The general application of Care Plans is confusing in LTC
In the Geritatric section. I started a thread on "Care Plans an Exercise in Futitlity" that generated a lot of comments from nursing. I can understand the nursing practice act, and federal guidelines that mandate that we use it. But how this theory is actually applied in geriatric settings is confusing. For example in California the nursing practice acts states that the RN is responsible for this process. In a geriatric setting in the Federal guidelines (OBRA) they are refering to the Nursing Care Plans as an Interdisciplinary care plan. In LTC we have LPN's, dietary supervisors, social service designees, activity directors, Physical therapists, dieticians, etc. writing what appears to me to be a Nursing Care plan. Because nurses can be assigned to as many as 30-60 pts. in LTC they really cant utilize this process the way it was intended. When surveyors come in they seem to focus more on what is written in the Care plan then to the actual care being given.
Originally Posted by Michelle_nurse I need to do a paper in my nursing research class on a research proposal on something that I do at work that confuses me and makes me question why I do what I do. I am so confused!!
I need examples of proposals, I am a geriatric nurse and I can't come up with any ideas. I know why I do what I do.
Any ideas?
Help!!!!
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