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Home Care Assessment & Planning

To give a good care, staff must assess and plan to support each resident’s life on long patterns, current interests, strengths and needs. In Home Care Assessment and Care, planning conferences are a valuable forum for residents and families to voice concerns, group discussion, ask questions, give suggestions, learn nursing home strategies, and give staff information.

Home care assessment is an evaluation of the client’s needs and the family’s concerns performed by a Home care agency or Registered Nurse. It includes the information about the health and physical condition of a resident and how well a resident can take care of them. Like “functional abilities” such as walking, eating, dressing, bathing, seeing, hearing, communicating, understanding, and remembering. Assessments also should be carried on residents’ habits, activities and relationships in order to help him or her life to live more comfortably and feel at home. It helps client’s family better understand your his loved one’s current situation and plan for future needs. The assessment also includes a review of:

  • Medical Information: medical history, physical abilities and medications
  • Functional Abilities: activities of daily living, such as dressing, bathing and meal preparation
  • Cognitive Function: memory and mental abilities

Care Planning

After the assessment is completed, the information is analyzed and a care plan is developed to address all the needs and concerns of the resident. The care plan is a strategy for how the staff will help a resident every day. Care plans must be reviewed regularly to make sure they work and must be revised as needed. For care plans to work, residents must feel they meet their needs and must be comfortable with them.

Good Care Plans Should

  • Be specific to that resident;
  • Be followed as an important guideline for providing good care for the resident;
  • Be written so that everyone can understand it and know what to do;
  • Reflect the resident’s concerns and support his or her well-being;
  • Use a team approach involving a wide variety of staff and outside referrals as needed;
  • Assign tasks to specific staff members;
  • Be re-evaluated and revised routinely.

Family Participation in Care Planning

Residents and family members have the right to be involved in the care plan conference in order to make choices about care, services, daily schedule, and life in the nursing home. Even if a resident needs Dementia Care, involve them in care planning as much as possible. Participating in care plan conferences is a way to be heard, raise questions, and come to a clear agreement with the facility about how the resident will be cared for.