Care Plan
Identify care needs in order of priority
Construct a plan of care that meets the needs of the client.
Consider care planning across all domains of health: physical, psychological, social, cultural, spiritual, intellectual and other domains you may identify
Include method of evaluation in the care planning
Review care planning from ethical perspective to include client consent, autonomy and adherence to nurses’ code of conduct, legal requirements etc
In this case, the two priorities are pain and depression. Explain why these two would be the priorities, other words – why you think the pain and depression should be focused firstly in this case?
Explain the reason and results of chronic pain (Pathology and process of spinal stenosis, other additional reasons such as his occupation, and what are caused by pain, such as depression, serious influence his level of function such as daily activities ect.)
Create the care plan part 1 for pain as a community nurse from the 6 domains of health.
Eg.
Physical – ongoing assessments? Medication? More experts involved? The method to reduce or delay the process of illness? The home environmental hazard assessment?
Psychological – Ongoing assessments? Medication? Social work involved because his children are living far away?
To sum up, indicate the reason of pain, and the influences of his pain from 6 domains. Indicate the interaction of these influences, and create a plan for his pain from 6 domains
How to evaluate the care plan part 1– eg, pain assessment …
Explain the reason and results of depression (the results such as medication adherence, stopping work with physiotherapist, cause the symptoms more serious…)
Create the care plan part 2 for depression as a community nurse from the 6 domains of health.
To sum up, indicate the reason of depression, and the influences of his depression from 6 domains. Indicate the interaction of these influences, and create a plan for his depression from 6 domains
How to evaluate the care plan part 2
Review care planning from ethical perspective to include client consent, autonomy and adherence to nurses’ code of conduct, legal requirements etc
Implementation
Identify possible obstacles to implementation and how you could address it
Possible obstacles such as his emotion, irreversible symptoms of chronic pain and illness, etc. Brief explain why
The possible method to fix it, such as how to give an appropriate education such as the correct position during bed time. Brief explain the expecting result
Evaluation and reassessment
How to evaluation and reassessment the care plan
Identify tracking of progress of long term care goals
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