Care planning explained using the example

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Care planning is the be-all and end-all of all care professions. Without this planning, an important part of quality assurance is missing. Writing a nursing plan is very difficult for many nurses because the plan has to be written according to certain requirements. The following article provides help and an example of how to write a care plan.

A must in care - care planning
A must in care - care planning

What you need:

  • Information about the resident
  • good teamwork
  • to trust
  • Sense of responsibility
  • Time
  • Quiet
  • Nursing process model

Care planning - the most important documentation in the nursing homeĀ 

Care planning is an essential component of quality assurance in care for the elderly and serves as evidence of care services and appropriate care-related reflection of risks and Resources. Goal of a planned care is the improvement of the quality of life for the caregiver as well as the professional satisfaction and competence of the caregiver. There are several benefits of care planning for the caregiver as well as the caregiver. An important advantage of such care planning is e.g. B. the preservation of the identity of those to be cared for by maintaining individual lifestyle habits. An important benefit of care planning for the caregiver is e.g. B. that the care successes become visible and thus the self-esteem of the caregiver increases. There are a few things to keep in mind as you carry out care planning:

  • Don't forget the time factor. A slow entry into care planning facilitates long-term implementation and reduces the emotional resistance of caregivers.
  • Have regular care planning meetings with your team.
  • It is also important that you include and integrate relatives of the caregiver when creating the care plan.
  • As well as you should involve the cleaning staff. The staff also get to know the caregiver.
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  • Motivate employees to take on greater responsibility, because holistic support promotes confidence building and job satisfaction.
  • Restructure the daily routines of the residents and adapt them to the individual residents. Let the resident decide for themselves when, for example, B. wants to get up or what he wants to eat.
  • Document everything completely, because this prevents the accusation of inadequate maintenance.
  • The most important thing for creating a care plan is the collection of information. Before you start writing the plan, you should gather all the information from the resident, e.g. B. through a personal conversation and subsequent creation of the biography.

The steps of the 6-step nursing process model for creating a nursing plan

To create the care plan, you need the steps of the 6-step care process model.

  1. The first step is to gather information. Find out about all the conditions of the carer, this ranges from the state of health to the skills and habits to the individual needs of the resident.
  2. The second step is to record the problems as well as the resident's available resources. It is important that you bundle the information you receive and then compare it with the nursing goals.
  3. Setting care goals is the third step of the care process model. You have recognized the problems on the basis of the information available and are now determining the measures that are intended to consolidate the success of the maintenance process.
  4. The fourth step is planning the maintenance measures. Maintenance measures should always be aimed at solving problems and conserving resources.
  5. Carrying out the care measures is the fifth step in creating the care plan. The basic requirement for this is that the staff knows the care planning and has been trained accordingly.
  6. The sixth and final step is the evaluation of the care measures. In the course of the care process, the results are evaluated and the care planning is adjusted accordingly.

An example of good care planning

When creating a care plan, it is important to find out the individual resources and problems of the resident and look for one for a certain period of time in order to be able to determine whether the care goal has been achieved or, unfortunately, still not.

  • An example of a nursing problem could be: Ms. X cannot eat independently because of Parkinson's.
  • An example of a resource could e.g. B. Be: She tries to improve her limited abilities with the help of physiotherapy exercises.
  • The goal of Ms. X would then be e.g. E.g. Ms. X can eat bite-sized, sandwiched bread on her own in four weeks. The review will take place on (...). Ms. X can take drinks without outside help. Review will take place on (...).
  • After setting the objective, the following measures are taken: "Ms. X 10 minutes of physiotherapy once a day" or "Provide activating support at every meal", "Allow time and encourage", "Praise insert".

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