28 Dec 2022

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Preliminary Care Coordination Plan for Home Safety to Reduce the Risk of Medication in Older Adults

Format: APA

Academic level: University

Paper type: Research Paper

Words: 1057

Pages: 3

Downloads: 0

Home safety service for the ageing population acts as a critical aspect of healthcare. The ageing population requires effective care to ensure their home safety because the patients are frail and depend on numerous complex medications. However, the lack of sufficient care coordination may promote unregulated polypharmacy and probable safety risks for patients in different settings of a community. Lack of effective care coordination affects the optimization of medicine utilization among older adults in various cities globally. For instance, some system-based aspects such as ineffective operational rules in a healthcare institution may encourage the care team to have minimal focus on individual patient’s medication. Consequently, the paper intends to provide an effective preliminary care coordination plan for home safety to reduce the risk of medication in older adults. 

Sufficient home safety for older adults require nurses, leading nurses, home care, and practical nurses to conduct regular visits of the patients. However, multiple healthcare institutions experience workforce shortage and limited time to promote adequate home safety for older adults in various parts of a community. Though the limited availability of care teams or physicians hinders the adequate provision of healthcare services to the older adults, an effective preliminary care coordination plan may ensure home safety and reduces the risk of medication in the ageing population (Dick & Buttaro, 2019). The use of longitudinal health records for various patients to promote effective care service to Mrs Hartley. The longitudinal health records assist in minimizing patients’ care fragmentation in homecare by ensuring a secure network or connection of trusted nurses and pharmacists for effective referrals. A sufficient preliminary care coordination plan promotes prospective management of medication risks to Mrs Hartley using primary care services. 

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The assumption that clinical or nursing practice can ensure the safety of patients by minimizing errors pose a challenge to nurses and creates a lack of safety in homecare. The assumption requires the actions and knowledge of nurses to comply with specific safety protocols, and nurses can ensure certainty by using the right approaches. I hold the viewpoint that the assumptions limit nurses from exploring safe care in homecare. Rigid compliance with safety protocols may practice practical judgement, promoting uncertainty in homecare services. 

Communities have a considerable number of local pharmacists and practical nurses. For instance, Mr. Johnson, the local pharmacist, have a significant number of assistants who offer various medication services to the community members. However, nurses may promote primary care services in a community by coordinating the operation of practical nurses to provide adequate and effective care services to older adults. The local pharmacist act as the existing significant community resource that may promote the effective provision of home care services to Mrs. Hartley. A sufficient preliminary care coordination plan in healthcare institutions may ensure operative collaboration among nurses, leading nurses, local pharmacists, home care, and practical nurses (Toivo et al., 2019). A productive collaboration of nurses and the local community pharmacist helps in identifying and addressing medication risk in older adults, subsequently promoting prospective risk management of medication to enhance home care services to Mrs. Hartley. 

The socioeconomic differences in a community require the healthcare team to consider the diverse requirements of patients in a community. People have different medical requirements based on their religion, age, gender, ethical and educational backgrounds. For example, Mrs. Hartley requires effective care services because of her frail condition. A preliminary care coordination plan promotes the provision of standard home care services for Mrs. Hartley Standard home care services enable nurses to promote patient-centred services by offering care services based on the patient’s needs or requirements. Medical requirements of Mrs. Hartley determine the frequency of visits by a nurse. Collaboration of community pharmacists, practical and home care nurses promote the dispensation of medicines and management of medication (Costa, Mil, & Alvarez-Risco, 2018). For instance, the collaboration may assist in addressing drug-related challenges, training home care staff, and renewing prescriptions of drugs to Mrs. Hartley. Consequently, the application of a sufficient preliminary care coordination plan may assist in providing an appropriate combination or prescription of medicines to Mrs. Hartley. 

The primary objective of the preliminary care coordination plan entails collaboration with patients and their family members to develop mutual healthcare goals. The coordination care plan considers the preferences and needs of patients in ensuring high-quality health care delivery in a community. Educating Mrs. Hartley on her responsibilities encourages the patient to comply with the drug therapy plan. Informing her on the benefits and side effects of adhering to the drug therapy plan promote mutual agreement and curb instances of medication risks. Effective and efficient care coordination encompasses the management and integration of care services throughout the healthcare system to promote the delivery of appropriate and safe care to older adults in a community. A sufficient preliminary care coordination plan integrates speciality and behavioral health care to ensure effective referral arrangements for effective care delivery for Mrs. Hartley. The coordination care plan promotes follow-up operations to ensure effective care services for Mrs. Hartley to prevent high safety risks of medication. Moreover, a sufficient preliminary care coordination plan links patients with the available community resources, such as community pharmacies, to ensure an effective response to patients’ social service needs (Puustinen et al., 2018). A high-quality preliminary care coordination plan addresses patients’ preferences and needs throughout their treatment process; subsequently, a high-quality preliminary care coordination plan minimizes the risk of medication errors and curbs complications for Mrs. Hartley while promoting home safety. 

The integration of speciality care and behavioral health in the preliminary care coordination plan ensure the operative delivery of high-quality services to the clients. For example, the medication risk of Mrs. Hartley results from depression. The hopelessness encouraged Mrs. Hartley to use more antidepressant medication to ensure her relief. However, the overdose attempts of Mrs. Hartley pose medication risk to the patient. Safe care services and engagement of Mrs. Hartley and her family members promotes sufficient partnership in care delivery. Partnership encourages sufficient conveyance of health information and coordination of home safety services resulting in effective collaboration to improve the risk prevention and ensures affordability of care services to Mrs. Hartley. 

Finally, the paper provides an effective preliminary care coordination plan for home safety to reduce the risk of medication in older adults. Sufficient home safety for older adults requires regular visits to patients. Local pharmacists are the existing community resource for promoting effective home care services to older adults. Rigid adherence to safety protocols in practising effective situated judgement promotes uncertainty in homecare services. A preliminary care coordination plan promotes the provision of standard home care services to older adults. Lastly, a high-quality preliminary care coordination plan minimizes the risk of medication errors and curbs complications for Mrs. Hartley. 

References 

Berkowitz, B. (2016). The patient experience and patient satisfaction: measurement of a complex dynamic.  The Online Journal of Issues in Nursing 21 (1). 

Costa, F. G., Mil, J. W. F., & Alvarez-Risco, A. (2018).  The Pharmacist Guide To Implementing Pharmaceutical Care . Springer. 

Dick, K., & Buttaro, T. M. (2019).  Case Studies in Geriatric Primary Care & Multimorbidity Management-E-Book . Elsevier Health Sciences. 

Puustinen, J., Lähteenmäki, R., Nurminen, J., Vahlberg, T., Aarnio, P., Partinen, M., ... & Kivelä, S. L. (2018). Long-term persistence of withdrawal of temazepam, zopiclone, and zolpidem in older adults: a 3-year follow-up study.  BMC Geriatrics 18 (1), 142. 

Reeve, E., Low, L. F., & Hilmer, S. N. (2016). Beliefs and attitudes of older adults and carers about deprescribing of medications: a qualitative focus group study.  Br J Gen Pract 66 (649), e552-e560. 

Toivo, T., Airaksinen, M., Dimitrow, M., Savela, E., Pelkonen, K., Kiuru, V., ... & Puustinen, J. (2019). Enhanced coordination of care to reduce medication risks in older home care clients in primary care: a randomized controlled trial.  BMC Geriatrics 19 (1), 332. 

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StudyBounty. (2023, September 16). Preliminary Care Coordination Plan for Home Safety to Reduce the Risk of Medication in Older Adults.
https://studybounty.com/preliminary-care-coordination-plan-for-home-safety-to-reduce-the-risk-of-medication-in-older-adults-research-paper

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