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CARE PLANNING: an introductionPractical Tips for Nurses Lynn Through pp (RN) & Amy Johnson (RN)Objective Describe how our practice manages people with chronic disease CDM Practice Goals Keep people
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How to fill out care planning
How to fill out care planning
01
Step 1: Start by assessing the care needs of the individual you are planning for. This includes considering their physical, emotional, and social needs.
02
Step 2: Identify the goals and desired outcomes for the individual's care plan. These could be related to improving health, maintaining independence, or managing chronic conditions.
03
Step 3: Involve the individual and their family members or caregivers in the care planning process. This ensures that their preferences and priorities are taken into account.
04
Step 4: Develop a comprehensive care plan that includes specific actions, timelines, and responsibilities. This may involve coordinating various healthcare professionals and resources.
05
Step 5: Regularly review and update the care plan as needed. Care needs and goals may change over time, so it is important to ensure that the plan remains relevant and effective.
06
Step 6: Communicate and share the care plan with all relevant stakeholders, such as healthcare providers, caregivers, and support services. This promotes continuity of care and enables everyone involved to work towards the same goals.
07
Step 7: Monitor and evaluate the effectiveness of the care plan. Collect feedback from the individual and their caregivers to identify areas of improvement and make necessary adjustments.
08
Step 8: Provide ongoing support and education to the individual and their caregivers. This helps them understand and follow the care plan effectively.
09
Step 9: Collaborate and coordinate with other healthcare professionals involved in the individual's care, such as doctors, nurses, therapists, and social workers.
10
Step 10: Continuously communicate and involve the individual and their caregivers in decision-making and care planning to ensure their needs and preferences are met.
Who needs care planning?
01
Individuals with chronic health conditions who require ongoing care and support.
02
Elderly individuals who may have multiple health issues and need assistance with daily activities.
03
Individuals with disabilities or special needs who require personalized care and support.
04
Patients transitioning from a hospital or rehabilitation setting back to their homes.
05
Individuals with complex medical conditions or those receiving palliative or end-of-life care.
06
Individuals with mental health disorders who require care coordination and support services.
07
Family caregivers who need guidance and resources to effectively plan and manage the care of their loved ones.
08
Individuals who want to proactively manage their own health and well-being by creating a care plan.
09
Care facilities or organizations that aim to provide person-centered care to their residents or clients.
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What is care planning?
Care planning is the process of coordinating and organizing a patient's care to achieve the best possible outcomes.
Who is required to file care planning?
Healthcare providers, such as doctors, nurses, and social workers, are typically responsible for filing care planning.
How to fill out care planning?
Care planning involves assessing the patient's needs, setting goals, creating a care plan, and regularly reviewing and updating the plan.
What is the purpose of care planning?
The purpose of care planning is to ensure that the patient receives comprehensive and coordinated care that meets their individual needs.
What information must be reported on care planning?
Care planning typically includes the patient's medical history, current health status, treatment plan, goals, and any other relevant information.
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