A Workable Plan Of Care

Care plans are developed by the service users, and when needed with help and assistance from friends and family. These plans are then to be agreed by a social worker or senior care manager e.g. the nurse or senior care worker depending on if the person is nursing or a residential client. The planning system allows the individual’s to:

circumstances can be taken into account when planning care that will empower individuals. I will use a variety of examples from health and social care. I will also extend these examples by assessing the potential difficulties in taking individual circumstances into account when planning care that will empower an individual, and make suggestions for improvement.

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

I found this particular portfolio more challenging than previous ones. The main reason for this was the fact that I was the required to actively take part in the assessment, planning, implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements.

A pressure ulcers is ‘ a localised area of cellular damage resulting from direct pressure on the skin causing ischawmia, or from shearing or friction forces causing mechanical stress on the tissues’ (Chapman and Chapman 1981). Common places for pressure ulcers to occur are over bony prominences, such as the sacral area, heels, hip, and elbow. (NICE 2005)

Based upon the 48-hour intake journal, patient eats between 1500 to 2000 calories a day. Patient has been trying to minimize foods high in sodium and fat to help regulate recommended caloric, fat, and sodium intake. Patient wants to reduce the risks of hypertension and diabetes. Patient states that she runs on the treadmill 2 times a week for 1 hour. She walks around the mall 3 times a week for approximately an hour and walks to school 4 times a week for 30 minutes. Patient sleeps approximately 7 hours per night (falls asleep around 10:00 pm and wakes up at 5:30 am). Patient falls asleep due to fatigue. Patient wakes up in the middle of the night due to difficulty sleeping, from thinking about school and stressed. Patient’s quality of sleep

“Establishing a care plan that meets the patients’ needs and allows for appropriate interventions as symptoms change.” Patient’s without decision making ability comprise a large portion of the long term care population.” Jenna the IDT 
(interdisciplinary team) has to have continuing conversations with the patient’s family or decision maker, to help make decisions. “

Care planning is encouraging a person to be independent and setting realistic goals that they will be able to achieve. (The National Archives, 2009). The goals that wanted to be achieved in each care plan, followed the S.M.A.R.T system. This meant that they were specific, measurable, achievable, realistic and time orientated. (Parkinson and Brooker, 2004). Every patient care plan is individualised on the patient’s ability and problems and they ensure goals are specific for each patient so that their progress can be monitored. Within each care plan for James, the goals were realistic and promoted as much independence for the child as

WEIGHT MANAGEMENT HISTORY: Ms. Glass related she has been of normal weight until her first child was born at age 32. Beginning early in life, she would feel feelings of nausea or stomach upset, and then eat to feel better. Ms. Glass related she continues to do this when feeling slight physical discomfort. In her childhood home, she was required to eat all on her plate and there was a significant amount of fried foods and sweets offered in the home. In one of her marriages, she had to make corn bread or biscuits at least once to twice per day. She stated the reason for gaining significant weight is her tendency toward snack foods and sweets. Ms. Glasses' triggers to eat are: stress eating, eating when she is sleepy and also tends to eat as an activity. Ms. Glass has attempted counting calories, Weight Watchers, the Atkins diet, low carbohydrate diets and exercise. Most successful for her has been calorie counting and Adkins losing 20 to 50 pounds with a one year maintenance period. Her problem foods are fast foods and sweets.

Developing a self-care plan is an essential tool within the health care profession. Not only does a plan help create balance in one 's life, but it also assists in maintaining professional standards as a service provider. In this type of work can be taxing on an individual 's mental, physical and spiritual mentality, as such, can affect the mannerism in which a professional engages with their clientele. As a social workers it is our responsibility to maintain the ethical values of our profession. The following is a discussion of my intended self-care plan for the remainder of this semester in order to sustain my commitment and values to my clients as a professional. As well, to help maintain my own stability in my personal life and in achieving my goals for this semester.

Each of the assigned articles defends the need for effective care coordination to help reduce escalating health care costs. Nurses are an important member of the health care team and have gained recognition among other professionals as effective care coordinators. According to Popejoy (2015), the American Nurses Association has identified registered nurses as a critical link in improving outcomes for all patient populations in the continuum of care. Care coordination increases client satisfaction, improves population health, and reduces per capita health care cost (Popejoy, 2015). Since, care coordination is delivered in a wide variety of approaches and in different settings it is difficult to fully realize the cost savings and benefits afforded by this type of care (Marek, et al., 2014). I agree that nurses are essential and that care coordination helps the patients navigate the complex health care system.

- Providing individualized care.Standards are set to ensure everyone is treated in an equal way. How we care for ourselves might be different to the way another person cares for themselves.

Managing the complex care needs of hospitalized patient population is a national concern. Effective collaboration and teamwork is essential in providing safe hospital care. Most recently, there has been a greater emphasis on interdisciplinary care. It is well documented and accepted that interdisciplinary care represents best practice in terms of treatment planning and care for patients but integration of it into workflow is challenging. In an attempt to address this Interdisciplinary Plan of Care (IPOC) rounds were trialed.

As individuals age changes occur physiologically that are part of normal aging. These changes occur in all organ systems and can impact an individual’s quality of life. The changes related to aging can be attributed to an individual’s genetic make up, lifestyle, physical activity, and dietary lifestyle. Being able to differentiate between normal changes in aging against disease process is important because it can help clinicians develop a plan of care (Boltz, Capezuti, Fulmer, & Zwicker, 2012). Creating an accurate plan of care for older adults will greatly impact their quality of life.

There is growing concern that intense glucose lowering or the use of certain agents may be associated with adverse cardiovascular outcomes.