To comply with the Regulations and meet the relevant standards the care plan must be reviewed regularly at least monthly is usual in care homes for the elderly and updated as necessary to reflect changing needs. Currently there is growing pressure from social care policy makers and some commissioners of services for care plans to be written in the first person. That is a laudable aim but the practice also has inherent drawbacks. This objective is achieved through proper consultation with the service user as well as objective assessment of each need area identified and is best expressed neutrally in the third person.
Proper assessment helps determine needed fall precautions. Elder patients may suffer from faulty short-term memory. Provide for safety and keep lights on at night.
Make sure call bell is available all the time. Allows patient to ask for assistance. Have patient wear a wristband identification to remind healthcare providers to implement fall precautions. Enables healthcare providers to identify patients at an increased risk for falls.
Keep it as adjacent to the floor as possible. Positioning the bed this way dramatically reduces fall risk. Use side rails on bed whenever needed and avoid using restraints. Teach patient with unstable gait correct use of adaptive devices.
It decreases the potential for injury. Make primary walkway as clear as possible. Older patients may have a hard time walking around obstacles. Encourage patient to stay with the patient at all times. Presence of family members can decrease confusion in patients with delirium.
Activity Intolerance Functional changes accompanying the aging process Possibly evidenced by: Verbal report of fatigue or weakness Abnormal heart rate or blood pressure in response to activity, arrhythmia or ischemic changes on electrocardiogram Presence of exertional discomfort or dyspnea Desired outcomes: This enables the nurse to obtain a baseline data.
Fatigue can be a side effect of certain medications. This includes tranquilizers, relaxants, sedatives, calcium channel blockers, and beta blockers.
Encourage the patient to perform activities more slowly. Provide frequent and longer rest periods if necessary. Teach patient how to schedule activities for when they feel most energetic. Provide encouragement if the patient achieves even small improvements.
Depression is common among older people who experience limitations in their activities.A care plan for the elderly addresses the issues that may arise as one grows older and begins to lose his or her independence.
Elderly care plans require resources from multiple areas to be effective. Writing Good Care Plans A good practice guide suggestions about how to write a good care plan which: Meets professional, local and national standards; care plan that is written by one person alone in an office may include all the key elements, but is.
Nursing Care Plan for Elderly Patients. January 4, Share on Facebook. Tweet on Twitter. Taking care of elderly people is never easy. Since they are more prone to injuries, infections, and changes in mental status, you have to be prepared and skilled when caring for them. Plan activities to coincide with the patient’s peak.
Person-directed Care Plans Consider person directed care plans to enhance residents highest physical, psychosocial well-being.
Changing the style of care plan documentation assists to reflect the emphasis on the resident care from their personal perspective.
Preparing a care plan for an elderly person should encompass all facets of life. In the past, care plans were written to address only the deficits.
For better quality of life results, caregivers now write universal care plans incorporating needed care into the adult's life. A care plan is carefully tailored to the needs of the client, and as the client s needs change, so should the care plan.
Thus, the case manager may have to repeat portions of the process in order to revise the plan to meet client needs over time.