Get the free CNSW Care Planning Resource Toolkit - National Kidney Foundation - therenalnetwork

National Kidney Foundation Council of Nephrology Social Workers NSW Care Planning Resource Toolkit INTRODUCTION The Department of Health and Human Services, Centers for Medicare and Medicaid Services

How to fill out cnsw care planning resource

How to Fill Out CNSW Care Planning Resource:

1. Begin by reviewing the CNSW Care Planning Resource thoroughly to understand its purpose and components.
2. Gather all necessary information and documents related to the individual's care, such as medical records, assessments, and previous care plans.
3. Start with the individual's personal information, including their name, age, contact details, and relevant medical history.
4. Assess the individual's current condition and identify their specific care needs. This may involve consulting with healthcare professionals, conducting assessments, and considering the individual's preferences and goals.
5. Use the provided sections in the CNSW Care Planning Resource to document the individual's physical, emotional, and social needs. Include detailed information about their medical conditions, medications, allergies, and any ongoing treatments or therapies.
6. Address the individual's activities of daily living (ADLs) and any functional limitations they may have. This includes tasks such as bathing, dressing, eating, mobility, and toileting.
7. Consider the individual's cognitive abilities and mental health. Assess their level of independence, cognition, memory, and any psychological or emotional concerns they may have.
8. Engage the individual and their family members in the care planning process. Seek their input, preferences, and suggestions to ensure the plan aligns with their needs and values.
9. Utilize the goals and objectives section to establish attainable and measurable targets for the individual's care. These goals should focus on improving their overall well-being, maintaining independence, and addressing any specific health concerns.
10. Include a care plan timeline, outlining the frequency and duration of specific interventions or treatments. This helps to create a structured approach to the individual's care and ensures that all necessary interventions are implemented at the appropriate times.
11. Review the completed CNSW Care Planning Resource with the individual, their family members, and involved healthcare professionals. Make necessary revisions and adjustments based on their feedback and recommendations.
12. Regularly update and revisit the care plan as the individual's needs evolve or change. Continuously monitor their progress towards the established goals and make adjustments as necessary.

Who Needs CNSW Care Planning Resource:

1. Individuals with complex healthcare needs who require coordinated and comprehensive care.
2. Patients with chronic illnesses, disabilities, or those who have experienced significant trauma or injury.
3. Older adults who may require assistance with activities of daily living and have multiple healthcare providers.
4. Individuals transitioning from hospital care to home or a long-term care facility.
5. Family members or caregivers responsible for the overall management and coordination of an individual's care.
6. Healthcare professionals, including nurses, social workers, and care coordinators, who need a standardized framework for developing and implementing care plans.

In summary, the CNSW Care Planning Resource is designed to help individuals with complex healthcare needs and their caregivers create thorough and effective care plans. By following the step-by-step process outlined above, healthcare professionals can ensure that all aspects of the individual's care are addressed and coordinated appropriately.

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