I need this by Tuesday

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Transition Care Plan

Family is an essential aspect of society at any given time. That is why many people would

prefer getting attended to by the people they share the same bloodline during need. For instance,

Snyder’s situation proves how the family is vital. She desires to have her family beside her during

her last days on earth, whereby she had already surrendered to the disease and was ready to die at

her home. Therefore, it is all about family because they are among the people who will understand

the feeling you have deep inside and act according to how you would prefer to get followed. At

some point, through the closest people you know from the shared bloodline, their Presence would

help boost your psychological stability during medication and sometimes improve recovery due to

the present contact (Christians, 2021). Usually, one believes that having their people around them

during need is the perfect solution towards providence of specific basic needs and wants as the

patient would suggest. That is why Snyder wanted to be taken home and die peacefully at the

conform of her settings alongside her family and the hospitality services she prefers from a specific

Jewish center.

Elements and information needed for quality transition for improved patient outcomes.

Usually, as depicted from the case study, the patient was in a condition that had forced her

to give up. Sadly, there was medical staff around, but the situation could not get solved as one

would expect. Therefore, several practices would be vital in making the entire examination

successful in increasing the quality that would involve better patient outcomes. The first includes

patient education, whereby the client needs to realize that the current medical condition is not the

final aspect. Anything might change at any time, bringing back the lost life. It encourages one to

live rather than die before the actual time comes. Usually, some persons succumb to illnesses due

to anxiety. However, patient education would provide advance directive information leading to

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changing one’s psychological status, resulting in improved medical conditions. The second

pertains to patient engagement throughout the process. For instance, when any aspect occurs, such

as emergency practices, she should get the detailed information regarding the process, which

should get initiated professionally. The other approach involves incorporating one’ community,

people from the specific bloodline. They are the psychological boosters of the patient under care. It

helps them have hope regarding the situation, hence a promising medical examination throughout

the course. Lastly, some information does not need to reach patients during critical conditions.

They include the rising medical bills, the death of other persons that had been in such conditions,

and how dangerous the current situation might be. It fades their hopes of living a healthy life again,

hence dying before the projected time. Providing positive information helps one adapt to the

situation and accept everything, thus increasing their lifespans. That is why people have been

living with HIV/AIDS for more than thirty years, as others succumb to it within a year. It is all

about what they know regarding the illness and how the medical staff will react to the knowledge

possessed.

Importance of the key elements of Transition Care

It is critical to understand that the method and manner of conveying information to the

patients matter the outcomes. Threatening data usually makes them feel more anxious within the

current situation. It worsens the medical condition hence death. Regarding incomplete and

inaccurate information, there would be aspects of medication errors, longer stays at medical

facilities, increased admission rates, and higher care costs. Therefore, giving the most accurate data

helps understand the current situation and examine the proper ways that may need attention that

leads to improved health. The other importance of the stated elements includes patient education's

power towards recovery. It is among the central focus aiming to influence one's behavior alongside

changing their skills and attitudes towards the medical concern, helping improve their health (Tom

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& Phang, 2022). Additionally, including one's community can be a care plan concept. The

community or the client's people get considered as persons who understand one's situation and act

as the key players in social responsibilities (Melo & Alves, 2019). Typically, one believes that

being with people they relate to through blood boosts their trust regarding the induced processes.

Importance of effective communications with other health care and community services agencies.

In every situation, the flow of information is among the critical concerns that matter the

practice outcomes. Communicating effectively associates with giving accurate data suitable for

conducting matters according to how they occurred and finding solutions. The first importance

includes proper protection of the clients. Regarding safety, when the exact message and

information gets communicated along the line of duty, the medical examinations alongside issuing

of drugs to the patients will be accurate; for that reason, it will be easier to give the proper

treatment to the patient. The second involves bringing a collaborative practice among professionals

and the community, creating a reliable form of medication, since professionalism, collaboration,

and coordination aids in increased monitoring and examination of patient needs in any given

situation. The third involves saving costs since effective communication aligns with proper

medication, which helps deliver the exemplary practices at the exact time of need. For instance,

there will be a coordinated form of activities within the healthcare facilities when a patient gets

admitted. Therefore, the person responsible for giving drugs to the patient will rely on the data

presented and produced from the lab. If it is accurate, the correct prescriptions will get issued,

saving them time and costs for the affected person. Lastly, effective communication perfects day-

to-day efficiency. It gives the proper updates at the perfect time, improving the chances of having

better patient outcomes. However, if there is ineffective communication during the transition, there

will be increased costs, advanced medical errors, poor collaboration towards helping solve the

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situation, and lack of efficiency in treatment, and delays in the necessary tests. Due to such

reasons, there will be an inferior patient outcome at the end of the practice, leading to adverse

suffering or even quick deaths.

Barriers to the transfer of accurate patient information from the sending organization to the patient destination.

Poor transfer of information to the intended destination results in poor outcomes. To avoid

such instances, the barriers must get identified and shut. Such barriers include poor technological

use, uncooperating patients, and security concerns. For example, in home care services, when the

correct information gets delayed to reach patients’ homes due to security concerns, there will be

reduced speed in medical examination, limiting the chances of getting accurate results on time.

Regarding patients refusing to corporate, family involvement may have been the course of it all

due to their advice. Some family members discourage the sick from expected services by hiding

the required data from the lab.

Accurate Provider Understanding During Patient Care Transition

The best strategy for ensuring that the destination care provider has an accurate

understanding of continued care involves facilitating proper communication with outpatient

providers. It is vital to understand that having follow-ups regarding the condition of clients after

they leave a facility to understand their current situations that include the entire progress through

treatment engagement, community support, early recovery, and maintenance (Schiavo, 2021). By

such practices, the potential outcomes include;

 Reduced risks associated with hospital-acquired conditions.

 Boosted continuum care.

 Best patient experiences.

 Reduced waiting hours.

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 Improved rehabilitation and recovery.

Through such a strategy, one might avoid the main disadvantage of outpatient programs,

involving lacking someone to help the patients at all times during the recovery process (Rauch et

al., 2020). It reduces the chances of getting worried about their health situation when away from

the medical facility. That is the same thing that would have been made available for Mrs. Snyder

after her desire to go home.

Conclusion

In conclusion, there is a need to understand the critical elements for a better medical

transition and their importance, having effective communication, understanding the barriers to the

communicated message, and the best strategy to improve patient outcomes. The key elements

include patient education, which builds a client, making them understand the need for the

medication and how it will be better to get it at the right time. It boosts their confidence and belief

in the suggested procedures. Among the key barriers to effective communication is a technological

failure, which delivers incorrect data, leading to poor results. Lastly, the best strategy to get

involved in the current medical practices should include keeping track and communicating with

outpatient providers. It reduces the anxiety of one feeling that they are lonely. One needs to feel

that someone is watching over them; they must be professionals.

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References Christians, F. (2020). Country profile – Primary healthcare and family medicine in

Namibia. African Journal of Primary Health Care & Family

Medicine, 12(1). https://doi.org/10.4102/phcfm.v12i1.2242

Melo, P., & Alves, O. (2019). Community empowerment and community partnerships in nursing

decision-making. Healthcare, 7(2), 76. https://doi.org/10.3390/healthcare7020076

Rauch, S. A., Rothbaum, B. O., Smith, E. R., & Foa, E. B. (2020). Case management. Prolonged

Exposure for PTSD in Intensive Outpatient Programs (PE-IOP), 89-

92. https://doi.org/10.1093/med-psych/9780190081928.003.0005

Schiavo, R. (2021). Mental health inequities and the pandemic: A communication

emergency. Journal of Communication in Healthcare, 14(3), 189-

190. https://doi.org/10.1080/17538068.2021.1973716

Tom, K., & Phang, P. T. (2022). Effectiveness of the video medium to supplement preoperative

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Counseling. https://doi.org/10.1016/j.pec.2022.01.013