When it comes to healthcare, especially in situations where
families and healthcare professionals are dealing with rapid onset or rapid
progression of illness, it can be helpful to have a plan in place (or to take
the time to develop one) that serves as a roadmap for the treatment options and
decisions that will be made later down the road.
A nursing care plan is one example of these types of
roadmaps concerning long or short-term care. This comprehensive plan outlines
strategies and expectations for the entire care team, including both nursing
and non-nursing health care contributors. To offer maximum effectiveness, the
plan should be updated and revised on a regular basis, or as determined by the
head of the patient’s care team, and developed with input from the patient and
family members.
Characteristics of a successful nursing care plan might
include:
·
A holistic approach that accounts for both the
well-being of mind and body
·
A set of realistic targets or outcomes , in
terms of patient goals
·
A focus on both present and immediate outcomes
and issues, as well as target outcomes for the patient that relate to the
future
When it comes to the actual mechanics of developing the
document, the nursing care plan might include the following elements:
·
An initial assessment or diagnosis
·
Statement of desired patient outcomes
·
Plan of action
·
Interventions
·
Benchmarks for ongoing assessment
·
Methods for evaluation
Common issues addressed in a nursing plan might include pain
management, patient self-care, or patient benchmarks that need to be met in
order for the patient to be dismissed or moved to the next stage of care, such
as hospice or a rehabilitation facility.
As you might imagine, no two nursing care plans are exactly
alike. Nursing teams each have their own methods of approaching the development
and execution of care plans, and of course each of these plans will be
fine-tuned based on the individual needs of different patients.
If you’d like to know more or provide input with respect to
the elements of your/your family
member’s nursing care plan,
it’s recommended that you ask the doctor or nurse in charge of your care team
for information and insight.
To learn more about care plans or home health care
options, click here!

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