Care Planning Goals

[dudziak 0]

Hi,

I am filling in as the Activity Director until we find a new one,my old boss had a baby and decided to stay at home, there is myself, a assistant for the weeks days and one for the weekends, now that I am going to care planning, I realized that we have the goals in only one place, and that is the care plan book, I think we all in the dept. need to know what these goals are, I am currently using a attendance form which cover four months, I am thinking of taking out one of the months, and putting the goal for that resident on the top part, this way we can see what the goals are and if we and the resident are meeting the goals. I showed a sample form to my administrator, and his only concern was that it will be very obvious to anybody looking in the chart that we did not meet the goal,I am working on getting the documentation up to date. In addition, we now have a 1-1 room visit sheet for those residents who needs some extra time.

it goes without saying our documentation was not what it should be, I am working on it,

any ideas, or forms that you use,

e-mail is b-p-dudziak@verizon.net

[Pennie 26]

Sounds like you are in for a crash course in AD-101.. I am not sure I would post a goal atop a participation sheet and put it on the chart.. but you could use that as an internal document to keep you and staff up to date on residents progress towards the goal. Each chart should contain Assessements / progress notes that keep the chart up to date as to the "meeting of your goal" this is where the goals should be. The former AD should have them written somewhere, you should have a form that outlines 1.the Concern/Problem - not that they are all problems, but that is usually how it is listed on a form, 2.the Goal, i.e. to keep the resident active and happy. 3. the Approach/Strategy, i.e. the resident will attend 4 activities a month.. this is simplistic, but you get the idea,, but dont create goals that are unrealistic or too specific, because to a State Surveyor, if you miss it by a little, its a miss.. so dont pin yourself to tightly.

 

For each resident you should have a set of documentation.. 1. Initial Interview - Filled out an completed upon arrival to your facility. 2. Initial Assessment - filled out within the first couple of weeks from arrival, your evaluation, the start of your care plan,, take the info you gathered from the Interview, compare with doctors notes and create the initial assessment. 3. Quarterly Assessments - filled out every 90 days from arrival-much like the initial, just a re-visit to keep your goals on track. 4. Progress Notes - to keep a running tab on the situation, obstacles, attendance issues etc. 5. Participation Records which you seem to have. These are the basic forms needed to keep your residents documentation in order. Go through the charts and make sure the dates are in order.. you should have a quarterly assessment for each 90days of calendar. Check the nursing and doctors reports for any residents that may have been sent to the hospital for a time.. they may need to be re-assessed, (new initial assessment) if they were away for a time. Dont let your charts get behind.

 

If you have been working in the department for some time you probably know all your residents, they are your family, you know their likes and dislikes, their habits, restrictions etc. So you have a good idea of what residents attend what types of activities, and which residents need to be gathered up and brought to what activities. You know which do not attend and may need your help and encouragement. You mentioned a careplan book, which I am guessing is a running tally of everyone and how they are progessing through your program. Read through this get an idea where your problems are, compare the participation records to the goal and make notes as to where you need to be with what residents in order to meet your goal. Compare you activity calendar to your resident needs and make sure you have planned enough activities to meet the lagging residents goals in time. A Tea or Ice Cream social can always be adapted to include a bible study a poetry reading, movie etc. to entice a resident that needs more participation to meet their goal. your 1:1's need 2 or 3 visits a week, 20min each.. set up schedule to meet this requirement, It is not always possible to meet, but with a little streamlining and creative thinking you can get it done. Assemble a cart (quietly borrow form dietary), with everything you can think off, books, bibles, pen & paper, cards, lotion, music, tapes, games, craft supplies, broken things that the men can repair for you, this will help with your time restraints on your in-room and 1:1 schedule. Come in on sunday and meet with your church groups, try to recruit a few volunteers to help with your program. Contact families, alot of the time you can find a family visitor that will meet with several residents that have no families.

 

in summary gather your staff, and keep everyone up to date with what you know about each residents needs. get their input and devise a plan to get the lagging residents attended to, write it down and check em off as you progress through the month .. use your heart.. its your best guide in this business.. the residents are your family, you are their best friend, their only link to anything thats normal in a world of poking and prodding, nursing, doctoring, take care of em, the rest will work itself out. let me know if you need anything. :-) pbacon(at)activitydirector.com