Care Plans


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Care Plans

  1. 1. CARE PLANS What are “care plans?” By C Spain
  2. 2. Care plans are: <ul><li>Care plans are made up of four different parts or stages. </li></ul><ul><li>They are --- </li></ul><ul><li>Assessment </li></ul><ul><li>Planning </li></ul><ul><li>Implementation </li></ul><ul><li>Evaluation </li></ul><ul><li>Remember ….A.P.I.E. </li></ul>
  3. 3. Assessment. <ul><li>This is the part of the process where the individual client’s needs are assessed </li></ul><ul><li>From this assessment we can get a fuller picture of their individual needs </li></ul><ul><li>The assessment should involve all people who have had input into the clients care, this would include— </li></ul>
  4. 4. Assessment. <ul><li>Nurses </li></ul><ul><li>Relatives </li></ul><ul><li>Medical staff </li></ul><ul><li>Social services </li></ul><ul><li>Speech and language </li></ul><ul><li>To name just a few </li></ul><ul><li>This type of assessment is referred to as a “multi-disciplinary assessment” </li></ul><ul><li>By using all the information that we can we should be able to understand our client better and in a more “holistic ” way. </li></ul>
  5. 5. Assessment <ul><li>It is during this stage that we can identify where the client has difficulty and where their problem areas are. </li></ul><ul><li>So it not only helps us to identify their individual problems and needs, </li></ul><ul><li>But it also gives us a full picture of them helping us to understand their life, desires and expectations. </li></ul>
  6. 6. Assessment <ul><li>Most importantly you should talk to the client helping to understand their particular individual problems and needs. Trying to.. “look at the world through their eyes.” </li></ul><ul><li>This phase should also start the client carer relationship, which should be based on trust, understanding and empathy. </li></ul>
  7. 7. Planning. <ul><li>The next stage of this process is the planning stage. </li></ul><ul><li>It is during this stage that we can try to understand the client’s problem and with them look at a way of reducing it. </li></ul><ul><li>The plan must involve all those people who will be using it </li></ul><ul><li>It must involve the client. </li></ul>
  8. 8. Planning <ul><li>It is always best to look at ways in which we can assist the client to manage themselves as best as they are able to. </li></ul><ul><li>This is called giving them “active support” </li></ul><ul><li>And all staff assisting the client should be aware of the plan. </li></ul><ul><li>But don’t forget that all plans should be: </li></ul>
  9. 9. Assessment <ul><li>It must be attainable </li></ul><ul><li>It must be safe </li></ul><ul><li>It must have an end goal </li></ul><ul><li>It must be measurable </li></ul><ul><li>And they must be realistic. </li></ul>
  10. 10. Implementation. <ul><li>This quite simply means putting the plan into progress. </li></ul><ul><li>All that you have discovered about a clients particular problem </li></ul><ul><li>can now help you to reduce it or relieve it completely. </li></ul><ul><li>Using all the resources that you need for example, </li></ul><ul><li>Outside help, Using any aids required, for example special knives and forks, Plate guards or hoists. </li></ul>
  11. 11. Implementation. <ul><li>BUT NO MATTER HOW GOOD A PLAN IS, WITH ARE DEALING WITH UNPREDICTABLE PEOPLE, AND THEIR NEEDS WILL CHANGE. </li></ul><ul><li>So the next phase is very important. </li></ul>
  12. 12. Evaluation <ul><li>This is the phase when we should re-look at the plans and see if they are having the desired effect for example: </li></ul><ul><li>Problem-- is mobility </li></ul><ul><li>Plan is-- refer to client for walking aid. </li></ul><ul><li>Implementation—Zimmer frame received, /No reply </li></ul>
  13. 13. Evaluation. <ul><li>Evaluation. May mean re-try as possibly in above scenario or to move on to the next plan for that problem (“ Chaining ”) </li></ul><ul><li>For Example---Teaching the client how to use a Zimmer frame, at first with assistance. </li></ul>
  14. 14. What do we assess? <ul><li>We assess looking back to our activities of daily living, and more that is: </li></ul><ul><li>(Group to look again at the ADLs) </li></ul><ul><li>What are they? </li></ul>
  15. 15. What do we assess? <ul><li>Communication </li></ul><ul><li>Personal hygiene </li></ul><ul><li>Dressing </li></ul><ul><li>Sleeping </li></ul><ul><li>Motivation </li></ul><ul><li>Mobility </li></ul><ul><li>Elimination </li></ul>
  16. 16. What do we assess? <ul><li>Risk </li></ul><ul><li>Eating and drinking </li></ul><ul><li>Breathing </li></ul><ul><li>Memory </li></ul><ul><li>Orientation </li></ul><ul><li>Behaviour </li></ul>
  17. 17. What do we assess? <ul><li>Loss and change </li></ul><ul><li>Sexuality </li></ul><ul><li>Social relationships </li></ul><ul><li>Personal and spiritual fulfilment </li></ul><ul><li>Cognition </li></ul><ul><li>And more </li></ul>
  18. 18. Overview. <ul><li>When a new client come in, they should be Assessed for any problems relating to the above. </li></ul><ul><li>If they have problems in these areas then a care plan should be drawn up to guide them to a goal in order to either: </li></ul><ul><li>Resolve the problem </li></ul><ul><li>Or </li></ul><ul><li>To find a way of managing with it, without the problem interfering with their daily lives. </li></ul>
  19. 19. Example one.
  20. 20. Example two.
  21. 21. Thank you <ul><li>Mr C Spain. </li></ul>