Review

Question 1

Care planning process in facilities

Answer 1

Method used to plan and deliver care in nursing homes

Question 2

5 planning process

Answer 2

Assessment 
Nursing diagnosis 
Planning 
Implementing 
Evaluation

Question 3

Assessment

Answer 3

• Collecting information about the client

- assessment of the clients emotion

Question 4

Support workers play a key role in assessment

Answer 4

• Make observations and talk to the client

- report and record their findings

Question 5

Nursing diagnosis

Answer 5

• RN uses assessment information to make a nursing diagnosis
• needs are arranged in order of importance

Question 6

The nursing care plan

Answer 6

Written guide about clients care
Is a communication tool
Uses by nursing staff to see what care to give

Question 7

Implementation

Answer 7

Performing out the actions in the care plan

Question 8

Four main functions

Answer 8

• providing the care
• observing the client durning care
• report and record care
• report and record observations durning the care

*reporting and recording are done after giving care, not before

Question 9

Evaluation

Answer 9

Measuring wheather goals in the planning step were meet

Question 10

Care planning process in community settings

Answer 10

Also includes assessment, planning, implementation and evaluation

Question 11

Planning

Answer 11

• the case manager, client and family establish priorities

- includes services provided by family members outside professionals

Question 12

Implementation

Answer 12

• Provide care in the date and time arranged by case manager
• unforeseen needs may arise

Question 13

Evaluation

Answer 13

Is ongoing

Question 14

Support worker role in the care planning process

Answer 14

Nurses uses support workers observations and feedback in care planning process

Question 15

Developing observation skills

Answer 15

• Support workers spend more time with clients

- be alert to changes in clients conditions or behaviours

Question 16

Objective data

Answer 16

Information observer about the client

Question 17

Subjective data

Answer 17

Information reported by a client on hat is not observed

Question 18

Communication

Answer 18

The exchange of information

Question 19

Verbal reporting

Answer 19

Be through and accurate
Give client name & room number
Give time when care was given
Immediately report any changes in the client

Question 20

Client records or charts

Answer 20

• chart is a legal document with the clients conditions, signs and symptoms
• files are kept from admission to discharge or death

Question 21

Documentation

Answer 21

Communications
Planing client care
Quality assurance
Funding

Question 22

Documents used in charts

Answer 22

Data forms

Includes physical, emotions, social and cognitive health

Question 23

Assessment forms

Answer 23

Identifying a problem area

Question 24

Home assessment

Answer 24

Documents changes that need to be made to a clients home

Question 25

Care plan

Answer 25

Goals and interventions

Question 26

Consistency and accuracy

Answer 26

Record clearly and thoroughly

Avoid use of third person