Care Planning Flashcards
(24 cards)
What is the definition of “Care Planning” ?
Where the nurse acts for or with the patient to address their specific problems or needs. It typically consists of two stages; identifying actions and setting goals.
What is the definition of a “Care plan”?
A written record of the care planning process. A way to document the nurses clinical decision making whilst justifying their actions and evaluating the outcomes.
What are the three types of care planning?
- Initial
- Ongoing
- Discharge
What is an standardised care plan?
Evidence based, pre written plan for people with specific needs or groups of patients.
What components make up an effective care plan?
- Patient centered
- Based on holistic and thorough assessment of needs
- Understood by everyone
- Clear and concise
- Collaborative with patients and MDT
- Manages risk
- Up to date
What is an individualised care plan?
Written from scratch with the patient to cater to their specific needs.
What is a care pathway?
- Multidisciplinary.
- Used by all members of the healthcare team.
- Evidence based.
- Outline standardised care protocols for specific groups of patients.
What are two advantages of an individualised care plan?
- Free of preconceptions and checkboxes
- Aligned with the patient’s values
- Improves patient care
What are two advantages of an individualised care plan?
- Free of preconceptions and checkboxes
- Aligned with the patient’s values
- Improves patient care
What are two disadvantages of an individualised care plan?
- Not evidence based
- Time consuming
- Can be a difficult skill to master
What are two advantages of a standardised care plan?
- Consistent care for treatment of the same condition.
- Time effective.
- Evidence based.
What are two disadvantages of a standardised care plan?
- Can be used as a checkbox exercise and not personalised to an individuals needs.
- May not be updated appropriately.
- Does not always suit all patients.
- May not be enough space in pre-printed documentation to add more detail
What is an example of a standards care plan?
- Falls prevention
- NEWS2
- Wound care
What is the aim of a care pathway?
- To reduce cost to NHS
- Encourage continuity of care
- Improve the quality of care
Give an example of a patient group that may have a care pathway
- Diabetics
- End of life
- Cancer patients
- Kidney failure
- COPD
What are the FIVE principles of capacity in care planning?
- Assume capacity unless there is evidence otherwise
- Do not treat a person as unable to make a decision unless you have done all you can
- Unwise or eccentric decisions on there own do not prove lack of capacity
- If you’re making a decision for someone who is lacking capacity, it must be done in their best interest
- look for the least restrictive option that will meet their needs.
When supporting a person to make a decision, which three things must be documented in the care plan?
- Nature of the decision
- Options available
- Consequences of each decision
What does Brookers “VIPS” stand for?
- Values
- Individualised
- Perspective
- Social
In goal setting, what does SMART stand for?
- Specific
- Measurable
- Achievable
- Relevant
- Time based
In goal setting, what does PRODUCT stand for?
- Patient centered
- Recordable
- Observable
- Directive
- Understandable
- Credible
- Time related
Give two example of what a nursing intervention should be:
- Evidence based
- Clinically justified
- Improve the specific outcomes
what is meant by advanced care planning?
Ensuring the wishes of patients who are approaching end of life and may lack capacity are respected.
An advance statement is legally binding, true or false?
False
A ReSPECT form is a form of what type of care planning?
Advanced
