’s interests and lifestyle (Schultchen et al., 2019).

Exercise for cardiac patients is one example of a patient-centered health intervention that should be designed with the patient’s safety and best interests in mind. This entails making certain that the exercise program is made specifically for each patient, taking into consideration the patient’s physical state, medical history, and any underlying diseases (Schultchen et al., 2019). Furthermore, it’s crucial to make sure the patient has access to the right medical assistance and treatment when they need it and that they are fully informed of any hazards related to their exercise program. The patient must also be given a comfortable, secure, and encouraging atmosphere in which to engage in the fitness program. Any results must also be carefully tracked and promptly shared with the patient.

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

For stress management of patients, therapies must be specifically designed for each patient, taking into consideration their unique requirements as well as their cultural, social, and economic backgrounds. However, it’s important to confirm that the therapies are supported by research and successful in lowering stress levels without endangering patient safety. It’s also crucial to make sure that the therapies respect the patient’s autonomy and do not deny them the ability to make decisions regarding their own health (Fischer et al., 2022). Last but not least, every intervention should be planned with the patient’s best interests in mind, avoiding prejudice and taking the patient’s privacy and dignity into account.

Policy Implications for The Coordination and Continuum of Care

The coordination and continuum of treatment for cardiac patients with high blood pressure have to be addressed as a matter of public health importance. Healthcare organizations should have procedures in place that provide efficient coordination between patient care providers and permit the smooth transition of care along the continuum of services. Information technology such as electronic health records may be used to guarantee precision and uniformity in patient treatment (Shah & Khan, 2020).

Healthcare institutions should also think about creating procedures and performance metrics to evaluate the standard of care provided to cardiac patients with high blood pressure. Furthermore, by paying for services like disease management and care coordination, policymakers may want to encourage the provision of high-quality treatment for cardiac patients with high blood pressure (Almansour et al., 2021). This might make sure that patients get the attention they need to properly control their high blood pressure. Finally, it is necessary to develop public health education programs to increase knowledge of the value of treating high blood pressure and the necessity of preventative treatment (Zhou et al., 2021). Long-term cost savings from these actions might be achieved by enhancing the coordination and continuity of treatment for cardiac patients with high blood pressure.

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

Care Coordinator Priorities to Discuss the Plan

When discussing the plan of treatment with the patient and their family members, the care coordinator who is dealing with a patient who has high blood pressure and heart disease must set clear priorities. The patient’s health and safety should come first. This includes checking that the patient is taking their prescriptions as directed, maintaining a healthy diet, getting regular exercise, and having their blood pressure checked (Mayo Clinic, 2021). Education on the dangers of high blood pressure and heart disease, as well as how to manage them, is also crucial (Schwalm et al., 2019).

Making sure the patient and their family are fully aware of the treatment plan and actively engaged in it is another priority. The care coordinator should assess the patient’s comprehension of the plan throughout the conversation and ensure that they have access to all the tools they need to carry it out. The patient’s family should also be included in the care plan so they can help the patient follow it (Droz et al., 2019).

NURS FPX 4050 Assessment 4: Final Care Coordination Plan

One of the goals is to make sure the care plan is current and evidence-based. Based on the most recent research and industry standards, the care coordinator should examine the patient’s care plan and make any required adjustments. This covers any adjustments to a person’s medicine, diet, or exercise routine. The patient should have access to all required resources to assist them to follow the treatment plan, according to the care coordinator. The patient’s and their family’s access to any essential mental health care is the fourth priority. Making ensuring patients and their families have access to the assistance they require is crucial since heart disease and high blood pressure may be stressful and upsetting for both parties (Droz et al., 2019). Counseling, support groups, and other mental health services might fall under this category.

The care coordinator can guarantee that the patient and their family receive the greatest care by setting these priorities. The care coordinator may also make sure that the plan of treatment is updated, supported by research, and customized to the requirements of each patient.

Learning Session Content Evaluation with Best Practices

It is important to evaluate the learning session content against best practices to create a successful final care coordination plan for patients with heart diseases. The learning sessions for the cardiac patient care coordination plans might be compared to the Healthy People 2030 document in a number of ways. First, both the learning sessions and the Healthy People 2030 manifesto emphasize enhancing people’s health. The learning sessions are leaning toward enhancing the health of cardiac patients by offering a thorough care coordination plan that includes dietary, exercise, and lifestyle changes. The Healthy People 2030 document lays out a national strategy for enhancing the health of all Americans by means of a number of programs (Healthy People 2030, n.d.).

Second, the necessity of preventative care is emphasized in both the learning sessions and the Healthy People 2030 publication. The components of food, exercise, and lifestyle modification that are intended to lower the risk of a cardiac event are included in the learning sessions for care coordination plans for cardiac patients (Healthy People 2030, n.d.). Similar to this, the Healthy People 2030 initiative names preventative care as one of its four main objectives, highlighting its significance as a strategy for enhancing population health.

Finally, the focus of both the learning events and the Healthy People 2030 document is the significance of patient and healthcare provider collaboration. The learning sessions for cardiac patient care coordination plans urge the patient and the clinician to collaborate to develop a personalized care plan. In addition to highlighting the value of collaboration between healthcare professionals and patients, the Healthy People 2030 document also encourages professionals to involve their patients in shared decision-making (Santana et al., 2021).


Patients must be monitored and managed on an ongoing basis to ensure that their blood pressure remains within a healthy range. Patients should take any required medicines to regulate their blood pressure in addition to engaging in regular physical exercise and adhering to a balanced diet. The plan also specifies the necessity of routine monitoring and follow-up visits with a healthcare professional and offers information on the significance of making lifestyle adjustments to lower the risks of hypertension. Cardiovascular patients with high blood pressure can lower their chance of developing heart disease and other consequences related to hypertension by following this care coordination approach.


Almansour, H. A., Aloudah, N. M., Alhawassi, T. M., Chaar, B., Krass, I., & Saini, B. (2021). Cardiovascular disease risk prevention services by pharmacists in Saudi Arabia: What do policymakers and opinion leaders think? Journal of Pharmaceutical Policy and Practice, 14(1).

Arifin, S. R. M. (2018). Ethical considerations in qualitative study. INTERNATIONAL JOURNAL of CARE SCHOLARS, 1(2), 30–33.

Droz, M., Senn, N., & Cohidon, C. (2019). Communication, continuity and coordination of care are the most important patients’ values for family medicine in a fee-for-services health system. BMC Family Practice, 20(1).

Dunn, P., & Conard, S. (2018). Improving health literacy in patients with chronic conditions: A call to action. International Journal of Cardiology, 273, 249–251.

Espejo, M., Magabo, S., Rivera-Castro, A., Faiz, M., Ramirez, L., Robles, C., Shabarek, T., Shariff, M. A., & Kanna, B. (2018). Qualitative study of knowledge, perception, and behavior related to hypertension and cardiovascular disease risk reduction among hypertensive African-Americans in urban inner City of South Bronx, New York. Journal of Racial and Ethnic Health Disparities, 6(1), 197–206.

Fischer, J. M., Kandil, F.-I., Kessler, C. S., Nayeri, L., Zager, L. S., Rocabado Hennhöfer, T., Steckhan, N., Koppold-Liebscher, D. A., Bringmann, H. C., Schäfer, T., Michalsen, A., & Jeitler, M. (2022). Stress reduction by yoga versus mindfulness training in adults suffering from distress: A three-armed randomized controlled trial including qualitative Interviews (RELAX Study). Journal of Clinical Medicine, 11(19), 5680.

Fuchs, F. D., & Whelton, P. K. (2020). High blood pressure and cardiovascular disease. Hypertension, 75(2), 285–292.

Healthy People 2030. (n.d.). Nutrition and healthy eating – Healthy People 2030 |

Mayo Clinic. (2021). High blood pressure (hypertension) – Diagnosis and treatment.

Santana, S., Brach, C., Harris, L., Ochiai, E., Blakey, C., Bevington, F., Kleinman, D., & Pronk, N. (2021). Updating health literacy for healthy people 2030: Defining its importance for a new decade in public health. Journal of Public Health Management and Practice: JPHMP, 27(6).

Schultchen, D., Reichenberger, J., Mittl, T., Weh, T. R. M., Smyth, J. M., Blechert, J., & Pollatos, O. (2019). Bidirectional relationship of stress and affect with physical activity and healthy eating. British Journal of Health Psychology, 24(2), 315–333.

Schwalm, J.-D., McCready, T., Lopez-Jaramillo, P., Yusoff, K., Attaran, A., Lamelas, P., Camacho, P. A., Majid, F., Bangdiwala, S. I., Thabane, L., Islam, S., McKee, M., & Yusuf, S. (2019). A community-based comprehensive intervention to reduce cardiovascular risk in hypertension (HOPE 4): A cluster-randomized controlled trial. The Lancet, 394(10205), 1231–1242.

Shah, S. M., & Khan, R. A. (2020). Secondary use of electronic health Record: Opportunities and Challenges. IEEE Access, 1–1.

Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: Roles of registered nurses across the care continuum. Nursing Economics, 37(6), 317–323.

Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology, 18.

Claim Your 20% OFF Coupon Code

Welcome — Get your discount offer by providing your email address below
This offer is valid for new customers only.