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Care Plans in Aged Care Explained

Care Plans in Aged Care Provide a Pathway for an Individual’s Care

Care plans in aged care involve ongoing assessment, diagnosis, interventions and evaluations of client outcomes. This allows for the record keeping of interventions and outcomes. Consequently, it also helps to ensure the continuity of your care.

Consumer Directed Care: Home Care Packages

In Australia, care plans in aged care for the purposes of a home care package involve consumer directed care planning. This means that you, the consumer has greater control over your life . You can discuss your needs and goals.

Thus, you get to choose the type of care that you’ll receive and the services that you’ll receive. Moreover, you get a say in the delivery of care and services. This will give you greater independence in the management of your care needs and goals. Consumer directed care is currently available via a home care package.

Home Care Packages: Services

A case manager will work with you to develop a consumer direct care plan when entering into a home care package. Before you meet with them, have a chat with your doctor and family, and make a list of your care goals and needs. For further information about the types of services that are available go to Department of Health: Ageing and Aged Care .

carer reading with older man

Home Care Packages: Care Planning

If you’re the recipient of a home care package, a care plan forms part of your home care agreement. You’ll develop the plan at the onset of entering into a home care agreement with a service provider. These care plans are for service providers to refer to as part of the home care agreement.

At any time that your care needs or goals change, you an ask to evaluate your care plan. Otherwise your care plan’s evaluated at least every twelve months.

Different organisations and facilities have different layouts for their care plans in aged care. Some plans have much details and others are a basic layout. Review your care plan before signing it.

Residential Aged Care Facility – Care Planning

As part of professional standards for nurses, it’s a requirement that care focuses on the assessment of needs. Notably, care should include evidence based practice. It’s also a requirement that the clients have involvement in the planning of their own care.

Blood pressure machine and medication organiser

Thus in a residential care facility you can expect the personalisation of your care plan. Furthermore, your care plan focuses on meeting your care needs, capabilities and wishes.

Focusing on your health care needs and goals is above all important. Similarly your physical, social, emotional, lifestyle and spiritual needs too. The review of care plans on a regular basis forms part of your ongoing care.

The nursing staff of the aged care facility will use the Aged care Funding Instrument (ACFI) to classify your care needs as well. Thus, these categories include behavior, complex health care, and activities of daily living. To find out more about the Aged Care Funding Instrument, go to https://www.myagedcare.gov.au.

Care Planning Involvement

By participating in the development of your care plan, the focus will be on your care needs and wishes.
  • Provide accurate information about your medications, health status and allergies.
  • Let staff know if you’re receiving any health and well-being services. Make it known if you would like to continue using these services.
  • Discuss any allied health services that you’re receiving. Let the facility know who your current G.P. is. Talk about continuing these services and managing your care needs moving forward.

    Doctor pointing to screen
  • Let staff know about any traditions, customs or routines that you currently have in place.
  • Moving into an aged care home doesn’t mean that you’ve to abandon all club, social or church activities. Consider discussing the activities that you would like to continue with and certainly find out the activities that are on offer at the facility.

It’s a possibility that you’ll need to find a new doctor and allied health service providers when you move. Ask your team of health professionals to provide letters outlining your current health care plans. The sharing of this information with your aged care home and new allied health team could be helpful.

Finally, you can ask to read through your care plan, and similarly you can ask for a review at any time.

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