Tuesday, July 17, 2012

Care Plan 101 - An Introduction to Care Planning For operation Professionals

Village Care Rehab - Care Plan 101 - An Introduction to Care Planning For operation Professionals
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Creating and implementing individualized care plans for residents in long-term care facilities is a very foremost accountability of operation and recreation professionals. The operation estimate determines the content of the care plan. Not all residents will have an "activity-care plan", but most care plans should have "activity-related interventions" found in the uncut care plan. Care plans may be written regardless if a resident triggers on the Mds 2.0.It is foremost to set realistic, measurable goals, interdisciplinary interventions, and generate care plans that are individualized and person-centered.

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What is a Care Plan?
The Rai user hand-operated defines care planning as, "A systematic estimate and identification of a resident's problems and strengths, the setting of goals, the making ready of interventions for accomplishing these goals."

Why write Care Plans?
- Document strengths, problems, and needs
- Set guidelines for care delivery
- design resident goals
- recognize needs for services by other departments
- Promote an interdisciplinary approach to care and assign responsibilities
- provide measurable outcomes that can be used to monitor progress
- Meet federal and state requirements
- Meet professional standards of practice
- improve the resident's capability of life and promote optimal level of functioning!

What is a Care Plan Meeting?
A forum to discuss and spin a resident's status together with any problems, concerns, needs, and/or strengths.

Who ordinarily attends a Care Plan Meeting?
- Mds Coordinator
- Nurse(s)
- Cna's
- Dietician
- restoration Therapist(s)
- Recreation Staff
- group worker
- Resident
- family Member/Guardian

When are Care Plans written?
- A minimum of seven days after the Mds completion date
- Some care plans warrant immediate attention
- As valuable
- Must spin at least quarterly

The Role of the Recreation/Activities Department
- recognize the resident's leisure/recreation needs
- recognize barriers to freedom pursuance and help minimize these barriers
- recognize the resident's leisure/recreation possible
- provide the valuable steps to help the resident to accomplish their leisure/recreation goal/s
- provide interdisciplinary withhold by entering a variety of recreation interventions on various (non-activity) care plans
- Monitor and rate residents response to care plan interventions

Components of a Care Plan
- Statement of the problem, need, or strength
- A realistic/measurable goal that is resident focused
- Approaches/interventions the team will use to help the resident in achieving their goal
- foremost dates and time frames
- Discipline(s) responsible for intervention
- Evaluation

Target areas for Recreation/Activities
- Cognitive Loss
- communication
- Adls
- Psychosocial
- Mood
- nourishment
- Falls
- Palliative Care
- Activities
- Recreation Therapy
- Pain Behavior
- Restraints

Activity/Recreation Care Plan Samples
These are just a few samples. Remember, the most foremost aspect of care planning, is Individualization!

Statements (the resident's name is ordinarily used instead of the word "resident")
- Resident has limited socialization r/t to depression
- Resident prefers to stay in room and does not pursue independent activities
- Resident is bed-bound r/t to stage 4 pressure ulcer and is at risk for group isolation
- Resident demonstrates limited response to external stimuli r/t to cognitive and functional decline
- Resident enjoys resident assistance projects such as changing the R.O. Boards
- Resident becomes fearful and agitated upon hearing loud noises in group activities r/t to dementia
- Resident has leadership abilities
- Resident prefers a convert in daily routine and wishes to engage in independent craft projects

Goals
- Resident will write back to auditory stimulation Aeb smiling, tapping hands, or vocalizing during small group sensory programs in 3 months
- Resident will actively partake in 2 movement activities weekly in 3 months
- Resident will remain in a group operation for 15 minutes at a time 2x weekly in 3 months
- Resident will accept in room 1:1 visits by recreation staff 2x weekly in 3 months
- Resident will socialize with peers 2x weekly during small group activities in 3 months
- Resident will write back to sensory stimulation by opening eyes during 1:1 sessions in 3 months
- Resident will actively partake in Horticultural Therapy sessions in the green house, 1x monthly in 3 months
- Resident will continue to help other residents in writing letters on a weekly basis in 3 months
- Resident will exhibit no signs of agitation during small group activities 3x weekly in three months
- Resident will engage in self-directed arts and crafts projects 1x weekly in 3 months

Interventions/Approaches
- provide a variety of music i.e. Big Band and Irish
- apply maracas and egg shakers to elicit movement
- provide Prom to the U/E during exercise program
- Involve resident in activities of interest i.e. Singalongs, adapted blowing and trivia
- Offer 1:1 visits in the late afternoon to discuss modern Oprah episode
- Seat resident next to other Korean speaking resident during groups
- provide tactile stimulation i.e. Hand massages and textured object i.e. Soft baseball
- provide olfactory stimulation i.e. Vanilla citation and cinnamon for reminiscing
- apply adapted shovel and watering can during Ht sessions
- provide easy grip writing utensils and a variety of greeting cards/stationary
- Involve resident in small sensory groups i.e. Snoezelen and Five Alive
- Sear resident near a window
- provide a variety of independent arts and craft projects
- provide adapted scissors and paint brush

Exercise
Imagine that you are a resident in a long-term care factory and you are bed-bound for a health-related condition and are at risk for group isolation and inactivity. Write a goal and at least seven interventions/approaches that are relevant to you.

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