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INDIVIDUAL CARE PLAN ND DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES/HUBS SON 1467 (2-2012) Clear Fields SECTION I. CLIENT IDENTIFICATION Name: Last Address First Middle County of Residence Client
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How to fill out individual care plan

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How to fill out an individual care plan:

01
Gather relevant information about the person in need of care, including their medical history, current health condition, and any specific needs or preferences they may have.
02
Assess the person's physical, emotional, and cognitive abilities and limitations to determine their level of care required.
03
Consult with healthcare professionals, such as doctors, nurses, or therapists, to understand the person's medical needs and to incorporate their recommendations into the care plan.
04
Involve the individual in the care planning process, taking their input and preferences into account to ensure a person-centered approach.
05
Identify the goals of the care plan, such as improving mobility, managing chronic conditions, or promoting overall well-being, and outline specific steps or interventions to achieve these goals.
06
Establish a schedule for regular medical check-ups and evaluations to monitor the person's progress and make necessary adjustments to the care plan as needed.
07
Involve family members or caregivers in the care planning process, as they may provide valuable insights and assistance in implementing the care plan.
08
Document the care plan in a clear and organized manner, including all relevant information, goals, interventions, and measurements for evaluation.
09
Continuously review and update the care plan as the person's needs and circumstances change over time.

Who needs an individual care plan:

01
People with chronic illnesses or complex medical conditions that require ongoing care and support.
02
Individuals with disabilities or impairments that affect their daily functioning and independence.
03
Elderly individuals who may have multiple health issues or require assistance with activities of daily living.
04
Individuals who have recently been discharged from a hospital or rehabilitation center and need a coordinated and personalized plan for their recovery.
05
Patients receiving palliative or end-of-life care, where an individual care plan can help manage pain and symptoms and improve comfort and quality of life.
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An individual care plan is a personalized document that outlines the specific needs and goals of an individual regarding their care and support services.
Individuals who receive care and support services are required to have an individual care plan.
Individual care plans are typically filled out by healthcare professionals or social workers in collaboration with the individual and their family, and it involves assessing their needs, goals, and preferences.
The purpose of an individual care plan is to ensure that an individual's specific needs and goals are addressed in their care and support services, promoting personalized and effective care.
Individual care plans should include information such as the individual's medical history, current health status, preferred care providers, goals, and any specific instructions or preferences.
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