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CARE PLAN
DEVELOPING A PLAN
Donna Lemire, Care Plan Coordinator
As
the financial nurse for Odd Fellow and Rebekah Nursing Home, my
responsibilities are hard
to define in a few short paragraphs. I
coordinate several departments. Some of my time is spent working with the
residents and families regarding Medicare and Medicaid and working with
staff to ensure we are in compliance with State and Federal regulations as
we meet the needs of our residents.
The
majority of my time is spent working as the Care Plan Coordinator. Working
with the residents, families and staff addressing resident needs is the
most rewarding aspect of my job.
As
the Care Plan Coordinator, my responsibilities include addressing the
needs, problems,
preferences and strengths of our residents. I work with
all departments to identify risk factors and assist in preventing
avoidable declines or in preventing further decline of the resident.
I
personally assess each resident and review their medical
records on admittance to this facility and every three months thereafter.
Residents and families are invited to attend the Care Plan meeting to
discuss concerns.
The
Care Planning Team focuses on functions required for everyday living such
as eating, grooming, bathing, dressing, toileting, and so on. We also
focus on critical conditions commonly observed in long term care
residents.
Planning
consists of three tasks:
1. Formulating problem/need
2. Developing measurable goals
3. Planning interventions
Ordinarily
only about five or six problem areas can be addressed effectively for each
resident. Attempting to work on too many problems at the same time can
overwhelm and confuse the staff and the resident.
The
ultimate goal of the Care Planning Team is to ensure that every resident
has the “Best Quality of Life” possible.
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