Care Planning Processes in Healthcare Practice Report

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This report provides a comprehensive overview of care planning processes within healthcare practice. It begins by comparing different assessment models and their implementation, followed by a discussion of theoretical perspectives applied to care planning in healthcare settings. The report explores the responsibilities and duties in promoting person-centered care, as well as potential barriers to implementation. It reviews the benefits of using care plans to prioritize individual needs and examines how individuals and families contribute to the evaluation of the care process. Finally, it analyzes aspects of the care planning process and their impact on individuals, families, and carers. The report aims to provide a detailed understanding of the care planning process and its implications within the healthcare context.
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CARE PLANNNING PROCESSSES IN HEALTHCARE PRACTICE
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Table of Contents
CARE PLANNNING PROCESSSES IN HEALTHCARE PRACTICE....................1
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................4
P1 compare the different models of assessment and their implementation in healthcare...........4
P2 Discuss the application of theoretical perspective to the care planning process in a
healthcare setting.........................................................................................................................6
P3Discuss responsibilities and duties of own role in promoting person- centered care
planning.......................................................................................................................................8
P4 demonstrate own role in promoting person- centered care planning.....................................8
P5 discuss the barriers to implementing care planning in the setting.........................................8
P6 Review the benefits of the use of care plans in ensuring the needs of the individual are
prioritized....................................................................................................................................9
P7 Discuss the way in which the individual and family contributes to evaluation of the care
process.........................................................................................................................................9
P8 Review aspects of the care process planning process and their impact upon the individual,
family and carers.........................................................................................................................9
Conclusion.....................................................................................................................................10
REFERENCES..............................................................................................................................12
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INTRODUCTION
Care planning is demonstrated as the process by which patient and the staff of healthcare
professionals they review an action plan in order to accomplish the goals, care plan is defined as
a written document which often records the finest outcome of care planning process. A care plan
is defined as a document which evaluates social and health care needs and how an individual
would be supported. This process probably serves as a record of care. Nursing care plan is
defined as defined as the direction in terms of nursing care which community, an individual, and
family needed. The primarily goal and focus of nursing care is to assist holistic, standardized and
evidence- based care. The main function of care plan is to assure the stability of care which is
received by the person.
Functions
The process of nursing they are defined as a systematic guide for the client- centered with some
following some following steps evaluation, implementation, planning, assessment, and
diagnosis.
Assessment – It is the first step which involve data collection and critical thinking both
subjective and objective. Subject data this means taking verbal stamen from the patient.
Objective data is used for the measuring which includes height, weight, vital signs. Output and
intake. Data can be received directly from the caregivers and the patient those who may not be in
relation. The records of electronic health can be facilitated as a assessment. The term critical
thinking is very important for the assessment consequently for this process curriculum of concept
– based changes are most needed.
Diagnosis In the process of nursing diagnosis the clinical judgments facilitate the
implementing of patient care . A nursing diagnosis this process mainly confine with Maslow’s
hierarchy needs they prioritize the plan care which is based on the outcomes of patient center
care. Maslow hierarchy has been described the needs which are mentioned below;
Safety and security – Injury and prevention which includes hand hygiene, isolation, call
lights, safety ( therapeutic relationship)
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Basic physiological needs – Water and food this nutrition are very essential and in
addition airways, breathing oxygen, circulation which includes blood pressure, pulse,
cardiac monitor.
Self-actualization – spiritual growth, empowering environment.
Self – esteem – Acceptance in the social community such as personal achievement and
workforce.
MAIN BODY
P1 compare the different models of assessment and their implementation in healthcare
Health is defined as complete mental, physical and social well – being not entirely
absence of infirmity and any disease. There are three aspects of health which includes health is a
measuring of overall well – being and body’s efficiency. The triangle of health it is consist of
mental, social and physical health (Jones, and et. al.,2018). A model is demonstrated as a
particular aspect of a phenomenon. Models in the terms of healthcare should have precise
representation in order to have values. Models and theories both are connected to each other’s
models are explained as theories, definite explanation, scope and on the other hand theories are
both descriptive and explanatory.
The medical model is defined as a model of health which usually recommend that the disease is
detected and identified through a systematic process of observation, treatment, diagnosis, and a
proper description in taking the aspect of differentiation with these standards. They used to
follow some of the standard operating procedures such as medical examinations test and
symptom descriptions.
Moreover, the APIE approach in the nursing is helps to define very assessment plan. Whereas,
this approach stands for assess the problem plan the response implement the plan and evaluate
the response using a consistent approach to incident management usually help to recover the
patient by taking some of the better decision and create the effective implementation of planned
in order to recover the patient in the shorter period.
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In this, the ASPIRE is defined as a model in the health which used to develop in order to address
the challenges experienced by health practitioner and provide a framework guidance for the
process of evaluation with the single name to improve the quality of life of the patient by
improving the health services. Moreover, the A is stand for area for evaluation S stand for set a
prior goal and objective E stand for evaluate the researchers and evaluation team is taken into
consideration of the impact of quality and P is usually indicate the performance indicator.
1 – This process assesses the patient for the purpose of identifying the needs for the nursing care.
2- Evaluating nurses’ diagnosis for the potential and actual health problems.
3-Identifying the expected plan care as well as results.
4- Implementation of care.
5- Calculating the outcomes.
Nursing Assessment
In the process of nursing the first step or phase is known as assessment, this process mainly
gathers the data for the purpose of nursing. The complete data is gathered by utilizing some skills
such as physical examination, observation, interviewing, and from other several sources which
includes family and clients, and health record.
Objectives of health assessment
Monitoring the health status and recognizing the necromancy disease as well as
performing the screening in terms of disease and follow the steps of care.
Performing the periodic assessment on the basic of regular intervals.
Increasing the number of those patients who could participate in the terms of health care.
The assessment of health is probably shared with the patient in a proper manner and
understandable manner.
The health and risk are precisely defined as well as care needs for the groups of
individuals.
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Types of assessment
Initial assessment – Initial recognition of functional status and normal function and the
data is gathered regarding potential and actual dysfunction.
Time frame – The particular time frame when an individual is admitted to the hospital
which includes healthcare center, nursing home and ambulatory.
Focus assessment – Regulating the status regarding the specific problems which have
been recognized in the previous assessment.
Time frame – Proceeding process are commonly combined with nursing care few minutes
leads to the few hours between assessments.
The assessment is very essential for the population which provides benefits
including measuring of cost effectiveness and epidemiology.
The capital approach primarily entailing the clinical involvement and collecting of
good and finest information furthermore increasing the relation with the planning
process.
Evaluation of health service
This is as a systematic process which include the complete accomplishment of the stated
objectives which are associated with the program such as acceptance from all the parties and
efficiency and adequacy.
Monitoring
This is also known as systematic process which follows the numerous course activities and
further comparing between two phases what is happening what have been expected to happen.
There difference between monitoring and evaluation is mentioned below;
Monitoring Evaluation
This process regulate the program efficiency This process regulate the program
effectiveness
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This process demonstrate the standard of
performance during the activity level.
This process recognize instabilities between
program.
Monitoring recognizes both points like strong
and weak in the process of program operation.
This process nearly recognize the adverse
effects of program.
This process alerts the management This process suggest changes regarding
objectives , procedures, and program
operations.
P2 Discuss the application of theoretical perspective to the care planning process in a
healthcare setting.
Care planning is the process which h assess the individuals about social risks and health
and along with this determining the needs and support which is necessary to meet the certain
needs and objectives in order to accomplish the potential outcomes this is known as care
planning. Health planning is defined as a compound process which have three distinctive features
which include as health is a labor intensive sector which maintains the Balance between two
terms public and clinic health perspective and relationship between different actors. Planning is
defined as a essential product of techniques and values and in addition power numerous
relationship which are existing in different groups. Health panning is known as continuation
process and the plan of production should be seen as intermediate step.
The primary care planning is known as the national health plan. There are many theories
which are widely explained in the terms of health planning they are rationalism, mixed scanning
planning and incrementalism. The important aim of this report is to compare the three theories of
planning as well as its applications too. Health planning defines the health problems of
community and recognize the needs of the peoples and in order to meet the needs they
commonly survey the resources and organize priority goals which are feasible and realistic and
they takes administrative action for the purpose of achieving the proposed program. As health
care and medical service demands have been increasing therefore due to this reason proper
health care planning is very important. Theories are meant to be practiced which includes
research and theory they both are the pillar of the planning theories in terms of health. Health
planning theories they are the integral to the promotion, healthcare practice and research. Most
fundamentally healthcare theories they primarily effect the outline how evidence could be
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understood, gathered and analysed consequently this becomes very essential to understand and
analyses them. The primary health care are those which are provided for the community because
group of individuals they initially address the treatment, advice and additionally medical
practitioners. The important goal of primary health care is to provide best and better health for
all.
Primary health care this was the first health care which contacted with community and
individuals in the terms of health care systems, they are accounted as fist liner which probably
provides the multifarious services in a wide range from rehabilitative activities, pro-motive as
well as curative by taking participation (Mossialos, and et. al.,2019). The primary healthcare is
commonly viewed as a activities between identifying, health education, and controlling health
associated problems, proper nutrition and food supply, safe water and child healthcare, basic
sanitation, inhibition of endemic disease, and providing proper and suitable treatment for the
common injuries and diseases, and along with this supplying essential drugs, this is the first
method of the primary health care system. Secondarily this healthcare is seen as a level of care,
which is associated with the part of the healthcare system, this was the healthcare system which
was firstly contacted by the individuals. In third term it is seen as a strategy which often
organizes the healthcare services, those services which are provided by the primary healthcare
system they must be accessible and must be applicable for the needs of the group of peoples and
along with this should be based on the community functionality, participation among all the
sectors in the community (Simon, Everitt, Van Dorp, Hussain, and et. al., 2020).
The behavioral learning theory is usually a popular concept which is usually concentrate
on the learning ability and the behavioral changes which is may be a psychological impact of
scheduled during the innate or inherited factor and its little influence the behavior a common
example of behavior is positive reinforcement.
The humanistic theory is a psychological perspective that remains in the 20th century
which state about the way of looking the whole individual and space concepts such as Freeville
self-efficacy and self-actualization. Moreover, it’s also focusing on the various functions of the
human behavior such as humanistic psychology is tries to help people fulfill their potential and
maximize their well-being in order to this the physician and doctors used to play various role in
order to provide the support in order to improve the quality of life. Whereas, the nurses is used to
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promote this key role with the dependent manner by taking the approach of humanistic
psychology.
The health care planning cycle is usually a system for accessing and organizing the
provision of care for the individual. Moreover, they help to create the needs lead and should
benefit the services which is implemented in the health and wellbeing. This care plant
management is usually organized by nurses and doctors in order to improve the quality of life of
the individual who is facing various consequences of the health concerns.
According to Porter, it is has been observed that nurses simply need to know how to do
activities, arguing that they must make choices and judgments on the acts they do, necessitating a
body of experience upon which to benefit. He assumed sociology provided an invaluable
knowledge base because of its advantages. Porter also disagreed with Sharp's assertion that
sociology is riven by divergent viewpoints, though he admitted that the discipline is not as well-
coordinated as the natural sciences. However, he believed that this did not preclude them from
using sociology to make reasoned decisions on how to carry out their duties.
Health behavioural cycle
Planning is demonstrated as collective effort in the terms of organization or groups in order to
change the condition as well as behavior of the individuals. It does not matter how wise planners
and objectives might be but they always decides beneficial of the population and take further
steps in order to accomplish those benefits. The below figure describes the health planning cycle
and it was explained by the Johnson in 2008.The vital steps which have been involved in the
health planning cycle they are setting goals as well as objectives and analysis of health situation,
formulate plan, performing assessment on the specific resources furthermore plans commonly
becomes program then they are lead to implementation and then further these program mes are
monitors and evaluated (Kaufman, Spivack, Stearns, and et. al., 2019).
The first step ids explained in this cycle is health situation analysis. This process generally
involve collecting of information in the terms of illness and health status of the population, its
characteristics mainly includes age and sex, it is refers to population profile, geographical
distribution, epidemiology of disease, technical and healthcare resources and the term healthcare
status defines the level of awareness and training in terms of disease. The second step set the
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objectives and goals, this second step it is also called as direction of a plan. In spite of objectives
and goals, this step is also have been involved in demonstrating criteria and standards for the
modified purposes among the alternatives and plan. The next step is known as assessment of the
resources, evaluating all the current resources they probably regulate the practicality and
feasibility in terms of proposing alternatives. The final step is influenced by the the several
resources which includes human resources , capital resources and additionally material available
resources. Planning could be from many alternatives, selecting the right alternative would be
influenced by the resource factor. Further step ids formulate plan, This process is used to
accomplish the objectives and goals, formulating this is stated as systematic written plan which
is very essential step. In this step requirements and components of resources have been
considered for the purpose of accomplishing expected outcome. The sixth and final step is called
plan implementation, plans are already formulated in the previous steps now those steps would
be converted to program and further such alternatives will be implemented. Once it is implanted
in proper manner, thus good implementation is often effected by the administrative support.
P3Discuss responsibilities and duties of own role in promoting person- centered care
planning.
During my work placement at industrial placement , I had many duties and responsibilities
towards my work, my important responsibilities were as a volunteer which followed the some
following such as interacting with the service users and implementing care plans and along with
this understanding myself and managing workplace procedures. As a part of team, my aim was
to support the activities on the regular basis and in addition supporting social activities as well as
monitoring the health of the individuals. There was considering requirement of sharing
information for the purpose of basis which probably includes working as a person- centered way
and record keeping. There was also sustained requirement of reporting regarding the
management, and there was need of many meetings.
P4 demonstrate own role in promoting person- centered care planning.
In my work experience, I nearly contributed my part in practice in the process of care planning
which includes evaluation, implementation, assessment and panning at every stage of the degree.
For example I followed my some seniors when they performed the initial assessment with the
service users before they disclosure the home. This process mainly involved checking
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information, asking questions, sharing as well as recording which are associated with the
individuals holistic requirements. Further I worked collaboratively with the same staff in order
to collect the information which could allow the individuals the care plan which has to be
formulated. In this process group of individuals their likes and dislikes their pining outcomes and
their regular routines all were recorded. The ability of an individuals were assessed and their
assent was seeking the care plan to be finalized. Furthermore I almost implemented the care plan
by serving many activities which was associated with daily living and I supported promoting the
involvement of empowerment of the individuals. I contributed in the terms of estimating care
planning by attending or participating in the meetings and along with this sharing the updates
and the concern which I generally had with the agency professionals and staff members. As I
was the part of ongoing progress in both terms evaluation and monitoring, i was said to complete
whole precise reports and records which are regarding the health of the individuals as well as
well being and further to contributing to the handovers (Peikes, Dale, and et. al.,2018).
P5 discuss the barriers to implementing care planning in the setting
Whilst the time placement, I have been observed many potential barriers while implementing
care planning . I observed that setting had a short staff and this means the planned activities
cannot be carried out. There were many barriers which were affecting the care planning in the
terms of setting. Sometimes this commonly cause frustration for the staff and service users. If
staff experience is reduced or limitation of staffing these are barriers and along with this the
time pressure and staff workload they are also accounted as the barriers which mostly occurs
during implementing planning care setting. In some cases language could be on of the barrier
because the staff and service users often speaks in English language and preferred as second
language. This statement means care was not provided according to peoples care plans and
needs therefore in this way communication was creating difficulty. There are additional barriers
such as absence of adequate care and availability of services. The other barriers was high- rise
cost of care and no coverage of insurance they all were the occurring barriers in the terms of
planning care settings.
The place of sociology in nursing practice has long been a point of contention, particularly
during the 1990s, when it was hotly debated. Though sympathetic to sociology, Cooke (1993)
concluded that when nursing sought to develop itself as an academic discipline by relying
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heavily on the biomedical paradigm for its knowledge base, sociology had been marginalized
because it was incompatible with the discipline's ethos. Nursing wisdom is founded on the
premise that there is “truthful” and “factual” knowledge about the universe that can be used to
generate definitive actions. However, contrasting viewpoints characterize sociology.
P6 Review the benefits of the use of care plans in ensuring the needs of the individual are
prioritized.
The main purpose of reviewing the plans is to monitoring the changes as well as progress and
further evaluating how the both plan of support care are meeting the needs and how it is
permitting the individuals to accomplish their personal outcomes. This becomes very essential to
keep the plans up to date. Care plans if they are developed according to the care quality
commission and along with the principle of person centered then there should be surety that an
individuals pining outcomes and holistic care needs should be recorded and identified as well as
implemented by the support of individuals. There are evidence regarding person centers care
have been resulted into finest experience and they also devotes best outcomes for those
individuals who are using services. The term person centered care this probably leads to the
effectiveness in terms of social and health acre services. They also have enough potential to
decrease the demand regarding acute services (Sylvia, and et. al.,2018).
P7 Discuss the way in which the individual and family contributes to evaluation of the care
process
The carers and the service users they should take participate in reviewing and co – producing
plans and it should be followed by the guidance of the care act (2014) and along with the CQC
rudimentary standards. If in the the individuals there is absence of the capacity therefore their
family or their carers they must provide them necessary information which are associated with
with their requirements, desires as well as lifestyle choices. This process could reflect reflect the
work of the life story, which is mostly used in the the terms of care in order to support the group
of older peoples. Those peoples who are involved in the activity of support and the individuals
usually they would be involved in the process of reviewing. This could be done whilst meeting
are reviewed with the care team or instead of this in informal way on the regular basis, in the
term of this process the family and individuals they are invited to give everyday feedback and
comments regarding their support and care (Cash, and et. al., 2020).
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