Rehab Nursing Home - Care Plan 101 - An Introduction to Care Planning For action Professionals
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Creating and implementing individualized care plans for residents in long-term care facilities is a very leading accountability of action and recreation professionals. The action appraisal determines the article of the care plan. Not all residents will have an "activity-care plan", but most care plans should have "activity-related interventions" found in the full, care plan. Care plans may be written regardless if a resident triggers on the Mds 2.0.It is leading to set realistic, measurable goals, interdisciplinary interventions, and create care plans that are individualized and person-centered.
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What is a Care Plan?
The Rai user by hand defines care planning as, "A systematic appraisal and identification of a resident's problems and strengths, the setting of goals, the making ready of interventions for accomplishing these goals."
Why write Care Plans?
- Document strengths, problems, and needs
- Set guidelines for care delivery
- institute resident goals
- recognize needs for services by other departments
- Promote an interdisciplinary advent to care and assign responsibilities
- furnish measurable outcomes that can be used to monitor progress
- Meet federal and state requirements
- Meet expert standards of practice
- enhance the resident's ability of life and promote optimal level of functioning!
What is a Care Plan Meeting?
A forum to discuss and delineate a resident's status along with any problems, concerns, needs, and/or strengths.
Who usually attends a Care Plan Meeting?
- Mds Coordinator
- Nurse(s)
- Cna's
- Dietician
- recovery Therapist(s)
- Recreation Staff
- communal laborer
- Resident
- family Member/Guardian
When are Care Plans written?
- A minimum of seven days after the Mds completion date
- Some care plans warrant immediate attentiveness
- As vital
- Must delineate at least quarterly
The Role of the Recreation/Activities Department
- recognize the resident's leisure/recreation needs
- recognize barriers to freedom chase and help minimize these barriers
- recognize the resident's leisure/recreation inherent
- furnish the vital steps to assist the resident to accomplish their leisure/recreation goal/s
- furnish interdisciplinary support by entering a range of recreation interventions on discrete (non-activity) care plans
- Monitor and rate residents response to care plan interventions
Components of a Care Plan
- Statement of the problem, need, or impel
- A realistic/measurable goal that is resident focused
- Approaches/interventions the team will use to assist the resident in achieving their goal
- leading dates and time frames
- Discipline(s) responsible for intervention
- Evaluation
Target areas for Recreation/Activities
- Cognitive Loss
- transportation
- Adls
- Psychosocial
- Mood
- nourishment
- Falls
- Palliative Care
- Activities
- Recreation Therapy
- Pain Behavior
- Restraints
Activity/Recreation Care Plan Samples
These are just a few samples. Remember, the most leading aspect of care planning, is Individualization!
Statements (the resident's name is usually used instead of the word "resident")
- Resident has miniature socialization r/t to depression
- Resident prefers to stay in room and does not pursue independent activities
- Resident is bed-bound r/t to stage 4 pressure ulcer and is at risk for communal isolation
- Resident demonstrates miniature response to external stimuli r/t to cognitive and functional decline
- Resident enjoys resident assistance projects such as changing the R.O. Boards
- Resident becomes fearful and agitated upon hearing loud noises in group activities r/t to dementia
- Resident has leadership abilities
- Resident prefers a change in daily routine and wishes to engage in independent craft projects
Goals
- Resident will talk to auditory stimulation Aeb smiling, tapping hands, or vocalizing during small group sensory programs in 3 months
- Resident will actively partake in 2 movement activities weekly in 3 months
- Resident will remain in a group action for 15 minutes at a time 2x weekly in 3 months
- Resident will accept in room 1:1 visits by recreation staff 2x weekly in 3 months
- Resident will socialize with peers 2x weekly during small group activities in 3 months
- Resident will talk to sensory stimulation by chance eyes during 1:1 sessions in 3 months
- Resident will actively partake in Horticultural Therapy sessions in the green house, 1x monthly in 3 months
- Resident will continue to assist other residents in writing letters on a weekly basis in 3 months
- Resident will exhibit no signs of agitation during small group activities 3x weekly in three months
- Resident will engage in self-directed arts and crafts projects 1x weekly in 3 months
Interventions/Approaches
- furnish a range of music i.e. Big Band and Irish
- utilize maracas and egg shakers to elicit movement
- furnish Prom to the U/E during exercise program
- Involve resident in activities of interest i.e. Singalongs, adapted blowing and trivia
- Offer 1:1 visits in the late afternoon to discuss up-to-date Oprah episode
- Seat resident next to other Korean speaking resident during groups
- furnish tactile stimulation i.e. Hand massages and textured object i.e. Soft baseball
- furnish olfactory stimulation i.e. Vanilla passage and cinnamon for reminiscing
- utilize adapted shovel and watering can during Ht sessions
- furnish easy grip writing utensils and a range of greeting cards/stationary
- Involve resident in small sensory groups i.e. Snoezelen and Five Alive
- Sear resident near a window
- furnish a range of independent arts and craft projects
- furnish adapted scissors and paint brush
Exercise
Imagine that you are a resident in a long-term care facility and you are bed-bound for a health-related condition and are at risk for communal isolation and inactivity. Write a goal and at least seven interventions/approaches that are relevant to you.
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