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This is a comprehensive and detailed assessment 1 practice material for Nurs 4050.

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  • January 10, 2025
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Preliminary Care Coordination Plan



Mikhaela Macrohon

Capella University

NURS-FPX4030: Making Evidence-Based Decisions

Professor Taylor

08/24/22

, 2


Care Coordination Plan for Stroke Patients

Stroke is the fifth leading cause of death in the United States, accounting for 140,000

American deaths annually. Strokes not only cost the nation $34 billion annually through

healthcare costs, medications, and lost productivity, but also, they are a significant cause of

disability (Boggs, 2022). Patients deal with lifelong deficits, and it is integral for these survivors

to have the necessary support and resources for them to thrive after their hospital stay. A care

coordinator will facilitate effective communication amongst healthcare providers, patients,

families, and caregivers. They will also facilitate linkages between communities and the

healthcare system to address medical, social, and educational needs to achieve that patient’s goal

(Swan, 2019). The use of a care coordinator helps support the multiple needs of the patient and

helps educate the patient about the resources available to them. Patients often don’t know that

there are outpatient programs and financial aid available; educating them can often lessen their

anxiety after discharge. This assessment will explore a care coordinator’s role in assisting

patients that are recovering from a stroke regarding their physical, psychosocial, and cultural

well-being.

Physical Aspect of Coordinating Care for Stroke Patients

The care coordinator should formulate a plan which takes into consideration the stroke

patients' diverse physical needs. This includes ensuring that patients receive proper medical

treatment in addition to rehabilitative services when hospitalized. The nursing care coordinator

may be able to ensure that patients have accessibility to transportation to and from their planned

medical appointments. Furthermore, the nurse care coordinator can guarantee that all patients

have access to the necessary medical supplies and equipment. Depending on the severity of the

stroke, admission to rehabilitation centers will be necessary. Stroke patients that suffer from

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