NURS FPX 6610 Assessment 4 Case Presentation
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Case Presentation Esteemed family members and stakeholders, my name is ________, and I am privileged to present the case of Mrs. Rebecca Snyder. This presentation provides a detailed overview of her current health challenges, including advanced ovarian cancer and uncontrolled diabetes. The purpose is to communicate her care plans, inform all involved parties of her medical and psychosocial needs, and promote collaboration in delivering compassionate, evidence-based, and patient-centered care. Coordinated efforts aim to enhance Mrs. Snyder’s quality of life and overall health outcomes. Presentation Objectives The primary objectives of this presentation are to: Goals and Scope of the Care Plans Patient Background Mrs. Rebecca Snyder is a 56-year-old Orthodox Jewish woman, a mother of five children and grandmother to seven. She was admitted to the emergency department due to severely elevated blood glucose levels caused by unmanaged diabetes. Further evaluation revealed advanced-stage ovarian cancer. As the primary caregiver of her household, Mrs. Snyder’s sudden illness has left her family emotionally and logistically unprepared to manage this health crisis. Development of the Comprehensive Care Plan Mrs. Snyder’s care plan addresses both her chronic and terminal conditions. Diabetes Management:The management of her diabetes focuses on patient education regarding self-monitoring of blood glucose, insulin regulation, and achieving glycemic targets. According to the American Diabetes Association (n.d.), optimal pre-meal glucose levels are 80–130 mg/dL, with post-meal readings under 180 mg/dL. Training includes insulin administration techniques, recognition of symptoms of hypoglycemia or ketoacidosis, and guidance for timely interventions. Nutritional Support:Dietary planning considers religious and cultural practices. A dietitian with expertise in kosher meal preparation provides personalized guidance to maintain nutritional balance while respecting Mrs. Snyder’s faith. Family involvement is emphasized to ensure both nutritional adequacy and emotional reassurance (Horikawa et al., 2020). Emotional and Psychological Care:Emotional well-being is prioritized through regular psychological counseling, empathetic communication from healthcare providers, and community mental health resources. Social workers connect the family with local services and ensure sustained psychosocial support for both patient and family (Grassi et al., 2023). Transitional Care Plan Overview Transitions between hospital and home require careful coordination. The plan ensures accurate communication of medical records, medications, and spiritual preferences, while respecting patient-centered advance directives. Key priorities include preventing medical errors, honoring Mrs. Snyder’s wishes, and promoting overall satisfaction (Subbe et al., 2021). Digital tools such as mobile health apps and blockchain-based platforms are integrated to allow Mrs. Snyder to monitor her care in real-time. This encourages patient engagement and transparency. Interdisciplinary collaboration among healthcare providers, caregivers, and community organizations ensures a seamless transition (Cerchione et al., 2022). Interprofessional Care Team and Delivery of Quality Care Collaborative Care Approach An interprofessional team provides holistic care tailored to Mrs. Snyder’s medical, emotional, and cultural needs. Roles of Team Members: Team Member Responsibilities Physicians Diagnose conditions, develop treatment plans, prescribe medications, monitor progress Nurses Administer medications, educate on glucose monitoring, provide emotional support Dietitians Develop culturally-sensitive diabetic meal plans, educate family on nutrition Pharmacists Review medications for interactions, ensure safe dosages, educate on proper use Social Workers Connect with community resources, provide counseling, facilitate support networks Care Coordinators Schedule follow-ups, ensure continuity of care across settings Family Members Support home care, encourage treatment adherence, assist with lifestyle adjustments This coordinated approach ensures comprehensive care encompassing medical management, psychosocial support, and cultural sensitivity. Information Needs of Stakeholders Efficient communication is critical for cohesive care delivery. Stakeholders require specific information to perform their roles effectively: Stakeholder Required Information Physicians Full medical history, diagnostic results, treatment responses Nurses Care protocols, patient updates, educational tools Dietitians Nutritional data, blood glucose readings, religious dietary restrictions Pharmacists Updated medication lists, contraindications, dosages Social Workers Psychosocial background, community support resources Family Members Training on care techniques, disease understanding, dietary guidance Utilizing integrated electronic health records (EHRs) and secure messaging platforms facilitates open communication, enhances collaboration, and reduces fragmentation of care (Fennelly et al., 2020). Factors Influencing Patient Outcomes Patient outcomes are influenced by clinical, behavioral, and environmental factors. Resources Needed to Implement the Care Plans Delivering comprehensive care to Mrs. Snyder requires a range of resources: Category Required Resources Technological Electronic health records, patient monitoring apps, secure communication platforms Human Multidisciplinary team: physicians, nurses, dietitians, pharmacists, counselors Facility Outpatient clinics, laboratories, follow-up centers, telehealth services Logistical Appointment scheduling systems, transportation, medication delivery Educational Patient learning modules on diabetes, nutrition, and cancer care Emotional Support Peer support groups, counseling services, spiritual care providers Integration of these resources ensures that Mrs. Snyder’s physical, emotional, and spiritual needs are effectively addressed. References American Diabetes Association. (n.d.). Standards of Medical Care in Diabetes—2024. https://diabetes.org/ Borges, A. P., Ramos, D. P., Silva, L. D., & Ribeiro, K. M. (2024). Diabetes self-management: Patient outcomes through education and clinical collaboration. Journal of Clinical Nursing, 33(1), 120–132. https://doi.org/10.1111/jocn.16789 Cerchione, R., Esposito, E., Ricciardi, F., & Chiaroni, D. (2022). Blockchain and health care: A systematic review of benefits, risks, and future directions. Technological Forecasting and Social Change, 180, 121674. https://doi.org/10.1016/j.techfore.2022.121674 Facchinetti, G., D’Angelo, D., Piredda, M., Petitti, T., & Matarese, M. (2020). Continuity of care during hospital to home transition: An integrative review. International Journal of Nursing Studies, 101, 103445. https://doi.org/10.1016/j.ijnurstu.2019.103445 Fennelly, O., Cunningham, U., Grogan, L., O’Neill, S., & Doyle, G. (2020). Electronic health records: Key lessons for implementation. Health Policy and Technology, 9(1), 78–84. https://doi.org/10.1016/j.hlpt.2019.11.003 Grassi, L., Nanni, M. G., & Caruso, R. (2023). Psychological support for cancer patients: New challenges in the era of patient-centered care. Psycho-Oncology, 32(1), 34–42. https://doi.org/10.1002/pon.5992 Horikawa, C., Kodama, S., Fujihara, K., & Yachi, Y. (2020). Diet and diabetes: Cultural influences on adherence and care outcomes. Diabetes Research and Clinical Practice, 169, 108461. https://doi.org/10.1016/j.diabres.2020.108461 NURS FPX 6610 Assessment 4 Case Presentation Marschner, N., Mielke, A., & Schulz, H. (2020). Impact of comorbidities and glycemic control on cancer therapy outcomes. European Journal of Cancer, 132, 135–142. https://doi.org/10.1016/j.ejca.2020.03.001 Patel, S. J., & Landrigan, C. P. (2019). Communication during transitions: A neglected component of quality care. JAMA, 321(9), 865–866. https://doi.org/10.1001/jama.2019.0791 Subbe, C. P., Duller, B., & Bellomo, R. (2021). Transitions of care: Reducing risks and improving patient safety. BMJ Quality & Safety, 30(5), 397–402. https://doi.org/10.1136/bmjqs-2020-011232 Vat,
NURS FPX 6610 Assessment 3 Transitional Care Plan
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Transitional Care Plan Transitional care is a critical component of patient-centered healthcare, designed to ensure safety, continuity, and quality as patients move between care settings. Its significance is particularly evident for individuals with chronic conditions, such as diabetes, where ongoing monitoring and timely interventions are essential. The primary objective of transitional care is to manage these transitions—from hospital to home or other care environments—while preventing disruptions in treatment and reducing the risk of complications. This transitional care plan focuses on Mrs. Snyder, a 56-year-old patient admitted to Villa Hospital for an infected toe complicated by diabetes. Due to her chronic condition, her management requires careful coordination, especially during transitions from inpatient care to post-discharge follow-ups. The plan emphasizes evaluating essential treatment components, identifying gaps in communication, and implementing strategies to optimize care continuity (Korytkowski et al., 2022). Key Elements, Patient Needs, and Communication Barriers To achieve effective transitional care for Mrs. Snyder, several clinical and logistical elements must be addressed. A thorough medical record is fundamental, encompassing her diabetes history, prior hospitalizations, comorbidities such as hypertension or mental health conditions, and other factors that may influence treatment outcomes (Chen et al., 2018). Medication reconciliation is another crucial component. This process ensures that newly prescribed medications are consistent with existing treatments, reducing the likelihood of adverse drug interactions (Fernandes et al., 2020). Additionally, documenting emergency directives, including patient preferences, cultural considerations, and values, supports a patient-centered approach that aligns care with her expectations (Dowling et al., 2020). Access to community resources—such as mobility aids, outpatient clinics, and peer support groups—is also vital to facilitate her return to normal daily activities (Yue et al., 2019). Effective communication is a cornerstone of transitional care. Miscommunication, incomplete documentation, or ineffective use of electronic health record (EHR) systems can delay interventions and increase the risk of readmissions. For patients like Mrs. Snyder, who present complex care needs, communication must be accurate, timely, and involve multiple disciplines (Raeisi et al., 2019). Training healthcare staff in digital tools and fostering interprofessional collaboration enhances care coordination and supports patient safety (Tsai et al., 2020). Strategies for Enhancing Transitional Care Improving outcomes during transitions requires a structured, collaborative approach that integrates inpatient, outpatient, and home-based services. A comprehensive discharge plan should include detailed medication lists, dietary guidance, wound care instructions, and scheduled follow-up appointments. Ensuring Mrs. Snyder understands and adheres to these recommendations is essential to reduce the risk of infection recurrence and additional complications (Glans et al., 2020). Post-discharge, healthcare providers should maintain ongoing communication with Mrs. Snyder through phone calls, home visits, or telehealth consultations. Empowering her with self-management strategies—such as blood glucose monitoring, foot care routines, and lifestyle modifications—can significantly enhance her long-term health outcomes (Spencer & Singh Punia, 2020). Digital platforms and mobile applications may further support adherence by providing reminders for medications, appointments, and symptom monitoring. Coordination among healthcare professionals—including nurses, primary care providers, pharmacists, and social workers—is essential to create a unified and cohesive care plan. This collaborative model fosters a culture of accountability, safety, and continuous quality improvement during patient transitions. Table 1 Summary of Transitional Care Plan Heading Details References Key Elements Comprehensive medical records, accurate medication reconciliation, documentation of emergency directives, and inclusion of patient preferences. Chen et al. (2018); Fernandes et al. (2020); Dowling et al. (2020) Communication Timely and clear communication to prevent delays, reduce errors, and improve patient satisfaction. Garcia-Jorda et al. (2022); Yazdinejad et al. (2020) Challenges Barriers include incomplete EHR documentation, inefficient systems, and poor interprofessional coordination. Cullati et al. (2019); Tsai et al. (2020) Conclusion A structured and patient-focused transitional care plan is essential for safeguarding patient safety and enhancing outcomes, particularly for individuals with chronic conditions such as Mrs. Snyder. Accurate documentation, effective communication, and comprehensive planning reduce preventable complications and readmissions. Continuous follow-up, patient education, and self-management empowerment are critical components of a sustainable and efficient transitional care model, ultimately improving the overall quality of healthcare delivery. References Chen, Y., Ding, S., Xu, Z., Zheng, H., & Yang, S. (2018). Blockchain-based medical records secure storage and medical service framework. Journal of Medical Systems, 43(1). https://doi.org/10.1007/s10916-018-1121-4 Cullati, S., Bochatay, N., Maître, F., Laroche, T., Muller-Juge, V., Blondon, K. S., … & Nendaz, M. R. (2019). When team conflicts threaten the quality of care: A study of health care professionals’ experiences and perceptions. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 3(1), 43–51. https://doi.org/10.1016/j.mayocpiqo.2018.11.003 NURS FPX 6610 Assessment 3 Transitional Care Plan Dowling, T., Kennedy, S., & Foran, S. (2020). Implementing advance directives—An international literature review of important considerations for nurses. Journal of Nursing Management, 28(6). https://doi.org/10.1111/jonm.13097 Fernandes, B. D., Almeida, P. H. R. F., Foppa, A. A., Sousa, C. T., Ayres, L. R., & Chemello, C. (2020). Pharmacist-led medication reconciliation at patient discharge: A scoping review. Research in Social and Administrative Pharmacy, 16(5), 605–613. https://doi.org/10.1016/j.sapharm.2019.08.001 Garcia-Jorda, D., Fabreau, G. E., Li, Q. K. W., Polachek, A., Milaney, K., McLane, P., & McBrien, K. A. (2022). Being a member of a novel transitional case management team for patients with unstable housing: An ethnographic study. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07590-6 Glans, M., Kragh Ekstam, A., Jakobsson, U., Bondesson, Å., & Midlöv, P. (2020). Risk factors for hospital readmission in older adults within 30 days of discharge – A comparative retrospective study. BMC Geriatrics, 20(1). https://doi.org/10.1186/s12877-020-01867-3 Korytkowski, M. T., Muniyappa, R., Antinori-Lent, K., Donihi, A. C., Drincic, A. T., Hirsch, I. B., … & Umpierrez, G. E. (2022). Management of hyperglycemia in hospitalized adult patients in non-critical care settings: An endocrine society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/clinem/dgac278 Raeisi, A., Rarani, M. A., & Soltani, F. (2019). Challenges of the patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8(173). https://doi.org/10.4103/jehp.jehp_460_18 NURS FPX 6610 Assessment 3 Transitional Care Plan Spencer, R. A., & Singh Punia, H. (2020). A scoping review of communication tools applicable to patients and their primary care providers after discharge from the hospital. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2020.12.010 Tsai, C. H., Eghdam, A., Davoody, N., Wright, G.,
NURS FPX 6610 Assessment 2 Patient Care Plan
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Comprehensive Needs Assessment A comprehensive needs assessment serves as a crucial tool in healthcare, allowing providers to systematically evaluate patient needs and identify areas where care can be improved. This process is particularly important for patients with complex and multifactorial conditions, where multidisciplinary interventions are often required. Conducting a thorough assessment helps healthcare professionals detect gaps in existing care and develop strategies to address these deficiencies effectively. The assessment process considers physiological, social, and psychological factors, supporting a holistic model of care. Tools like the Patient-Centered Assessment Method (PCAM) enable providers to explore patients’ lived experiences, beliefs, and health conditions in depth, which facilitates personalized care planning (Perazzo et al., 2020). This approach emphasizes the importance of integrating medical, emotional, and logistical considerations into the care process to improve outcomes and patient satisfaction. Interdisciplinary collaboration is integral to a successful needs assessment. When nurses, social workers, physicians, and other professionals coordinate their efforts, care transitions become smoother, complications are reduced, and overall patient satisfaction improves. This collaborative framework ensures continuity of care and strengthens the quality of healthcare delivery. Current Gaps in the Patient’s Care In Mr. Decker’s situation, several care coordination and discharge planning issues were apparent. These deficiencies contributed to delays in recovery and a readmission that could potentially have been prevented through proper planning and communication. Table 1: Identified Gaps in Patient’s Care Identified Gaps Details Financial Constraints Mr. Decker’s limited income restricts access to advanced treatments. Post-Discharge Knowledge Gap Insufficient discharge instructions led to untreated infections. Follow-Up Deficiencies Lack of consistent follow-up care worsened his overall health status. The application of PCAM in Mr. Decker’s case helped care providers understand his medical, emotional, and cultural context. This patient-centered model highlights the broader determinants of health and is particularly useful for older patients, aligning interventions with their unique circumstances (Perazzo et al., 2020). Collecting comprehensive patient information is critical for effective care delivery. Beyond medical records, providers must consider behavioral patterns, emotional health, and social influences to fully understand patient needs. Table 2: Informational Needs for Effective Care Required Data Details Medical Records Age, allergies, chronic conditions, previous treatments Behavioral & Emotional Insights Patient routines, values, stressors, preferences Informal interviews with family members can further enrich understanding by revealing lifestyle habits, support networks, and daily routines relevant to care. Integrating electronic health records (EHRs), while maintaining HIPAA compliance, allows providers to analyze historical data to ensure continuity and informed decision-making (Mertens et al., 2020; Shah & Khan, 2020). Societal, Economic, and Interdisciplinary Factors Mr. Decker’s case demonstrates how social and economic determinants shape healthcare outcomes. Older adults frequently experience physiological changes such as reduced immunity, sensory impairments, and slower recovery, which complicate care delivery (Liu et al., 2019). Additionally, financial constraints limit access to medications, therapies, and supportive services, creating barriers to optimal care. Table 3: Factors Influencing Patient Care Factor Impact on Patient Care Aging Slower recovery due to age-related health challenges Economic Constraints Financial limitations impede access to supplementary care Lack of Social Support Limited assistance at home reduces adherence to treatment recommendations A lack of social support further affects Mr. Decker’s ability to follow prescribed treatments, increasing the likelihood of complications (Ko et al., 2019). Addressing these factors requires coordinated strategies grounded in professional standards. Guidelines from professional organizations such as the National Quality Forum (NQF) establish benchmarks to promote safety and efficiency in care. The Agency for Healthcare Research and Quality (AHRQ) emphasizes communication, education, and follow-up practices during care transitions (Artiga et al., 2020). Additionally, the Care Coordination and Transition Model provides a framework for interdisciplinary teamwork and individualized interventions (Hofmann & Erben, 2020). Table 4: Professional Standards and Models Standard/Model Application in Care Coordination National Quality Forum (NQF) Establishes benchmarks to enhance patient safety and structured care AHRQ Benchmarks Focuses on patient education, communication, and follow-up practices Care Coordination & Transition Model Encourages continuity through collaborative, patient-centered strategies Evidence-Based Practices Evidence-based interventions are critical for advancing care coordination. Protocols like GENESIS enable early detection of infections, reducing mortality from sepsis (Kregel et al., 2022). Similarly, the “Sepsis Six” bundle standardizes emergency care to improve outcomes through timely antibiotic administration and oxygen therapy (Bleakley & Cole, 2020). Routine geriatric assessments offer insight into cognitive and functional decline, allowing care plans to be adapted for older patients (LeRoith et al., 2019). Table 5: Evidence-Based Practices Practice Details GENESIS Protocol Facilitates early detection of infections, lowering sepsis mortality Sepsis Six Bundle Standardized emergency care for suspected sepsis Geriatric Evaluations Monitors cognitive and physical health in elderly patients A multidisciplinary care approach is essential for delivering comprehensive patient care. Involving nurses, social workers, psychologists, and other specialists ensures all aspects of Mr. Decker’s health are addressed. This collaborative model reduces hospital readmissions, minimizes errors, and has been shown to improve patient safety by approximately 13% (Ni et al., 2019). Conclusion Conducting a structured needs assessment is fundamental for effective care coordination. In Mr. Decker’s case, addressing existing gaps through interdisciplinary collaboration, thorough data collection, and adherence to professional guidelines will enhance his recovery outcomes. Incorporating evidence-based practices and leveraging a diverse care team ensures holistic management of his medical, emotional, and social needs, ultimately fostering safer and more effective healthcare delivery. References Artiga, S., Orgera, K., & Pham, O. (2020). Issue brief disparities in health and health care: Five key questions and answers. Deancare.com. https://deancare.com/getmedia/e00c9856-28d0-4c63-b2c0-9bf68cadcebb/Disparities-in-Health-and-Health-Care-Five-Key-Questions-and-Answers.pdf Bleakley, G., & Cole, M. (2020). Recognition and management of sepsis: The nurse’s role. British Journal of Nursing, 29(21), 1248–1251. https://doi.org/10.12968/bjon.2020.29.21.1248 Hofmann, F., & Erben, M. J. (2020). Organizational transition management of circular business model innovations. Business Strategy and the Environment, 29(6), 2770–2788. https://doi.org/10.1002/bse.2542 Ko, H., et al. (2019). Gender differences in health status, quality of life, and community service needs of older adults living alone. Archives of Gerontology and Geriatrics, 83, 239–245. https://doi.org/10.1016/j.archger.2019.05.009 NURS FPX 6610 Assessment 2 Patient Care Plan Kregel, H. R., et al. (2022). The geriatric nutritional risk index as a predictor of complications in geriatric trauma patients. Journal of
NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Nursing Diagnosis and Care Plan for Mrs. Snyder Patient Identifier: 6700891Medical Diagnosis: Poorly controlled anxiety, obesity, hypertension (HTN), diabetes mellitus (DM), and hypercholesterolemia Ineffective Health Management Related to Diabetes and Lifestyle Choices Mrs. Snyder is a 56-year-old woman with multiple chronic conditions, including poorly controlled diabetes and hypertension. Her lifestyle choices, particularly the frequent consumption of unhealthy snacks like cookies, contribute to her unstable blood glucose levels. She presented to the emergency department with blood glucose readings ranging from 230 to 389 mg/dL, accompanied by fatigue, lower abdominal discomfort, shortness of breath, and polyuria. These clinical manifestations are compounded by her hypertension and unhealthy dietary habits, creating a complex management scenario. The primary care objectives are to stabilize her blood glucose and blood pressure within one month and to support sustainable dietary changes and overall wellness within three months (Ramzan et al., 2022). Education and patient empowerment are central to this care plan. Interventions, Description, and Rationale Interventions Description Rationale Patient education on self-care Provide guidance on balanced diet, physical activity, and sleep hygiene Enhances awareness and promotes behavioral changes critical for diabetes control (USC, 2018) Support self-monitoring Teach her to use glucose meters and maintain food diaries Encourages accountability and early identification of glucose fluctuations (Carolina, 2019) Training in insulin administration Demonstrate proper injection techniques Increases patient confidence and ensures adherence to prescribed insulin regimens (Heart, 2021) The effectiveness of these interventions will be measured through regular monitoring of blood glucose logs and blood pressure readings. Adjustments, such as dietary modifications or changes in insulin dosing, will be considered if the current approach does not achieve desired outcomes. Anxiety Intensified by Family and Caregiving Pressures Mrs. Snyder experiences significant anxiety exacerbated by her role as the primary caregiver for her ill mother and ongoing conflicts with her son. These stressors have resulted in physiological symptoms, including elevated blood pressure, tachycardia, and inconsistent use of anxiolytic medications. The combination of household and financial responsibilities intensifies her sense of being overwhelmed. The nursing care goals focus on achieving blood pressure control (130/90 mmHg) and stabilizing heart rate (60–100 bpm) within a month, alongside reducing anxiety symptoms through a structured combination of therapy and medication adherence (Pegg et al., 2022). A holistic approach that addresses both clinical and psychosocial needs is essential. Interventions, Description, and Rationale Interventions Description Rationale Administer prescribed anxiolytics Ensure adherence to medication schedules Helps manage physiological manifestations of anxiety, improving daily functioning (Ströhle et al., 2018) Initiate cognitive behavioral therapy (CBT) Weekly counseling sessions CBT effectively reduces anxiety by restructuring maladaptive thought patterns (Pegg et al., 2022) Connect with community support Referral to faith-based or peer support groups Emotional and social support reduces isolation and promotes coping strategies (Goodtherapy, 2019) Progress will be assessed weekly, monitoring anxiety levels, adherence to medications, and vital signs. The care plan will be adjusted according to the patient’s engagement in therapy and her physiological response to interventions. Psychosocial Stress Due to Cancer Diagnosis and Caregiver Burden In addition to chronic health conditions, Mrs. Snyder is confronting a new ovarian cancer diagnosis. Her anxiety is heightened by concerns about chemotherapy, physical symptoms such as abdominal pain and exertional shortness of breath, and ongoing caregiving responsibilities. Oxygen saturation drops during activity, indicating a need for both physical and emotional support. Short-term care goals include arranging alternative care for her mother within 15 days to reduce her emotional burden. Long-term goals focus on improving oxygenation, physical endurance, and overall well-being over three months. Addressing both psychosocial and physiological needs is vital during this phase. Interventions, Description, and Rationale Interventions Description Rationale Social work referral Assist in locating appropriate care for her mother Reduces caregiver stress, enabling better adherence to cancer treatment (Hoyt, 2022) Frequent pain assessments Monitor and document discomfort related to cancer treatment Ensures timely pain management, preventing functional impairment Introduce non-drug therapies Teach relaxation techniques such as yoga, meditation, and guided imagery Non-pharmacological methods help alleviate stress and improve physical comfort (Sheikhalipour et al., 2019) Effectiveness will be evaluated by tracking changes in pain intensity, oxygen saturation levels, and emotional state. As alternative care for her mother is established, the cancer care plan will evolve to focus more on her holistic recovery and quality of life. References Cancer. (2021, October 6). Managing diabetes when you have cancer. Cancer.net. https://www.cancer.net/navigating-cancer-care/when-cancer-not-your-only-health-concern/managing-diabetes-when-you-have-cancer Carolina, C. M. (2019, October 16). Unlocking the full potential of self-monitoring of blood glucose. USPharmacist. https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-glucose Goodtherapy. (2019, September 23). Therapy for self-love, therapist for self-love issues. Goodtherapy.org. https://www.goodtherapy.org/learn-about-therapy/issues/self-love NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment Heart. (2021, May 6). Living healthy with diabetes. Heart.org. https://www.heart.org/en/health-topics/diabetes/prevention–treatment-of-diabetes/living-healthy-with-diabetes Hoyt, J. (2022, May 26). Assisted living & senior placement agencies. SeniorLiving.org. https://www.seniorliving.org/placement-agencies/ Pegg, S., Hill, K., Argiros, A., Olatunji, B. O., & Kujawa, A. (2022). Cognitive behavioral therapy for anxiety disorders in youth: Efficacy, moderators, and new advances in predicting outcomes. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7 Ramzan, B., Harun, S. N., Butt, F. Z., Butt, R. Z., Hashmi, F., Gardezi, S., Hussain, I., & Rasool, M. F. (2022). Impact of diabetes educator on diabetes management: Findings from diabetes educator assisted management study of diabetes. Archives of Pharmacy Practice, 13(2), 43–50. https://doi.org/10.51847/2njmwzsnld Sheikhalipour, Z., Ghahramanian, A., Fateh, A., Ghiahi, R., & Onyeka, T. C. (2019). Quality of life in women with cancer and its influencing factors. Journal of Caring Sciences, 8(1), 9–15. https://doi.org/10.15171/jcs.2019.002 Ströhle, A., Gensichen, J., & Domschke, K. (2018). The diagnosis and treatment of anxiety disorders. Deutsches Aerzteblatt Online, 115(37). https://doi.org/10.3238/arztebl.2018.0611 USC. (2018, January 9). What does self-care mean for diabetic patients? Nursing.usc.edu. https://nursing.usc.edu/blog/self-care-with-diabetes/