Literature Review on Health Care Problem- Insights for Care Coordination Planning
Healthcare coordination is a key area of healthcare delivery that helps patients make a continuum of care moving on and maintaining long-lasting health outcomes. This assessment is about devising a detailed care coordination plan to mitigate air pollution. Specifically, it focuses on problems related to environmental dangers and respiratory diseases. The rationale is to come up with a patient-focused strategy that deals with the necessary treatment prescriptions, community resources, ethical matters, and health policy factors. Through the combination of an evidence-based approach and the Healthy People 2030 objectives, the goal is to be able to deliver a higher quality of environmental health care for individuals with respiratory health needs and for overall well-being.
Designing Patient-Centered Health Interventions and Timelines
Three Healthcare Issues
Environmental Hazards Leading to Respiratory Diseases
Being in contact with pollutants such as air particulates and chemical emissions increases the odds of getting airway diseases like asthma and bronchitis. Industrial emissions, vehicle exhaust, and natural disasters lead to the deterioration of air quality. This, in turn, affects one’s respiratory health (Glenn et al., 2022).
Psychological Distress Due to Environmental Stressors
Environmental stressors like pollution and natural disasters can induce anxiety, depression, and fear. Unpredictability and disruptions caused by environmental challenges may provoke psychological stress and mental health concerns.
Cultural Variations Impacting Susceptibility to Environmental Threats
Sociocultural factors that affect the degree of susceptibility to environmental risks and the availability of resources should be considered. The socioeconomic status and cultural practices of people define how they will react to environmental threats, which will determine whether they will manage the risks and access health services (White et al., 2023).
Interventions for These Issues
Environmental Hazards Leading to Respiratory Diseases
It is essential to implement air quality improvement initiatives to fight respiratory diseases caused by environmental contaminants. This intervention is aimed at the removal of pollutants in the air through emission reduction programs, advancement of clean energy sources, pollution control measures, and public awareness programs. The goal of this intervention is to bring down air pollution levels in order to lower the risk of respiratory problems such as asthma and bronchitis (Sofia et al., 2020). It aims to develop public awareness concerning the significance of air quality for lung health and ensure community participation in air quality improvement initiatives. Initially, the primary focus will be to achieve improved respiratory health outcomes and decrease the prevalence and severity of respiratory illnesses in the community.
Psychological Distress Due to Environmental Stressors
Psychological support services represent a key approach to treating the psychological problems of those affected by environmental stressors. This intervention gives the opportunity for counseling, therapy, and coping strategies, which helps to take charge of one’s mental health (Wiedermann et al., 2023). It incorporates individual and relational counseling sessions, stress management classes, community resilience programs, and access to mental health services. Through such support and resources, which are needed to deal with anxiety, depression, and other mental health issues that may arise from environmental stressors, this intervention is designed to improve mental health and resilience in the community.
Cultural Variations Impacting Susceptibility to Environmental Threats
The development of culturally relevant training programs is of utmost importance with regard to the selection of appropriate environmental risk reduction techniques. The goal of this intervention is to increase knowledge on hazards to environmental health and provide measures that can be applied appropriately based on culture. It encompasses medical staff training on cultural competency, public health workshops on the community level, multicultural outreach programs, and using patients’ native language. The intervention intends to build a community culture through which culturally relevant information and resources will be offered, which would serve to empower different cultural communities to decrease their susceptibility to environmental hazards by adopting preventive measures (Curtis et al., 2019).
Community Resources for Environmental Hazards Leading to Respiratory Diseases
Environmental Protection Agency (EPA)
EPA provides air quality data and technologies for pollution control that are critical for communities to combat air pollution and keep respiratory health protected.
Local Clean Air Advocacy Groups
These organizations work to encourage clean air policies and organize educational programs so that residents can be educated about the health risks of air pollution, hence empowered to advocate for cleaner air.
Respiratory Health Clinics
The respiratory health clinics not only screen and assess but also offer treatment and education for people interested in respiratory health support.
Community Resources for Psychological Distress Due to Environmental Stressors
Mental Health Clinics
Mental health clinics provide counseling and therapy services to those experiencing some psychological disturbance through trained professionals.
Community Resilience Programs
Such programs target developing coping strategies and support systems to fortify resilience and conduct workshops and support groups to foster mental health.
Crisis Hotlines and Support Groups
Hotlines and support groups are immediate sources of help for those facing urgent mental distress due to environmental events. These outlets are confidential and offer helplines and online chat services.
Community Resources for Cultural Variations Impacting Susceptibility to Environmental Threats
Cultural Competence Training Programs
These programs offer education and resources for healthcare providers to better understand and effectively engage with diverse cultural communities, enabling culturally sensitive care delivery.
Community Health Education Workshops
These workshops increase the knowledge of environmental health risks and promote preventative measures consistent with an individual’s culture regardless of their background so that they can protect their health.
Multicultural Community Centers
Serving as hubs for outreach and support services, multicultural community centers offer resources tailored to specific cultural groups, fostering community connections and promoting health equity.
Ethical Decisions in Designing Patient-Centered Health Interventions
Practical Effects of Specific Decisions
Implementing Air Quality Improvement Initiatives
The government needs to take some measures to improve air quality, such as switching to renewable energy. This has practical implications for respiratory health. On the contrary, it opens ethical debates about balancing ecological protection with economic issues.
Providing Psychological Support Services for Environmental Stressors
Additionally, individuals affected by environmental stressors such as global warming or environmental pollution can greatly benefit from counseling and stress management services as they would the whole mental health (Palinkas et al., 2020). However, this may cause ethical problems, particularly in resource distribution and providing equitable access to these services. These can be significantly challenging for the vulnerable groups.
Delivering Culturally Tailored Education Programs
It is crucial for educators to construct environmental awareness programs to familiarize cultural populations with different environmental health risks. Nevertheless, such intervention needs to address cultural sensitivities to ensure that the case is inclusive and respects people’s beliefs and traditions.
Ethical Questions Generating Uncertainty
Balancing Public Health Protection with Individual Autonomy
Developing air quality enhancement programs means enforcing regulatory measures that may limit personal liberties. The ethical aspect of this matter lies in the question of the boundaries when the public health goals violate personal freedom and the problem of how to provide equal access to benefits and burdens.
Equitable Access to Mental Health Services
Offering psychological support services in cases of environmental stress discrepancies in care provision brings forth justice issues. Requests arise over what resources should be prioritized and how one can address the needs of the less privileged groups so that all get equal chances to benefit from mental health treatment.
Cultural Competence and Respect for Diverse Beliefs
One of the challenging factors in providing culturally fitted education programs is the sensitivity towards cultural norms and practices. The ethical aspect involves avoiding stereotypes, promoting inclusiveness, and ensuring that interventions address environmental contravention without disrespecting different cultural perceptions and practices.
Relevant Health Policy Implications for the Coordination and Continuum of Care
Relevant health policy implications for the coordination and continuum of care, including considerations of patient-centered health interventions for environmental health issues, encompass:
Environmental Health Policies
The existence of environmental health regulations, like air quality standards and pollution control procedures, influence care coordination initiatives. These policies form the see-saw of environmental risk factors and risk mitigation approaches and the overall vision behind the actions designed to protect patients’ health and lower the level of exposure to environmental hazards.
Health Information Exchange (HIE) Policies
HIPAA (Health Insurance Portability and Accountability Act) regulates the privacy and security of protected health information that pertains to the patient’s identity, diagnosis, treatment, and affiliation with a healthcare provider (U.S. Department of Health and Human Services, 2020). HIPAA compliance for the safe sharing of patient data through the routes of data communication among providers in environmental health interventions is another factor to contemplate. Such interoperable policies ensure a smooth flow of data regarding EH among all providers in the junction care and thus ensure the continuity of patient’s health path.
Health Equity and Environmental Justice Policies
Denial of the policies on health disparities and environmental injustices are materials that coordinate the care of vulnerable populations. These policies aim at prioritizing financing and implementing programs in poor areas, which are affected by environmental hazards the most, thus ensuring environmental protection for citizens by providing equal opportunities for healthcare services. They promote an integrated approach to the examination of health-related problems; therefore, everyone, irrespective of economic status or geographical location, is assured of consistent and continuous care.
Community Health Promotion Initiatives
Policies for creating channels that have integrative health efforts at the community level and compliance with HIPAA help healthcare providers engage more actively in community work. These interventions involve/engage communities in monitoring environmental pressures, strengthening environmental resilience, and motivating people to participate in patient-centered care programs (Haldane et al., 2019). Healthcare relationships can be established through HIPPA regulation, which enables coordinated communication and is responsible for collective interventions that promote patients’ health and well-being.
Integrating Ethical Considerations and Evidence-Based Practice in Environmental Health Interventions
Understanding Patient Needs
The care coordinator should preferably start with understanding the environmental health concerns of the patient, including respiratory symptoms, psychological distress, and cultural factors contributing to their exposure to environmental hazards. Through active listening, the care coordinator can then adjust the course of care to address specific requirements and preferences.
Evidence–Based Interventions
Following the most recent guidelines and research studies, the care coordinator should advise strategies for the prevention of environmental dangers and the promotion of health. This includes implementing strategies to improve air quality, providing psychological support services, and culturally tailored education programs.
Collaborative Decision–Making
Families and patients should be involved in the decision-making process. The prime role of the care coordinator would be to conduct a consultative approach with the patient and the family so that all parties get the rationale behind the suggested amendments to the care plan. Through the active engagement of the participants in the decision process, the care coordinator builds up ownership and responsibility.
Monitoring and Evaluation
Regular monitoring of the patient’s progress and the effectiveness of the interventions would be the main tasks. The care coordinator would highlight the significance of frequent follow-up visits and observation in assessing how the patient is progressing. Implementations of any changes in the care plan would be based on improved outcomes or the new notation of environmental health risks.
Aligning Learning Sessions for Environmental Health Care Coordination with Healthy People 2030 Goals
Best practices advocate for interactive and adaptable content that caters to the specific needs of individuals affected by environmental health issues. Evaluation criteria emphasize the integration of interactive elements considering the varying levels of understanding and engagement among participants (Jones et al., 2020). Furthermore, feedback mechanisms should be carefully designed to address the nuanced complexities inherent in environmental health topics, fostering meaningful engagement and comprehension.
Focusing on Healthy People 2030 objectives like cleaning air and water and building community stability as an educator will show the direction things need to go. Educators make a positive impact on the broader public health goals by including useful statistics, case studies, policies, and strategies. This alignment guarantees the existence of an integrated direction for which goals like reducing environmental exposures and increasing public awareness are directly supported. Lastly, it is important to apply best practices and Healthy People 2030 guidelines in order to maximize the efficiency of environmental health education programs on community health. Educators are the main link between the community and addressing and tackling environmental hazards, which, in the long run, favor better community health.
References
Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S.-J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal for Equity in Health, 18(1), 1–17. https://doi.org/10.1186/s12939-019-1082-3
Glenn, B. E., Espira, L. M., Larson, M. C., & Larson, P. S. (2022). Ambient air pollution and non-communicable respiratory illness in sub-Saharan Africa: A systematic review of the literature. Environmental Health, 21(1). https://doi.org/10.1186/s12940-022-00852-0
Haldane, V., Chuah, F. L. H., Srivastava, A., Singh, S. R., Koh, G. C. H., Seng, C. K., & Legido-Quigley, H. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One, 14(5). https://doi.org/10.1371/journal.pone.0216112
Palinkas, L. A., O’Donnell, M. L., Lau, W., & Wong, M. (2020). Strategies for delivering mental health services in response to global climate change: A narrative review. International Journal of Environmental Research and Public Health, 17(22), 8562. https://doi.org/10.3390/ijerph17228562
Sofia, D., Gioiella, F., Lotrecchiano, N., & Giuliano, A. (2020). Mitigation strategies for reducing air pollution. Environmental Science and Pollution Research, 27(16), 19226–19235. https://doi.org/10.1007/s11356-020-08647-x
U.S. Department of Health and Human Services. (2020). Environmental health. Health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/environmental-health
White, B. P., Breakey, S., Brown, M., Smith, J. A., Tarbet, A., Nicholas, P. K., & Ros, A. M. V. (2023). Mental health impacts of climate change among vulnerable populations globally: An integrative review. Annals of Global Health, 89(1), 66. https://doi.org/10.5334/aogh.4105
Wiedermann, C. J., Barbieri, V., Plagg, B., Marino, P., Piccoliori, G., & Engl, A. (2023). Fortifying the foundations: A comprehensive approach to enhancing mental health support in educational policies amidst crises. Healthcare, 11(10), 1–11. https://doi.org/10.3390/
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Question 
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 healthcare problem.
Literature Review on Health Care Problem- Insights for Care Coordination Planning
NOTE: You are required to complete this assessment after Assessment 1(Order 55897 :P reliminary Care Coordination Plan which you previously wrote)is successfully completed.
Preparation
In this assessment, you will evaluate the preliminary care coordination plan you developed in Assessment 1( order 55897: Preliminary Care Coordination Plan you previously wrote) using best practices found in the literature.
To prepare for your assessment, you will research the literature on your selected healthcare problem(This selected healthcare problem was used in the preliminary care coordination plan it will be attached in fthe iles below). 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 on EBP and discuss how the plan includes elements of Healthy People 2030. *(in the USA)
Instructions
Note: You are required to complete Assessment 1 (order 55897: Preliminary Care Coordination Plan you previously wrote) before this paper.
For this assessment:
- Build on the preliminary plan, developed in Assessment 1, to complete a comprehensive care coordination plan.