An Interventions For Health Care Planning

The process of this forward thinking and planning is called advance care planning. The most common reason this happens is if a person develops

Advanced care planning is critical element in the therapeutic alliance between healthcare team and patient in providing adequate patient-centered care, with the patient a more willing collaborator. This process provides patient, family, and caregiver with realistic expectations about result of treatment and prudent preparation for possible outcomes. Effective advance care planning has been shown to increase satisfaction with care, lower moral distress, lead to healthier bereavement after death, provide timely

Care plans are developed by the service users, and when needed with help and assistance from friends and family. These plans are then to be agreed by a social worker or senior care manager e.g. the nurse or senior care worker depending on if the person is nursing or a residential client. The planning system allows the individual’s to:

circumstances can be taken into account when planning care that will empower individuals. I will use a variety of examples from health and social care. I will also extend these examples by assessing the potential difficulties in taking individual circumstances into account when planning care that will empower an individual, and make suggestions for improvement.

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

This involves looking at the person as a unique individual while building the care package required just for them, they should have choices available on what they eat/drink, when they like to wake/sleep or which activities they may enjoy being involved in. choices on medications or who will become their advocate when the individual no longer has the mental capacity to make decisions their selves. Giving an individual options can help them feel valued, listened to and often empowered therefore encouraging positive mental wellbeing.

A problem solving approach is a process of planning care for a patient (McFerran and Martin, 2003) using ASPIRE, based on APIE (Yura and Walsh, 1988); Assessment, Plan, Implementation and Evaluation. ASPIRE is a nursing process which includes six stages: assess, a systematic nursing diagnosis, plan, implement, recheck and evaluate (Barrett et al, 2012). Using a range of assessment tools, some potential risks can be identified although, these tools should be used as guidance for treatment and not used in the decision making process as to who and who does not receive treatment, (National Institute for Health and Care Excellence (NICE), 2011) but through gaining consent during each process, as it should be before any care or treatment (NMC, 2008).

The purpose of this assignment is to explore a needs orientated approach to care planning, through the use of a problem solving approach to care, and a nursing model. It aims to show an understanding of what both a problem solving approach to care, and a nursing model are; and to establish how various key elements of both are implemented in practice. The following citation by the Department of Health (DH) (2009) identifies what is intended by the process of care planning;

Advanced care directives are legal documents provided to physicians and health care workers with an outline containing preferences for the treatment at end of life. Patients often do not discuss their wishes regarding end-of-life care with family members or health care providers prior to the event of a serious illness or traumatic event. Educational interventions focus on raising awareness and providing patients with information on advance care planning.

Another skill required for a nurse working with the above patient is assessment. The patient is elderly and suffers from dementia. The patient’s body changes with aging and with dementia this person losses mental capacity. What the nurse needs to work with this patient is excellent assessment skill. In this case the assessment, planning, interventions, and evaluation of plan need to be totally changed. Only a nurse who possesses very good critical and analytical thinking ability is able to take care of this patient.

This essay will explore a needs orientated approach to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. It is intended to identify a patient with biopsychosocial needs that requires nursing intervention. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff.

According to scenario, Mr. P has medical problem and also has some emotional and communal difficulties as well. The patient comes with labored breathing, pulmonary crackles and pitting edema, depression, hopelessness and also facing some financial problems. This is very important to manage the approach of Mr. P which includes to provide medical, psychological, social and financial support. Firstly, to transfer Mr. P in acute care setting where his heart symptom will be taken care soon. Mr. P needs to full education about the diagnosis and treatment plan, emotional support and dietary counseling because the education will support the patient to stick to health treatment and life style endorsements. In addition, the recommendation of social

(Schapira, 2010) It is important for patients to have all the facts in order to accept and prepare for death. Another area not always communicated well has to do with advance care planning. Many patients do not learn about options or talk about end of life issues until it is very late. Studies have shown that younger doctors are more likely to initiate conversations about end of life care options. (Pahwa, Babu & Bhatnagar, 2005)

The process of implementing a health care policy involves important steps of legislation formulation before execution and monitoring for progression and improvements. Committees and subcommittees on levels of the government, state, and local legislation are inclusive in ensuring the policy is enacted both efficiently and effectively. To accomplish these goals and objectives legislators must develop rules and regulations that align with goals and objectives, and take precautions to form the proper language to explain the actions suitable toward a successful operation. Some steps in the process are repeated each time a modification in the policy occurs. Examination of the Children’s Health Insurance Program (CHIP), justification of the policy, the responsibility of legislative committees appropriated to the policy, the implementation process, and the impact on the community, are addressed in the contents of this paper.

Kaiser is able to respond to the challenges set forth because they continue to evaluate what changes need to be made and how to make them successfully. The strategic plan allows for an overview of where the facility is currently standing. This allows for any changes that are made internally or externally to be evaluated at the time of the change instead of after the change has been made and it is too late. The strategic plan helps to have a faster response time because there is already plan in place so it is easier to see where the changes are made and how to correct them without the facility suffering.