Care Plan 101 - An Introduction to Care Planning For activity Professionals

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Creating and implementing individualized care plans for residents in long-term care facilities is a very foremost responsibility of operation and recreation professionals. The operation estimate determines the content 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 whole care plan. Care plans may be written regardless if a resident triggers on the Mds 2.0.It is foremost to set realistic, measurable goals, interdisciplinary interventions, and generate care plans that are individualized and person-centered.

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What is a Care Plan?
The Rai user hand-operated defines care planning as, "A systematic estimate and identification of a resident's problems and strengths, the setting of goals, the preparing of interventions for accomplishing these goals."

Why write Care Plans?
- Document strengths, problems, and needs
- Set guidelines for care delivery
- establish resident goals
- identify needs for services by other departments
- Promote an interdisciplinary arrival to care and assign responsibilities
- supply measurable outcomes that can be used to monitor progress
- Meet federal and state requirements
- Meet professional standards of practice
- enhance the resident's potential of life and promote optimal level of functioning!

What is a Care Plan Meeting?
A forum to discuss and review a resident's status together with any problems, concerns, needs, and/or strengths.

Who normally attends a Care Plan Meeting?
- Mds Coordinator
- Nurse(s)
- Cna's
- Dietician
- rehabilitation Therapist(s)
- Recreation Staff
- social laborer
- Resident
- family Member/Guardian

When are Care Plans written?
- A minimum of seven days after the Mds completion date
- Some care plans guarantee immediate attentiveness
- As primary
- Must review at least quarterly

The Role of the Recreation/Activities Department
- identify the resident's leisure/recreation needs
- identify barriers to freedom pursuit and help minimize these barriers
- identify the resident's leisure/recreation inherent
- supply the primary steps to assist the resident to perform their leisure/recreation goal/s
- supply interdisciplinary reserve by entering a collection of recreation interventions on various (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
- foremost dates and time frames
- Discipline(s) responsible for intervention
- Evaluation

Target areas for Recreation/Activities
- Cognitive Loss
- transportation
- Adls
- Psychosocial
- Mood
- cusine
- Falls
- Palliative Care
- Activities
- Recreation Therapy
- Pain Behavior
- Restraints

Activity/Recreation Care Plan Samples
These are just a few samples. Remember, the most foremost aspect of care planning, is Individualization!

Statements (the resident's name is normally used instead of the word "resident")
- Resident has slight 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 social isolation
- Resident demonstrates slight response to external stimuli r/t to cognitive and functional decline
- Resident enjoys resident aid 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 turn in daily disposition and wishes to engage in independent craft projects

Goals
- Resident will sass to auditory stimulation Aeb smiling, tapping hands, or vocalizing while 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 operation 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 while small group activities in 3 months
- Resident will sass to sensory stimulation by opening eyes while 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 while 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
- supply a collection of music i.e. Big Band and Irish
- use maracas and egg shakers to elicit movement
- supply Prom to the U/E while practice program
- Involve resident in activities of interest i.e. Singalongs, adapted blowing and trivia
- Offer 1:1 visits in the late afternoon to discuss new Oprah episode
- Seat resident next to other Korean speaking resident while groups
- supply tactile stimulation i.e. Hand massages and textured object i.e. Soft baseball
- supply olfactory stimulation i.e. Vanilla citation and cinnamon for reminiscing
- use adapted shovel and watering can while Ht sessions
- supply easy grip writing utensils and a collection of greeting cards/stationary
- Involve resident in small sensory groups i.e. Snoezelen and Five Alive
- Sear resident near a window
- supply a collection of independent arts and craft projects
- supply adapted scissors and paint brush

Exercise
Imagine that you are a resident in a long-term care premise and you are bed-bound for a health-related health and are at risk for social isolation and inactivity. Write a goal and at least seven interventions/approaches that are relevant to you.

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