Re: Help with Care Plans!!! What all to care plan???
Exactly what was said previously. Do not care plan for the state, care plan for the resident. You will never master what the state is looking for because, A) It varies B)It depends on the surveyor and what type of mood they are in.
In a nutshell, care plan problems or potential problems. Do not care plan diagnosis, the doctor has already directed the plan of care for those. Do not care plan medications unless you are care planning polypharmacy or psyhcotropics. If the patient is recieving coumadin, prednisone etc.; care plan this under skin integrity - ie: potential for bruising, poor wound healing, skin tears etc.
Care plans must be written in simple form. In a format that a CNA can read and understand. Hope this helps.
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