Highlights
1. Applying a patient-centred focus. describe the patient's holistic needs based on their current lifestyle. relationships and disease-process.
2. Explicate why your patient requires a care coordination? Consider Maslow's Hierarchy of Needs, the Seven Dimension of Wellness, or other frameworks to help explain the patient's immediate needs.
3. Identify and consider the current health coaching needs of the patient as well as any anticipatory care that may be required. (500 words) a. What does the patient feel is important regarding his/her health? b. Assist the patient to establish health goals c. What resources may the patient need in the future to achieve his/her health goals and overall wellness?
4. Fill in a holistic care plan using local sources, interdisciplinary professionals and healthcare facilities.
a. Within your care plan. ensure patient goals and plans are clearly outlined using SMART goals.
5. Exemplify how your holistic care plan meets the current management priorities areas. Be sure to include how your plan meets the current management priorities of:
a. National Strategic Framework for Chronic Conditions
b. Wagner Chronic Care Model
6. Identify who is responsible for submitting individual patient referrals to healthcare providers and by which communication system (e-mail, phone call. fax, etc). Fill out the three templates and submit them as part of your final submission:
a. Consent to share information template (DOCX 32 KB)
b. Social and emotional wellbeing template (DOC 84 KB) r C1A/I4 P&CS holistic needs assessment template (31 KB).
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