Phillip September 17, 2023 No Comments

NURS FPX 4050 Assessment 1 – Preliminary Care Coordination Plan

NURS FPX 4050 Assessment 1 – Preliminary Care Coordination Plan


Capella university

NURS FPX4050 Coordinating Patient-Centered Care

Prof. Name


Preliminary Care Coordination Plan

Primary care is the patient’s first exposure to the healthcare system, providing easy access to comprehensive, ongoing, patient-centered care. The preliminary Care plan is a structured method utilized in healthcare to provide efficient and comprehensive primary care to patients. Primary coordination planning includes developing a roadmap highlighting the healthcare staff’s actions, responsibilities, and roles associated with patient care. To ensure patient-focused care, it is necessary to have and discuss physical, cultural, and psychosocial factors influencing adequate healthcare provision. Lacking to take these factors under consideration can result in inappropriate treatment plans (Li et al., 2020). This assessment seeks to analyze a chosen health issue, set goals, and identify essential community resources to ensure a safe and effective care journey. Moreover, the plan serves as the basis for delivering efficient patient care that addresses not only their physical requirements but also their psychosocial and cultural aspects.

Perceptive Analysis of a Health Concern and Best Practices

Pulmonary disease is a significant health issue affecting most of the population. Various pulmonary diseases are spreading and rising day by day. One of the major diseases is Chronic Obstructive Pulmonary Disease (COPD), characterized by airflow obstruction and chronic airway inflammation. It involves conditions like bronchitis and emphysema; the significant factors in such diseases are air pollutants, smoking, and genetics (Joshi et al., 2020). One of the primary causes of morbidity and mortality is COPD. According to WHO, COPD is estimated to be the third most frequent cause of mortality globally by 2030. Evidence-based best practices aiming at alleviating symptoms, improving lung function, and enhancing the overall quality of life include modifications in lifestyle by discontinuing tobacco smoking and regular exercise inclusion in daily routine (Ambrosino & Bertella, 2018). Pulmonary rehabilitation is also considered an evidence-based practice for the management of COPD. Numerous studies indicated its usefulness in improving patients’ overall quality of life with COPD. Healthcare professionals can synthesize a suitable rehabilitation plan based on the patient’s needs. And the seriousness of the condition. Other major health improvement options include the use of pharmacological intervention, including bronchodilators, anticholinergics, Short Acting β2 Agonists (SABA), Long Acting β2 Agonists (LAMA), and inhaled corticosteroids (Cazzola et al., 2019). The primary assumption underlying the analysis is the evidence-based nature of these best practices. Moreover, the uncertain areas lie in long-term patient adherence required for major respiratory diseases like COPD, disease progression, and individual patient’s response to specific treatment regimens. 

Achievable Goals to Address Selected Healthcare Problems

To address the issue of COPD following goals can be formulated in a measurable and attainable way. The primary goal is to create awareness about lifestyle modifications within the community. This can be achieved at the community level through awareness sessions, including necessary information about the factors which can improve the respiratory health of people. The factors concerned are pulmonary exercises, nutrition, and smoking habits. Nutritional management and lifestyle modifications are the key factors in achieving optimum respiratory health. This will be measured by monitoring the changes in body weight and diet status, smoking cessation, and overall improvements in health conditions. Another vital goal is environmental cleaning to prevent contact with outdoor and indoor allergens, irritants, and pollutants. The pollutant-free environment will ultimately result in an overall improvement in the respiratory health of the community, leading to reduced incidences of respiratory diseases like COPD. This goal is achievable through environmental sustainability programs, awareness campaigns, and commitment from community leaders. Lastly,  medication compliance among affected individuals is another essential goal for managing respiratory conditions. Healthcare providers can arrange sessions on the importance of medication compliance and the factors causing hurdles (López-Campos et al., 2019). Moreover, smartphones can be utilized for medication reminders. These awareness and medication reminders will ensure effective management of the disease. Patient satisfaction, community engagement, reduction in COPD disease progression, and improved quality of life will measure the effectiveness of the interventions and achievement of the goals. 

Community Resources for Continuum of Care

Some primary community resources should be included in a thorough and efficient care coordination plan for COPD in the community. One such community resource is a support group. Community support groups can improve quality of life, enhance knowledge about COPD, and increase adherence to treatment regimens. The American Lung Association’s Better Breathers Club has worked for 50 years. This club has connected individuals with COPD for effective management of the disease. Participating in support groups has enhanced self-management abilities and overall quality of life for individuals (Hosseinzadeh & Shnaigat, 2019). Another community resource can be home care institutes.

Preliminary Care Coordination Plan

Healthcare professionals can partner with home care institutes to help with daily routine activities and disease management within patients’ homes. Hospital-based home care services with telemonitoring facilities can significantly decrease the number of hospitalizations in elderly age groups and assist in the immediate management of chronic diseases. Many community resources provide programs for rehabilitation that aim to enhance the quality of life for individuals with respiratory conditions. These programs typically involve exercise training, nutritional counseling, and psychosocial support, all geared toward improving patients’ well-being and quality of life. Mayo Clinic Pulmonary Rehabilitation Program and Cleveland Clinic’s Pulmonary Rehabilitation Program aim to increase the quality of life in COPD patients using rehabilitation and lifestyle management techniques (Yu et al., 2019). Thus, the utilization of community resources is essential to improve health conditions, especially for COPD patients, and enhance care coordination. 


In conclusion, healthcare professionals can develop primary care coordination plans to improve various health conditions, considering the patient’s preferences, cultural, psychosocial, and physical factors to optimally manage and treat the condition. Several community resources can be effectively utilized to manage health conditions such as COPD. It is imperative to develop realistic, achievable, and measurable goals within the community to improve health concerns and bring positive changes to an individual’s life so that the quality of care can be improved and the patient’s well-being is achieved. 


Ambrosino, N., & Bertella, E. (2018). Lifestyle interventions in prevention and comprehensive management of COPD. Breathe, 14(3), 186–194. https://doi.org/10.1183/20734735.018618 

Cazzola, M., Rogliani, P., Stolz, D., & Matera, M. G. (2019). Pharmacological treatment and current controversies in COPD. F1000Research, 8, 1533. https://doi.org/10.12688/f1000research.19811.1 

Hosseinzadeh, H., & Shnaigat, M. (2019). Effectiveness of chronic obstructive pulmonary      disease self-management interventions in primary care settings: A systematic review. Australian Journal of Primary Health, 25(3), 195. https://doi.org/10.1071/py18181 

NURS FPX 4050 Assessment 1 – Preliminary Care Coordination Plan

Joshi, M., Goraya, H., Joshi, A., & Bartter, T. (2020). Climate change and respiratory diseases: A 2020 perspective. Current Opinion in Pulmonary Medicine, 26(2), 119–127. https://doi.org/10.1097/MCP.0000000000000656

Li, X., Krumholz, H. M., Yip, W., Cheng, K. K., De Maeseneer, J., Meng, Q., Mossialos, E., Li, C., Lu, J., Su, M., Zhang, Q., Xu, D. R., Li, L., Normand, S.-L. T., Peto, R., Li, J., Wang, Z., Yan, H., Gao, R., & Chunharas, S. (2020). Quality of primary health care in China: Challenges and recommendations. The Lancet, 395(10239), 1802–1812. https://doi.org/10.1016/s0140-6736(20)30122-7

López-Campos, J. L., Quintana Gallego, E., & Carrasco Hernández, L. (2019). Status of and strategies for improving adherence to COPD treatment. International Journal of Chronic Obstructive Pulmonary Disease, 14, 1503–1515. https://doi.org/10.2147/copd.s170848 

NURS FPX 4050 Assessment 1 – Preliminary Care Coordination Plan

Yu, X., Li, X., Wang, L., Liu, R., Xie, Y., Li, S., & Li, J. (2019). Pulmonary rehabilitation for exercise tolerance and quality of life in IPF patients: A systematic review and meta-analysis. BioMed Research International, 2019, 8498603. https://doi.org/10.1155/2019/8498603