NURS FPX 6612 Assessment 3 Patient Discharge Care Planning

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Assessment 3: Patient Discharge Care Planning
Student Name
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Capella University
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Course Name
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Prof Name
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MAR 9, 2024
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Patient Discharge Care Planning

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Introduction:
This assessment fixates on the release care anticipating Marta Rodriguez, as of late
hospitalized because of a serious mishap en route to school. Following a four-week stay
in the ER, including different medical procedures and anti-toxin therapy, Marta's
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consideration coordination is basic. In my job as the senior consideration organizer, I
will put forth Marta's perspective during an impending interdisciplinary group meeting to
talk about her release plans.
Longitudinal, Patient-Centered Care Plan
To guarantee Marta Rodriguez gets exhaustive, patient-focused care, the

interdisciplinary group will use Wellbeing Data Innovation (HIT) parts to upgrade
correspondence and coordination across her consideration process. These HIT
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components incorporate electronic wellbeing records (EHRs), secure informing stages,
telehealth innovation, and drug compromise apparatuses. EHRs will work with
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continuous access and updates to Marta's clinical records, empowering the
improvement of a thorough consideration plan (Schwab et al., 2021).
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Secure informing stages will smooth out correspondence among colleagues, especially
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in regards to changes in Marta's condition, arrangements, and prescription timetables
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(Flickinger et al., 2022). Telehealth innovation will empower remote observing of Marta's
important bodily functions, empowering early mediation (Chowdhury et al., 2020).
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Moreover, drug compromise devices will guarantee the exactness of her medicine list, in
this way diminishing prescription blunders.
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To forestall Marta's readmission in something like 48 hours after release, the between
proficient group should guarantee Marta gets satisfactory training, support, and
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follow-up care (Oksholm et al., 2023). The use of HIT components can support these
endeavors. For example, telehealth innovation can screen Marta's post-release
progress, offer virtual help, and distinguish potential issues that could prompt
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readmission. Moreover, secure informing stages can furnish Marta with ideal and exact
data in regards to her drug and follow-up arrangements.
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In the mean time, the joining of these HIT components will advance consideration
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coordination for Marta by encouraging correspondence and cooperation among

colleagues. Admittance to uniform data about Marta will empower the improvement of a
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complete consideration plan. Besides, EHRs will allow colleagues to keep tabs on
Marta's development, guaranteeing that she gets fitting consideration all through her
recuperation. By tackling HIT components, the between proficient group can convey a
patient-focused, composed, and viable consideration plan custom fitted to Marta's novel
requirements.
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Data Reporting
Information detailing holds tremendous importance in the medical services industry,

molding care coordination, organization, clinical proficiency, and interdisciplinary
development in therapy. In Marta Rodriguez's case, information giving an account of her
ways of behaving can upgrade the nature of her consideration and backing her
recuperation in three key ways:
Care Coordination: Information detailing can work with care coordination among
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between proficient colleagues by giving a common perspective of Marta's condition and
progress (Creeks et al., 2020). For example, information on Marta's drug adherence,
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important bodily functions, and side effects can be accounted for through EHRs or
secure informing stages, empowering compelling cooperation in her consideration the
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executives and decreasing the gamble of difficulties or readmissions.
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Care The executives: Information announcing can shape care the board by
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distinguishing regions where Marta might need extra help or intercessions. Data on her
agony levels, versatility, and healthful status, for instance, can be accounted for to the
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group, permitting them to change her consideration plan depending on the situation to
work on its quality and upgrade her recuperation.
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Between proficient Advancement: Information revealing can drive development in
between proficient consideration by giving experiences into Marta's ways of behaving
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and inclinations. Information in regards to her language inclinations or social foundation

can be imparted to the group, empowering them to fit their consideration to her
particular requirements, in this way advancing patient-focused care and improved
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results.
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To guarantee information quality, the group ought to execute information approval

conventions, direct normal reviews, and give preparing on information passage and
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revealing prescribed procedures. Also, the information should be applicable to Marta's

consideration objectives and lined up with proof based works on, permitting the group to
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settle on informed choices and give her the most ideal consideration.
Client’s Record Influencing Health Outcomes
Patient records assume a vital part in further developing wellbeing results. Marta
Rodriguez's case shows the way that between proficient groups can use Wellbeing Data
Innovation (HIT) to gather, break down, and offer data from client records, at last
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upgrading patient consideration and results. This conversation investigates how
information acquired from patient records can decidedly impact wellbeing results and
how between proficient groups can facilitate their endeavors utilizing HIT.
HIT empowers between proficient groups to accumulate and break down information
from client records, offering bits of knowledge into patterns, examples, and care holes
(Leslie and Paradis, 2018). For example, Marta's records can give significant data about
her clinical history, medicine routine, and wellbeing status, working with the
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improvement of an extensive consideration plan customized to her extraordinary
necessities. HIT can likewise assist with distinguishing expected chances, like
unfavorable medication responses or postoperative complexities, empowering brief
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intercession to forestall negative wellbeing results.
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Additionally, HIT improves care coordination among between proficient colleagues. By
sharing data from client records, colleagues can team up more really in overseeing
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patient consideration. Instruments like EHRs and secure informing stages empower
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constant correspondence, guaranteeing that all colleagues are in the know regarding
the most recent patient data. This decreases the gamble of miscommunication and
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mistakes, eventually prompting further developed wellbeing results for the patient.
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Viable coordination of discoveries among between proficient colleagues requires clear
correspondence, a common consideration plan, and a readiness to team up toward
shared objectives (Rawlinson et al., 2021). HIT instruments give a concentrated stage
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to getting to and sharing data, guaranteeing that all colleagues have an extensive
comprehension of the patient's consideration needs. This cooperative methodology
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empowers the arrangement of comprehensive consideration that tends to all parts of the
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patient's wellbeing, bringing about better wellbeing results.

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Positive wellbeing results can be impacted by the utilization of HIT to gather, break
down, and circulate information from patient records. Between proficient groups can use
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HIT instruments to arrange their endeavors, guaranteeing admittance to the most recent
patient data. Through powerful joint effort and the capable utilization of HIT devices,
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these groups can give patient-focused care that thoroughly addresses all parts of the
patient's wellbeing, prompting further developed wellbeing results.
Conclusion
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Marta Rodriguez's post-release care includes a patient-focused approach described by
powerful coordination. The usage of HIT components, including EHRs, telehealth
innovation, prescription compromise instruments, and secure informing stages, will
upgrade correspondence and coordination across her consideration continuum. The
meaning of information detailing in care coordination, clinical productivity, and between
proficient advancement is recognized by the group, with top notch information giving
experiences into Marta's ways of behaving and inclinations, bringing about superior
patient-focused care and results. Client records act as an important wellspring of
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information for upgrading wellbeing results, and the skilled utilization of HIT helps
between proficient groups in gathering, dissecting, and sharing this data to foster a
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custom fitted consideration plan for Marta. The between proficient group's viable joint
effort will guarantee Marta gets legitimate instruction, support, and follow-up care,
lessening the gamble of readmission in something like 48 hours after release.
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References
Brooks, E. M., Winship, J. M., & Kuzel, A. J. (2020). A “Behind-the-Scenes” look at

inter-professional care coordination: How person-centered care in safety-net health
system complex care clinics produces better outcomes. International Journal of
Integrated Care, 20(2). https://doi.org/10.5334/ijic.4734
Chowdhury, D., Hope, K
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. D., Arthur, L. C., Weinberger, S. M., Ronai, C., Johnson, J. N., & Snyder, C. S. (2020).
Telehealth for pediatric cardiology practitioners in the time of COVID-19. Pediatric
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Cardiology, 41(6), 1081–1091. https://doi.org/10.1007/s00246-020-02411-1
Flickinger, T. E., Waselewski, M., Tabackman, A., Huynh, J., Hodges, J., Otero, K.,
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Schorling, K., Ingersoll, K., Tiouririne, N. A.-D., & Dillingham, R. (2022). Communication
between patients, peers, and care providers through a mobile health intervention
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supporting medication-assisted treatment for opioid use disorder. Patient Education and
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Counseling. https://doi.org/10.1016/j.pec.2022.02.014
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Leslie, M., & Paradis, E. (2018). Is health information technology improving
inter-professional care team communications? An ethnographic study in critical care.
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Journal of Interprofessional Education & Practice, 10, 1–5.
https://doi.org/10.1016/j.xjep.2017.10.002
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Oksholm, T., Gissum, K. R., Hunskår, I., Augestad, M. T., Kyte, K., Stensletten, K.,
Drageset, S., Aarstad, A. K. H., & Ellingsen, S. (2023). The effect of transitions
intervention to ensure patient safety and satisfaction when transferred from hospital to
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home health care—A systematic review. Journal of Advanced Nursing.

https://doi.org/10.1111/jan.15579
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Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye, P.,
Peytremann-Bridevaux, I., & Gilles, I. (2021). An overview of reviews on
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inter-professional collaboration in primary care: Barriers and facilitators. International

Journal of Integrated Care, 21(2), 32. https://doi.org/10.5334/ijic.5589
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Schwab, P., Mehrjou, A., Parbhoo, S., Celi, L. A., Hetzel, J., Hofer, M., Schölkopf, B., &
Bauer, S. (2021). Real-time prediction of COVID-19-related mortality using electronic
health records. Nature Communications, 12(1).
https://doi.org/10.1038/s41467-020-20816-7
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Patient Discharge Care Planning

Longitudinal, Patient-Centered Care Plan

To guarantee Marta Rodriguez gets exhaustive, patient-focused care, the

coordination for Marta by encouraging correspondence and cooperation among

Information detailing holds tremendous importance in the medical services industry,

and inclinations. Information in regards to her language inclinations or social foundation

To guarantee information quality, the group ought to execute information approval

revealing prescribed procedures. Also, the information should be applicable to Marta's

Client’s Record Influencing Health Outcomes

patient's wellbeing, bringing about better wellbeing results.

Brooks, E. M., Winship, J. M., & Kuzel, A. J. (2020). A “Behind-the-Scenes” look at

Chowdhury, D., Hope, K

home health care—A systematic review. Journal of Advanced Nursing.

inter-professional collaboration in primary care: Barriers and facilitators. International

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