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BASELINE CARE PLAN Please complete this plan within 48 hours of admission by admission nurse. Review by DON All problems and goals and interventions will be reviewed and replaced by a comprehensive
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How to fill out initial care plan
How to fill out initial care plan
01
Start by collecting essential information about the patient, such as their name, age, medical history, and current health condition.
02
Assess the patient's physical, mental, and emotional needs. This can include evaluating their mobility, nutritional requirements, medications, and any specific care instructions.
03
Discuss the patient's care goals and preferences with them and their family members or caregivers. This can involve understanding their personal preferences, cultural beliefs, and religious practices.
04
Identify potential risks or safety concerns for the patient and take appropriate measures to mitigate them. This may include creating fall prevention strategies, ensuring proper medication management, and addressing any environmental hazards.
05
Create a comprehensive care plan tailored to the patient's specific needs. This plan should include detailed instructions on activities of daily living, medication schedules, therapy sessions, and any necessary medical appointments.
06
Educate the patient and their family members or caregivers about the care plan, ensuring they understand the instructions and are involved in its implementation.
07
Regularly review and update the care plan as needed, considering any changes in the patient's condition or preferences.
Who needs initial care plan?
01
Initial care plans are important for individuals who require long-term care or are transitioning from a hospital or rehabilitation center to home.
02
This can include elderly individuals with chronic illnesses, individuals recovering from surgery or major medical procedures, individuals with disabilities, or individuals with complex medical needs.
03
The initial care plan provides a roadmap for healthcare professionals, family members, and caregivers to deliver personalized and effective care, ensuring the person's safety, well-being, and overall health.
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What is initial care plan?
Initial care plan is a document outlining the proposed care and treatment plan for a patient at the beginning of their care.
Who is required to file initial care plan?
Healthcare providers, such as doctors, nurses, and therapists, are typically required to file initial care plans.
How to fill out initial care plan?
Initial care plans are usually filled out by healthcare professionals based on the patient's needs, diagnosis, and treatment goals.
What is the purpose of initial care plan?
The purpose of an initial care plan is to provide a roadmap for the patient's care and to ensure that all healthcare providers are on the same page.
What information must be reported on initial care plan?
Information such as the patient's diagnosis, treatment goals, medications, and care team members must be reported on an initial care plan.
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