Initial Discussion Assignment:Part 1:At least one evidence-based article must be referenced.Part 2: Create a detailed scenario in which a patient with frequent re-admissions for Chronic Obstructive Pulmonary Disease (COPD) is successfully integrated into a care plan that exhibits continuity of care from admission to successful discharge to home with follow-up visits and monitoring. You are not allowed to simply agree or disagree in your responses to the initial postings. All responses must have evidence-based reasons why you agree or disagree and must be supported by research. Your patient has transitioned home; however, during a follow-up visit you notice that the patient is having a mild exacerbation and you need to notify the patients doctor for possible admission. Create a detailed ISBAR report prior to calling the physician. Health Science Science Nursing NR 446 Share QuestionEmailCopy link Comments (0)