Person Centered Care Plan
Person Centered Care Plan
Written by: [Your Name]
I. Introduction
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[Individual's Name] is an 83-year-old widow residing at Oakwood Senior Living Community. She has been diagnosed with moderate Alzheimer's disease and requires specialized care to support her daily living activities and cognitive functions.
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The purpose of this care plan is to provide [Individual's Name] with personalized and holistic care that enhances her quality of life while respecting her dignity and autonomy.
II. Individual Profile
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[Individual's Name] medical history includes hypertension, osteoarthritis, and a history of falls. She experiences occasional confusion and agitation due to Alzheimer's disease but retains some ability to engage in meaningful activities.
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Despite her cognitive challenges, [Individual's Name] enjoys listening to classical music, gardening, and participating in light exercise activities.
III. Care Goals and Objectives
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Short-term Goal: Improve Mrs. Johnson's ability to engage in daily living activities independently by 20% within three months.
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Long-term Goal: Enhance [Individual's Name] overall well-being and quality of life through tailored interventions and social engagement opportunities.
IV. Care Strategies and Interventions
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Implement a structured daily routine with visual cues to promote familiarity and reduce anxiety.
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Provide personalized reminiscence therapy sessions using family photos and familiar objects to stimulate memory and cognitive function.
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Encourage participation in gardening activities and gentle exercise classes to maintain physical mobility and emotional well-being.
V. Communication and Collaboration
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Establish regular communication channels with [Individual's Name] family members to exchange updates on her condition and preferences.
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Coordinate with the interdisciplinary care team, including nurses, therapists, and social workers, to ensure continuity of care and holistic support.
VI. Support Network
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[Individual's Name] daughter, [Daughter's Name], serves as her primary caregiver and is actively involved in decision-making regarding her mother's care.
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The senior living community provides access to support groups and recreational activities tailored to residents with Alzheimer's disease.
VII. Monitoring and Evaluation
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Conduct weekly assessments of [Individual's Name] cognitive function, mood, and engagement level to track progress towards goals.
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Schedule monthly care plan reviews with the interdisciplinary team to evaluate the effectiveness of interventions and make necessary adjustments.
VIII. Emergency Preparedness
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Maintain updated emergency contact information for [Individual's Name] healthcare providers and family members.
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Train caregivers in emergency response procedures, including first aid and evacuation protocols.
IX. Respect for Dignity and Autonomy
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Honor [Individual's Name] preferences regarding daily routines, meal choices, and leisure activities.
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Foster a supportive and nurturing environment that promotes independence and preserves her sense of identity.
X. Documentation and Confidentiality
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Document all care activities, observations, and changes in [Individual's Name] condition in her electronic health record, ensuring compliance with HIPAA regulations.
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Limit access to confidential information to authorized personnel only, maintaining strict confidentiality at all times.
XI. Conclusion
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This Person Centered Care Plan for [Individual's Name] is designed to optimize their well-being and quality of life through tailored interventions and compassionate support. By embracing their unique needs and preferences, we aim to empower the individual to live with dignity and purpose despite the challenges they face. [Your Company Name] is committed to providing exceptional care and support to every individual under our service.
