For this assessment, you will build on the care coordination plan you developed in Assessment 1 using best
practices found in the literature. (assessment 1 will be attached as a file.)
Care coordination is the process of providing a smooth and seamless transition of care as part of the health
continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural
norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary
knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based
practices to promote health and disease prevention to create a safe environment conducive to improving
and maintaining the health of individuals, families, or aggregates within a community. When provided with a
plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment
conducive to healing and a better quality of life.
This assessment provides an opportunity to research the literature and apply evidence to support what
communication, teaching, and learning best practices are needed for a hypothetical patient with a selected
health care problem.
Preparation:
In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1
using best practices found in the literature.
To prepare for your assessment, you will research the literature on your selected health care problem
(Depression). You will describe the priorities that a care coordinator would establish when discussing the
plan with a patient and family members. You will identify changes to the plan based upon EBP and discuss
how the plan includes elements of Healthy People 2020.