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Get your Careplan reference books here!
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Welcome to Careplans.com!
This site provides resources for nursing assessment, planning, implementation, and evaluation.
The site includes articles, links, and libraries to assist caregivers in the careplanning process.
What is a Care Plan?
Care planning is an essential part of healthcare, but is often
misunderstood or regarded as a waste of time. Without a specific
document delineating the plan of care, important issues are likely to
be neglected. Care planning provides a "road map" of sorts, to guide
all who are involved with a patient/resident's care. The care plan has
long been associated with nursing, and many people believe
(inaccurately, in my opinion) that is the sole domain of nurses. This
view is damaging to all members of the interdisciplinary team, as it
shortchanges the non-nursing contributors while overloading the nursing
staff. To be effective and comprehensive, the care planning process must
involve all disciplines that are involved in the care of this patient/resident.
The first step in care planning is accurate and comprehensive assessment. In the acute care setting, a thorough admission
nursing assessment should be followed by regular reassessments as often as the patient's status demands. In the long-term
care setting, the MDS (Minimum Data Set) is the starting point for assessment. Home health utilizes the OASIS assessment.
Other settings will have established protocols for initial assessments and ongoing reevaluation.
Once the initial assessment is completed, a problem list should be generated. This may be as simple as a list of medical
diagnoses, or may involve working through the RAP (Resident Assessment Protocol) process associated with the MDS. The
"problem" list may actually include patient/resident strengths as well as family/relationship problems, which are affecting
the person's overall well-being.
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