Individualized Care Plan | Case Study

Running head: INDIVIDUALISED CARE PLAN
Individualised care plan
Name of the Student:
Name of the University:
Author Note:

INDIVIDUALISED CARE PLAN1
Case study A: Fall
Signature Centre Care Plan Residents Name:
Mrs Thompson
Care issue Goal Intervention Evaluation Signature
Fall To identify the
potential extrinsic
risk factors for
falls at home,
minimise the
chance of fall by
reducing the over-
clustered
environment of
the patient at
home and
improve the
overall task
performance,
independence and
accessibility of
the patient.
 Zero step entrance
 Glare-free floors
 Wheelchair and
walker facilities
 Remove shower
sills/hobs in
washrooms
 Install handles or
railing in
washrooms
 Modify the height of
kitchen benches
 Lighting at night to
show the way
 Non-slip strips on
stairs (Clemson et
al. 2019).
The interventions
can be evaluated
by observing the
patient and noting
the frequency of
falls or injuries
related to the
tripping of the
patient. Feedback
from the patient on
the utility and help
gained by each of
these interventions
can be useful to
evaluate the
efficacy of each of
these
interventions.
Case study B: Stroke
Signature Centre Care Plan Residents Name:
Eleanor
Care issue Goal Intervention Evaluation Signature
Post-stroke
partial
paralysis
To improve
muscle
movement and
control to retain
the
independence of
the patient in
performing
tasks.
 Physical therapy-
Exercise, heat and
massage to stimulate
the muscles and
nerves (Tanaka et al.
2019).
 Mobility aids and
supportive devices-
wheelchairs, braces,
walkers and canes.
 Assistive technology
and equipment-
The effectiveness
of the
intervention can
be evaluated by
monitoring the
changes in the
movement and
ease of
performing the
physical activity
of the patient.

INDIVIDUALISED CARE PLAN2
unique controls for
driving and eating
utensils.
Post-stroke
dysarthria
(Speech
difficulties)
To overcome
difficulties in
speech and
communication
by strengthening
the muscles
responsible for
clear speech.
 Nurses must refer
the patient to a
speech and language
therapist (Miller and
Bloch 2017).
 Nurses can teach the
patient with various
physical exercises
that will strengthen
and the requisite
muscles for clear
speech.
 Communication
aids, such as
electronic
communication
devices may also be
used.
Regular
communications
with the patient
and recording the
changes in
speech each time
may help in
evaluating the
success of the
interventions
suggested.
Post-
stroke
fatigue
To eliminate
post-stroke
fatigue by
enhancing the
overall strength
of the patient.
 Pharmacological
interventions can be
administered to the
patient depending on
the individual case.
 Non-
pharmacological
intervention includes
general fatigue
management
programs to educate
the patient and the
caregivers about the
effects of post-stroke
fatigue.
 Increasing step count
daily along with
regular exercise are
also useful nursing
interventions to
reduce fatigue
(Choi-Kwon,
Mitchell and Kim
An increase in
the daily step
count of the
patient is
indicative of a
positive outcome
of the
intervention.