Category: NURS-FPX4065

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan Name Capella university NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date Preliminary Care Coordination Plan for Adult Mental Health Patients in an Acute Health Setting Physical Considerations and Best Practices Risks Adults diagnosed with severe psychiatric disorders face a heightened likelihood of developing secondary physical health problems. Common coexisting conditions include cardiovascular illnesses, type 2 diabetes, and respiratory diseases. Evidence indicates that individuals living with long-term psychiatric conditions may experience a life expectancy reduction of 15–20 years compared to the general population (Nielsen et al., 2021). This disparity is strongly linked to poor access to preventive healthcare, unhealthy lifestyle practices, and the adverse metabolic effects of antipsychotic or mood-stabilizing medications. Best Practices To reduce these risks, acute healthcare providers should implement comprehensive physical health assessments alongside psychosocial support programs. Intervention Details Routine Physical Health Checks Regular monitoring of BMI, blood pressure, fasting glucose, lipid profile, and smoking status. Lifestyle Interventions Providing smoking cessation programs, guided physical activity sessions, and nutrition-focused counseling. Evidence shows that structured interventions in diet, activity, and cessation of tobacco improve both mental and physical health outcomes (Koomen et al., 2022). By embedding these interventions into care coordination, providers can ensure that both the physical and psychological dimensions of patient health are adequately addressed. Mental Illness Mental illness refers to clinically recognized disturbances in thought, mood, or behavior caused by biological, psychological, or developmental dysfunctions (Stein et al., 2021). These conditions disrupt everyday life, limiting social engagement, occupational performance, and emotional stability. Prevalence and Impact These statistics reflect the urgent need for coordinated care models, preventive interventions, and prompt access to treatment services. Cultural Considerations and Best Practices Barriers Cultural stigma, misconceptions about psychiatric disorders, and reliance on traditional healing practices often prevent individuals from accessing evidence-based mental health care. Variability in cultural values means that interventions must be tailored to patient backgrounds to ensure acceptance. Best Practices Practice Application Culturally Adaptable Care Integrating patients’ values, traditions, and beliefs into the treatment process fosters trust and compliance (Ahad et al., 2023). Culturally Competent Education Delivering awareness programs through peer-led workshops, community events, and culturally tailored materials reduces stigma and encourages help-seeking behavior (Ahad et al., 2023). When cultural responsiveness is embedded in care planning, providers foster inclusivity and significantly improve patient engagement. Psychosocial Considerations and Best Practices Psychosocial health influences how individuals regulate emotions, manage stress, and interact socially. These factors are central to recovery and relapse prevention in patients with severe mental illness. NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan Practice Application Psychological Interventions Mindfulness-Based Cognitive Therapy (MBCT) integrates cognitive restructuring with mindfulness strategies to reduce relapse rates in depression (Gkintoni et al., 2025). Emotional Support & Coping Training in relaxation techniques such as deep breathing, yoga, and meditation enhances emotional regulation and resilience. Group Psychotherapy Facilitates peer support, trust-building, and empathy among patients, strengthening recovery and reintegration (Marmarosh et al., 2022). Underlying Assumptions and Uncertainties SMART Goals Community Resources Effective care coordination extends beyond the acute care setting by connecting patients to community-based programs that support recovery and long-term well-being. Organization Services Offered Contact Information Mental Health Association of Central Florida (MHACF) Provides free counseling, peer support, education workshops, and professional referrals. Phone: 407-898-0110Address: 605 E Robinson St., Suite 450, Orlando, FL 32801 (MHACF, 2025) Caron Florida Offers CBT, DBT, medication management, and individual/family therapy sessions. Phone: 1-855-548-0352Address: 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024) NAMI Florida Provides advocacy, peer support, community awareness, and education programs. Phone: 850-671-4445Address: P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025) Care Resource Sliding-scale fee counseling, HIV/behavioral health programs, and free services for uninsured patients. Phone: 305-576-1234Address: 3510 Biscayne Blvd, Miami, FL 33137 (Care Resource, 2025) References Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus. https://doi.org/10.7759/cureus.39549 Care Resource. (2025). Behavioral health. Care Resource. https://careresource.org/services/behavioral-health/ Caron Florida. (2024). Mental health program. Caron Transformational Care. https://www.caron.org/treatment-programs/mental-health-program Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Mindfulness-based cognitive therapy in clinical practice: A systematic review of neurocognitive outcomes and applications for mental health and well-being. Journal of Clinical Medicine, 14(5), 1703. https://doi.org/10.3390/jcm14051703 Koomen, M., van, J., Deenik, J., & Cahn, W. (2022). Lifestyle interventions for people with a severe mental illness living in supported housing: A systematic review and meta-analysis. Frontiers in Psychiatry, 13, 966029. https://doi.org/10.3389/fpsyt.2022.966029 NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan Marmarosh, C. L., Sandage, S., Wade, N., Captari, L. E., & Crabtree, S. (2022). New horizons in group psychotherapy research and practice from third wave positive psychology: A practice-friendly review. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3), 643. https://doi.org/10.4081/ripppo.2022.643 Mental Health Association of Central Florida. (2025). About us. https://mhacf.org/learn-more/ NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/ National Alliance on Mental Illness. (n.d.). Mental health in Florida. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature Reviews Cardiology, 18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7 Stein, D. J., Palk, A. C., & Kendler, K. S. (2021). What is a mental disorder? An exemplar-focused approach. Psychological Medicine, 51(6), 894–901. https://doi.org/10.1017/S0033291721001185 World Health Organization. (2023). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). Key substance use and mental health indicators in the United States: Results from the 2022 National Survey on Drug Use and Health. U.S. Department of Health and Human Services. https://www.samhsa.gov/data/

NURS FPX 4065 Assessment 1 BSN Practicum Conference Call Worksheet Name Capella university NURS-FPX4065 Patient-Centered Care Coordination Prof. Name Date BSN Practicum Conference Call Worksheet Learner Name: Elizabeth Preceptor Name and Credentials: Dr. David Harrow, MD Clinic: Longevity Center Phone: (561) 843-5955 Email: harrowd@gmail.com Practicum Location: Florida Call Date: June 20, 2025 Attending Call: Faculty advisor, learner, and preceptor Meeting Topic The initial practicum planning meeting with Dr. David Harrow centered on developing a framework to address mental health and wellness concerns among patients at the Longevity Center. The conversation highlighted the need for a structured and sustainable mental wellness program. The meeting further emphasized interprofessional collaboration and the application of evidence-based approaches to improve patient care outcomes. Practicum Goals The following goals were agreed upon for the practicum experience: Goal 1: Conduct a thorough assessment of the existing mental wellness needs of patients through observation, patient interviews, and review of health data. Goal 2: Design and implement at least one evidence-based intervention to strengthen mental well-being among patients. Possible interventions may include mindfulness-based stress reduction programs, coping skills workshops, or guided relaxation sessions. Goal 3: Evaluate the outcomes of the implemented intervention and provide a set of recommendations to enhance long-term and sustainable support systems for mental health care within the facility. Notes from the Meeting A holistic and patient-centered approach to mental wellness is needed at the Longevity Center. There is a strong potential for interdisciplinary teamwork, involving nurses, counselors, and nutritionists. The absence of a formalized mental health program presents an opportunity for innovation in program design and implementation. Practicum Schedule The practicum will be carried out in stages to ensure systematic progress: Timeline Planned Activities Weeks 1–2 Orientation, patient engagement, and needs assessment. This stage will include interviews, baseline data collection, and observation of ongoing practices. Weeks 3–6 Implementation of the selected intervention, which may involve group activities, wellness workshops, or individual counseling strategies. Weeks 7–8 Evaluation of intervention outcomes, collection of feedback from patients and staff, and preparation of the final practicum report. Action Items: Submit the finalized practicum goals and schedule to the faculty advisor for approval. Begin drafting an intervention plan for discussion in the next meeting with Dr. Harrow. Practicum Documentation Notes: Weekly documentation will be prepared and securely stored in compliance with HIPAA and institutional guidelines. Documentation tools include weekly logs, reflective journals, and structured progress reports. Dr. Harrow will co-sign weekly summaries and review materials that may be shared externally. Action Items: Establish a digital documentation system for efficiency. Review and sign the confidentiality agreement and all practicum-related policies. Expectations Notes: Demonstrate professional communication, punctuality, and accountability. Actively attend all scheduled meetings and contribute to interdisciplinary team discussions. Submit weekly reflections as well as midterm and final evaluation forms. Action Items: Send weekly check-in summaries to Dr. Harrow every Friday. Schedule a midpoint evaluation meeting during week 5 of the practicum. Summary The first practicum session provided a strong and organized foundation for the project at the Longevity Center. Under the mentorship of Dr. Harrow, the practicum will focus on identifying service gaps, implementing evidence-based strategies, and evaluating their impact on patient well-being. Immediate priorities include finalizing the practicum schedule, developing the intervention plan, and establishing the documentation process. This experience will equip the learner with practical skills in designing and evaluating community-based mental health programs. It will further strengthen competencies in interprofessional collaboration, patient-centered care, and quality improvement practices. Importantly, the practicum aims to introduce sustainable mental wellness practices that the Longevity Center can continue beyond the scope of the project. References American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). ANA Publishing. National Institute of Mental Health. (2024). Mental health information. https://www.nimh.nih.gov/health Substance Abuse and Mental Health Services Administration. (2023). Evidence-based practices resource center. https://www.samhsa.gov/resource-search/ebp NURS FPX 4065 Assessment 1 BSN Practicum Conference Call Worksheet World Health Organization. (2023). Mental health and well-being: Action plan. https://www.who.int =