Complete an interactive simulation in which you will make decisions about a patientâ€™s end-of-life care (Simulation is complete already, you will use it to write the essay). Then, develop a transitional care plan, 4â€“5 pages in length, for the patient.
To prepare for this assessment, recommend appropriate end-of-life care for Mrs. Snyder and see how those recommendations can affect the lives of the patient and her family.
Develop a transitional care plan for Mrs. Snyder.
Transitional Care Plan Format and Length
You may use a familiar transitional care plan format or templateâ€”for example, one used in your organizationâ€”or you may create your own. A link to an example is provided in the Suggested Resources.
- Format your transitional care plan in APA style; an APA Style Paper Tutorial is also linked in the Suggested Resources to help you. Be sure to include:
- A title page and reference page. An abstract is not required.
- A running head on all pages.
- Appropriate section headings.
- Your plan should be 4â€“5 pages in length, not including the title page and references page.
Cite 3â€“5 sources of scholarly or professional evidence to support your plan.
Developing the Transitional Care Plan
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your transitional care plan addresses each point, at a minimum. Read the Transitional Care Plan Scoring Guide to better understand how each criterion will be assessed.
- Provide the key plan elements and information needed to ensure safe, high-quality transitional care and improved patient outcomes.
- Include elements such as emergency and advance directive information, medication reconciliation, plan of care, and available community and health care resources.
- Explain the importance of each key element of the transitional care plan.
- Identify potential effects of incomplete or inaccurate information on patient outcomes and the quality of care.
- Cite credible evidence to support your assessment of each elementâ€™s importance.
- Explain the importance of effective communications with other health care and community services agencies involved in the transition.
- Identify potential effects of ineffective communications on patient outcomes and the quality of care.
- Identify barriers (actual or potential) to the transfer of accurate patient information from the sending organization to the ultimate patient destination.
- Consider barriers inherent in such care settings as long-term care, sub-acute care, home care services, and home care with support.
- Identify at least three barriers.
- Develop a strategy for ensuring that the destination care provider has an accurate understanding of the patient medication list, plan of care, and follow-up plan.
- Cite credible evidence to support for your strategy.
- Write clearly and concisely, using correct grammar and mechanics.
- Express your main points and conclusions coherently.
- Proofread your writing to minimize errors that could distract readers and make it difficult to focus on the substance of your plan.
- Support main points, claims, and conclusions with credible evidence, correctly formatting citations and references using APA style.