Nursing Home Resident Care Plan Checklist

Follow this checklist meticulously to create individualized care plans for residents in nursing homes. Ensure that each item is checked off as you progress to ensure thorough assessment and implementation of care strategies.

Initial Assessment and Evaluation

• Conduct comprehensive assessment of resident's physical and cognitive abilities

• Review resident's medical history, medications, and existing care plans

• Evaluate resident's preferences, goals, and expectations for care

• Identify any specific needs or concerns requiring immediate attention

• Collaborate with resident, family members, and interdisciplinary team to gather input

Care Plan Development

• Formulate individualized care plan based on assessment findings and resident preferences

• Define measurable goals and objectives for resident's care and rehabilitation

• Determine specific interventions and treatments to address resident's needs and promote well-being

• Establish schedule for ongoing assessments, reviews, and revisions of care plan

• Obtain resident and family consent for proposed care plan and interventions

Implementation and Monitoring

• Initiate care plan interventions and treatments according to established schedule

• Monitor resident's response to interventions and adjust care plan as needed

• Document all care provided, observations made, and resident responses accurately

• Communicate regularly with interdisciplinary team members to coordinate care efforts

• Involve resident and family in care planning and decision-making processes

Psychosocial Support and Activities

• Provide opportunities for social interaction and meaningful engagement with others

• Offer recreational activities, hobbies, and outings tailored to resident preferences

• Address resident's emotional and psychological needs through counseling and support

• Promote resident autonomy and independence in daily activities and decision-making

• Collaborate with community resources and volunteers to enhance resident's social network

End-of-Life and Palliative Care

• Assess resident's end-of-life wishes and preferences for palliative care

• Develop individualized plan of care to ensure comfort and dignity during end-of-life stages

• Provide symptom management and pain relief measures as needed

• Offer emotional and spiritual support to resident and family members

• Coordinate with hospice and other supportive care services for comprehensive end-of-life care

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