Which action is appropriate when evaluating a clients response to a plan of care?
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The importance of assessment in residential care settings cannot be underestimated. It underpins the philosophical approach to person-centred care, an ideology that provides clients with greater control and responsibility regarding their own health and lifestyle. Related: Person-Centred Care Defined Why Do We Need to Assess Clients?Every client entering residential care should be given a comprehensive assessment to identify individual needs, preferences, and strengths. The assessment is undertaken by an interdisciplinary team and covers various aspects of their’ lives such as: physical, spiritual, cognitive, social, mental, and emotional. Client assessments lead to informed decisions that impact on care planning, resources allocation and other services. The assessment process determines the most appropriate and effective way to support clients. Assessment usually starts soon after admission, however it depends of the organization and availability of staff. Benefits of Conducting a Client Assessment
Who is involved in a Client Assessment?A partnership between the interdisciplinary team and client is necessary to conduct a successful assessment. Clients should be actively involved in their assessment as well as their family/ caregivers and close friends. In many organizations a case manager is assigned to support clients during the assessment process. Leisure and Health staff are responsible for the Social/Spiritual Care Plan that includes recreation, relaxation, community trips, club affiliation, and other aspects of daily life. Channels for Identifying Client Needs
Identification of Needs DefinedStaff should address the needs of clients and their families in a holistic way. This means that the assessment focuses on the whole person and their entire well-being, including physical, emotional, spiritual, mental, social and environmental. The Social & Spiritual Profile collects a client’s personal as well as confidential information that the facility may or may not share in the future and therefore should have secure storage. Gathering information may require more than one meeting with clients.
Tips for conducting a Client InterviewBe supportive and non-judgemental to encourage cooperation.
Tips for Conducting Family/Friend InterviewsTalking to family and friends may provide useful information about clients. Use discretion and be courteous.
Related: Communication Strategies that Improve Client Engagement Tips for Gathering Information through Client Observation
Some Useful Questions to Ask
Next Step: Developing a Care PlanBefore developing a care plan, it is important that staff communicate with other health practitioners to gather information outside the scope of their own roles e.g. behaviour management, psychological issues, and special dietary requirements amongst others. Related: How to Write a Care Plan Which action would the nurse take during evaluation of the nursing process?Which action should the nurse take during the evaluation phase of the nursing process? Document reassessment of pain after medication administration.
Which action should the nurse perform in the evaluation phase?Which action should the nurse perform in the evaluation phase? Revise the plan of care.
What is the primary purpose of the evaluation phase of the care planning process?During the evaluation phase, nurses use critical thinking to analyze reassessment data and determine if a patient's expected outcomes have been met, partially met, or not met by the time frames established. If outcomes are not met or only partially met by the time frame indicated, the care plan should be revised.
Which nursing action reflects the evaluation stage?Which nursing action reflects evaluation? The nurse assesses the client's response to pain medication.
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