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Designing Care Pathway and Investigating the Effectiveness of Coordinated Healthcare for COPD Patien

Part 1- A Care Pathway (flow chart)

Design a care pathway (flow chart) for a long-term condition chronic obstructive pulmonary disease (COPD), outlining the roles and responsibilities of each discipline, involved to support the delivery of care to people, their families and carers requiring a multidisciplinary approach on A4. 

Part 2 – Report

 3,000 words. 

This report is to an investigation of the effectiveness of coordinated, integrated healthcare.  Using the chronic obstructive pulmonary disease (COPD) as chronic/long term condition, address the learning outcomes in exploring the nurse's role in coordinating integrated healthcare.  following this outline "Guidance on report writing." For example:

  • Title page
  • Contents page
  • Abstract /Summary
  • Introduction
  • Main text
  • Conclusion
  • Recommendations
  • Reference list
  • Appendices – including care pathway (flow chart)

Learning Outcome

Guidance for Content

1. LO1 Analyse the role of the nurse, other professions and agencies in integrated health care delivery.

·         Define coordinated integrated care delivery, detail the importance and look at potential obstacles. How are you going to avoid the potential pitfalls? 

·         Look at the importance of the role of the nurse in relation to the NMC standards. 

·         Discuss the importance of communication, team working in the success of integrated working. 

·         In relation to your chosen topic, look at the role of the other professions who are involved and are integral in the patient’s journey. 

·         Consider what agencies are involved or could be involved in providing support to the patient and their family. How do these influences and contribute to care delivery?

2. LO2 Evaluate the physical. psychological and social aspects of care provision including self-care management for people, carers and families.

·         Look at what self-care is and the importance of this for the patient, the impact on their careers and their family in the prevention of re admission to hospital and in providing and promoting quality coordinated integrated care delivery.  

·         Review the complexities of managing the provision of psychological, cognitive, behavioural, social and physical care needs across a wide range of care settings.

·         Consider the agencies that might support the provision of self-care. 

·         Look at the pillars of self-care. / house of care model to self-care.

3. LO3 Appraise models of care delivery when supporting a patient requiring an interagency approach to care provision.

·         In relation to your chosen topic, review and discuss a model of care delivery in the coordination of integrated care. 

·         Consider how this model fits in with the delivery of coordinated integrated care.

·         Demonstrate safe transition of care within a variety of settings, incorporating interagency collaboration. 

·         Look at the impact of existing health policies for the nursing and social care professions, detailing the influences on organisation and in the delivery of care.

4. LO4 Analyse the importance of interdisciplinary, inter professional and interagency communication and working amongst care providers.

·         Define what interdisciplinary, interprofessional and interagency working is in relation to coordinating integrating care.

·         Analyse and discuss the importance of effective communication amongst healthcare providers.

·         Look at the 6csand the NMC standards in relation to this.

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