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Nursing Care Plan - Personalised Care made simple.

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How to construct a nursing care plan using the nursing process.

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What you need to consider when formulating your care plans

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What you need to consider when formulating your care plans

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What you need to consider when formulating your care plans

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Care plans

There are many different kinds of care plans in use across health care in the UK, but each of them has the same three purposes:

to ensure that the patient/client gets the same care regardless of which members of staff are on duty

to ensure that the care given is recorded

to support the patient/client to identify, manage and, hopefully, solve his or her problems.

The care plan is a written document (either electronic or paper-based) that is used and altered constantly throughout the day. It's based on a 'template' which defines the areas the care plan covers. Some templates are very simple and focus on the essentials of care - nutrition, mobility, sleeping, positioning, oral care and personal hygiene, for instance - while others can be very detailed and might include sections on issues like falls prevention, psychological needs, recording of clinical signs, communication and information, and sexuality.

An individual care plan is prepared for each patient/client. Wherever possible, the care plan is developed with the patient/client, rather than for the patient/client.

You'll be expected to read and use care plans to guide your practice with individual patients/clients, so it's a good idea to get to know what kind of information they contain in your area. It's also a good idea to get to know who in your team is responsible for keeping the care plans up to date - sometimes this will be the responsibility of all team members and sometimes only designated people can make entries to the care plan. Your level of involvement will vary from area to area, so ask about what is expected of you.

Generally, the rules that govern record keeping and confidentiality and consent also apply to care planning. You might remember from our discussion of those issues that abbreviations and other terms that might be confusing can be used in health care records - if you come across anything in a care plan that you don't understand, make sure you ask a registered member of staff to explain its meaning.

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There are many different kinds of care plans in use across health care in the UK, but each of them has the same three purposes: to ensure that the patient/client gets the same care regardless of which members of staff are on duty to ensure that the care given is recorded to support the patient/client to identify, manage and, hopefully, solve his or her problems. The care plan is a written document (either electronic or paper-based) that is used and altered constantly throughout the day.

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care planning

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The Wellness Recovery Action Plan ® or WRAP ®, is a self-designed prevention and wellness process that anyone can use to get well, stay well and make their life the way they want it to be. It was developed in 1997 by a group of people who were searching for ways to overcome their own mental health issues and move on to fulfilling their life dreams and goals. It is now used extensively by people in all kinds of circumstances, and by health care and mental health systems all over the world to address all kinds of physical, mental health and life issues.

WRAP has been studied extensively in rigorous research projects and is listed in the National Registry of Evidence-based Programs and Practices.

WRAP Will Help You:

Discover your own simple, safe Wellness Tools

Develop a list of things to do every day to stay as well as possible

Identify upsetting events, early warning signs and signs that things have gotten much worse and, using Wellness Tools, develop action plans for responding at these times

Guide you through the process of developing a Crisis Plan or Advance Directive

Introduce you to Post Crisis Planning

WRAP is for anyone, any time. It will support you in being the way you want to be and doing the things you want to do.
"When the group developed WRAP, I was so impressed that I went home and wrote one for myself. As I began to live WRAP, my life changed dramatically. Over time I felt better and better and better. WRAP is a way of life for me-a great life."
Mary Ellen Copeland. PhD

Overview

Wellness Toolbox - A list of resources used to develop your WRAP. It includes things like: contacting friends and supporters, peer counseling, focusing exercises, relaxation and stress reduction techniques, journaling, affirming activities, exercise, diet, light, and getting a good night's sleep. See examples of Wellness Tools

Daily Maintenance Plan - Describe yourself when you are well, and list things you need to do every day to maintain wellness.

Triggers - External events or circumstances that, if they happen, may make you feel uncomfortable. These are normal reactions, but if we don't deal with them in some way, they may actually cause us to feel worse.
Audio clip, Mary Ellen on Triggers: http://mentalhealthrecovery.com/wp-content/uploads/2015/05/Triggers-snippet.mp3
Early Warning Signs - Internal, subtle signs that let you know you are beginning to feel worse. Reviewing Early Warning Signs regularly helps us to become more aware of them and allow us to take action before they worsen.

When Things are Breaking Down - List signs that let you know you are feeling much worse, like feeling sad all the time, or are hearing voices. Using your Wellness Toolbox, develop a powerful action plan to help you feel better as quickly as possible and prevent an even more difficult time.

Crisis Plan - Identify signs that let others know they need to take over responsibility for your care and decision making. Outline a plan for who you want to take over and support you through this time, healthcare, staying home, things others can do to help and things they might choose to do that would not be helpful. This kind of proactive advanced planning keeps you in control even when it seems like things are out of control. Visit the WRAP Info Center's Crisis Planning Page.
Click Here to Download a Crisis Plan Click Here to Download a Post Crisis Plan
Post Crisis Plan - You may want to think about this part of the plan in advance and write some things to do post crisis. However, you may want to write most of it as you are beginning to recover from the crisis-when you have a clearer picture of what you need to do for yourself to get well. If you have just been through a crisis, let your Post Crisis Plan guide you as you heal.

Key Recovery Concepts

Five key recovery concepts provide the foundation of effective recovery work.

Hope - People who experience mental health difficulties get well, stay well and go on to meet their life dreams and goals.

Personal Responsibility - It's up to you, with the assistance of others, to take action and do what needs to be done to keep yourself well.

Education - Learning all you can about what you are experiencing so you can make good decisions about all aspects of you life.

Self Advocacy - Effectively reaching out to others so that you can get what it is that you need, want and deserve to support your wellness and recovery.

Support - While working toward your wellness is up to you, receiving support from others, and giving support to others will help you feel better and enhance the quality of your life.

For more information about WRAP and related topics, visit the WRAP Info Center.

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The Wellness Recovery Action Plan ® or WRAP ®, is a self-designed prevention and wellness process that anyone can use to get well, stay well and make their life the way they want it to be.

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The Tidal Model- Jacks story

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The Tidal Model

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Roper-Logan-Tierney Model for Nursing Based on a Model of Living - Nursing Theory

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Nancy Roper's Model for Nursing Based on a Model of Living is based on daily activities.

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The WRAP model

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Mental Health Matters - Wellness Recovery Action Planning (WRAP)

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Wellness Recovery Action Planning, or WRAP, is an evidence-based system that is used worldwide by people who are dealing with mental health and other kinds of wellness challenges. It is a unique form of mental health support in that is peer-led and self-directed.

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Risk-taking, mistake-making, and lifelong learning | Dr. Kathleen Ciez-Volz | TEDxFSCJ 

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Risk-taking, mistake-making, and lifelong learning | Dr. Kathleen Ciez-Volz | TEDxFSCJ 

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Risk-taking, mistake-making, and lifelong learning | Dr. Kathleen Ciez-Volz | TEDxFSCJ

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What are the 5 principals of the Mental Capacity Act (2005)