By Laura McCullough.

The Client should be the participant of their own care rather than simply the recipient of a service

Unit 7 CARE PLANNING

What is it
Everyone with a long-term condition can have a care plan if they want. basically it is an agreement between a client an health/social service to help manage their health and day-today living. Care planning is essentially all about addressing individuals full range of needs, taking into account their health, personal, social, economic, educational, mental, ethnic and cultural background and situation. It recognises that there are other issues in addition to medical needs that can impact on a persons total health and well-being.

Who uses care plans.

Care plans are put in place to help vulnerable people with conditions and disabilities and there are a range of people who use them; The Elderly Children Mentally ill people Disabled people And patients in hospital

Who delivers a care plan

Care plans are usally delivered in primary care services such as GP practices by staff such as practice nurses. It will also be delivered in hospitals by staff such as specialist nurses it may even be delivered at home by staff such as community matrons, social workers and case managers. In special cases it may also involve physiatrists, doctors, physiotherapists and other professionals working together.

Care plan examples

Care alerts (write in red)
Communication
Preferred name: Doreen Care needs: Impaired vision. Comprehension difficulties Goal: (expected outcome) Effective two way communication will be maintained Vision Hearing Aids glasses magnifying glasses Aids Clean and fit glasses daily Able to clean own glasses Place objects in range of vision Read aloud letters/documents Assist to write Assist to use telephone
Other Other

For example: allergies, drug reactions, smoker, falls risk, diabetic

Allergic to Seafood Smoker

MODIFY CARE PLAN

ASSESS NEEDS OF CLIENT

hearing aids

( right

left )

REVIEW CARE NEEDS

IDENTIFY EXISTING SERVICES

Adjust volume daily Check batteries and clean aids daily Gain attention before speaking Speak loudly, clearly and directly Allow extra time for response Give step-by-step instructions Use repetition when difficulty persists

PLAN CARE IMPLEMENT RESPONSE CARE TO ASSESSED SERVICES NEEDS

Eye care required Speech and language Language/s spoken English Understands Chinese Speech disorder/s Translate for resident Take time to listen Initiate conversation Use language cards Use picture cards
Other

Ear care required Comprehension issues (For example: inappropriate responses) Unable to remember time and place Does not always recognise others Unable to remember appointments/events

Mobility
Care needs: Gait unsteady. Walks with wheeled walker Goal: (expected outcome) Client will maintain current level of mobility Ambulation (walking) ambulant (able to walk) non-ambulant (unable to walk) Transfers independent weight bearing (able to stand) non-weight bearing (unable to stand) 1-staff assist hip replacement Aids walking stick frame wheelchair stick wheeled walker
Other Other

2-staff assist knee replacement slide gait belt standing hoist

zimmer quad

amputee ( left right ) Aids bed rail sheet hoist

Hoist sling type and position of loop

Provide direction Supervise movement Encourage to maintain mobility

Other

Care plan issues

Resources- this is an issue with care planning sometimes at they involve a lot of time and effort from many different care services working together and they may not have the resources that will benefit the clients needs Risks care plans are put into place to increase peoples independence and enforce nominalization and empower the client, however it means gaps in provision and increases risks if the client is not ready consequences can include vulnerability and an increased level of incidents and accidents. Confidentiality- care plans have a lot of extremely personal information on and should only ever be seen by professianls who are dealing with that client

Barriers of care planning.

Training, skills and experience Use of appropriate language Developing effective ways to work across boundaries Incentives Unpredictable course of conditions Time pressures

What do I think of care plans

I think that when developed and implemented properly care plans are really good and an effective tool when helping clients within a care services they have a range of benefits for individuals, commissioners, providers of services and health care workforces. I think that they are a friendlier way of treating people and help provide independence, control of health problems and a comfortable way for individuals with conditions.