Diagnoses
A Person-centred care plan is a diagnostic process that includes correctly identifying existing needs, as well as recognizing potential needs or risks. Care plans also provide a means of communication among Caregivers, their patients, and other healthcare providers to achieve health care outcomes. Without the care planning process, quality and consistency in patient care would be lost.
Person-centred care planning begins when the client is admitted to the agency and is continuously updated throughout in response to client’s changes in condition and evaluation of goal achievement. Planning and delivering individualized or patient-centered care is the basis for excellence in social care practice.
Objectives
The following are the goals and objectives of writing a care plan:
- Promote evidence-based social care and to render pleasant and familiar conditions in hospitals or health centers.
- Support holistic care which involves the whole person including physical, psychological, social and spiritual in relation to management and prevention of the disease.
- Establish programs such as care pathways and care bundles. Care pathways involve a team effort in order to come to a consensus with regards to standards of care and expected outcomes while care bundles are related to best practice with regards to care given for a specific disease.
- Identify and distinguish goals and expected outcome.
- Review communication and documentation of the care plan.
- Measure nursing care.
Purposes of a Nursing Care Plan
The following are the purposes and importance of writing a care plan:
- Defines caregiver’s role. It helps to identify the unique role of caregivers in attending the overall health and well-being of clients without having to rely entirely on a physician’s orders or interventions.
- Provides direction for individualized care of the client. It allows the caregivers to think critically about each client and to develop interventions that are directly tailored to the individual.
- Continuity of care. caregivers from different shifts or different floors can use the data to render the same quality and type of interventions to care for clients, therefore allowing clients to receive the most benefit from treatment.
- Documentation. It should accurately outline which observations to make, what actions to carry out, and what instructions the client or family members require. If care is not documented correctly in the care plan, there is no evidence the care was provided.
- Serves as guide for assigning a specific staff to a specific client. There are instances when client’s care needs to be assigned to a staff with particular and precise skills.
At PMSS our rigorously screened, and Qualified Caregivers have prior experience working with clients who have the following diagnoses and not only limited to the list below: