Care plans are:
Care plans are made up of four different parts or stages.
- Remember ….A.P.I.E.
– This is the part of the process where the individual client’s needs are assessed
- from this assessment we can get a fuller picture of their individual needs
– the assessment should involve all people who have had input into the clients care, this would include:
- Medical staff
- Social services
- Speech and language
- To name just a few
- This type of assessment is referred to as a “multi-disciplinary assessment”
- By using all the information that we can we should be able to understand our client better and in a more “holistic” way.
– It is during this stage that we can identify where the client has difficulty and where their problem areas are.
– So it not only helps us to identify their individual problems and needs,
– But it also gives us a full picture of them helping us to understand their life, desires and expectations.
– 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.”
– This phase should also start the client carer relationship, which should be based on trust, understanding and empathy.
– The next stage of this process is the planning stage.
– 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.
– The plan must involve all those people who will be using it
– It must involve the client.
– 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.
– This is called giving them “active support”
– And all staff assisting the client should be aware of the plan.
– But don’t forget that all plans should be:
- It must be attainable
- It must be safe
- It must have an end goal
- It must be measurable
- And they must be realistic.
– This quite simply means putting the plan into progress.
– All that you have discovered about a clients particular problem
– can now help you to reduce it or relieve it completely.
– Using all the resources that you need for example,
- Outside help, Using any aids required, for example special knives and forks, Plate guards or hoists.
– BUT NO MATTER HOW GOOD A PLAN IS, WITH ARE DEALING WITH UNPREDICTABLE PEOPLE, AND THEIR NEEDS WILL CHANGE.
– So the next phase is very important.
– This is the phase when we should re-look at the plans and see if they are having the desired effect for example:
– Problem– is mobility
– Plan is– refer to client for walking aid.
– Implementation—Zimmer frame received, /No reply
– Evaluation. May mean re-try as possibly in above scenario or to move on to the next plan for that problem (“Chaining”)
– For Example—Teaching the client how to use a Zimmer frame, at first with assistance.
What do we assess?
– We assess looking back to our activities of daily living, and more that is:
– (Group to look again at the ADLs)
– What are they?
- Personal hygiene
- Eating and drinking
- Loss and change
- Social relationships
- Personal and spiritual fulfilment
- And more
When a new client come in, they should be Assessed for any problems relating to the above.
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:
Resolve the problem
To find a way of managing with it, without the problem interfering with their daily lives.