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It requires you to adopt a different role to the traditional “diagnoser and treater”. The healthcare professional’s role is to support individuals to acknowledge, understand and adapt to living with their condition. Please see information sheet 2: Personalised care planning diagram, which is designed to illustrate the care planning process.
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S England Co. lition for Collaborative Care1.1. IntroductionPersonalised care and support planning encourages care professionals and people with long-term conditions and their carers to work together to clarify and. nderstand what is important to that individual. They agree goals, identify support needs, develop a.
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Nov 21, 2023 · Supporting Care. November 21, 2023. In this guide, we’ll walk you through an example of a personalised care plan that will act as a blueprint for delivering individual-focused care. Whether you’re searching for a practical, person-centred care plan example, real-world applications, or personalised templates, you’ve landed in the right place.
- as part of personalised care planning
- action planning
- About this information sheet
- Who should read it?
- Find out what the individual wants to do
- Find out what the individual’s strengths are
- What if the goal is too big?
- Keeping people on track
- What if things don’t go to plan?
- Other people can help support individuals to achieve their goals
- www.arthritiscare.org.uk
- Health needs assessment tool
- Well-being StarTM
- Supporting Self Care e-learning toolkit*
- End of Life Care for All e-learning toolkit*
an ‘at a glance’ guide for healthcare professionals �
improving care for people with long term conditions �
This information sheet describes some practical tips to support individuals to set their own goals as part of the care planning process.
Anyone involved in the delivery of healthcare to someone with a long term condition, including doctors, nurses, allied health professionals, those delivering personal health budgets and health trainers.
Many individuals will want to return to the lives they had before they developed their long term condition. Some may feel that they have to give up normal activities such as socialising, or going to work. Some individuals do not know what to do or know what is possible. It is also common for individuals to worry, feel anxious and low or even have c...
Finding out an individual’s strengths is very important. This will provide a platform to build on. They may have existing skills or knowledge to help them to self care more effectively. For example, individuals may understand the importance of planning and prioritising activities at work – but may not have thought about applying this at home. If th...
To enable individuals to achieve their goals, they may have to set smaller goals called action plans. An action plan is something that can be run over a shorter period of time such as a day or a week. Identifying the goals individuals want to achieve for themselves and helping them to break them down into manageable steps as a series of action plan...
Many individuals stop setting goals once they are diagnosed. If their condition means that they have stopped doing normal activity, once they are out of their usual routines one day blends into the next. It is important to reinforce the message that their life has not come to a dead end but has just taken a different and unexpected turn. Confidence...
Individuals will not always attain their goals, or it may take them longer than they think. They need to be encouraged not to see this as failure but rather supported for the efforts and achievements they have made. Experience shows that when individuals have set a goal or an event, if they fail or something goes wrong, they stop planning and looki...
It is not practical for healthcare professionals to provide all the support. Many community organisations (both national and local) could support the person. Many individuals feel isolated living with their long term condition and often do not know anyone else with similar conditions. Meeting others in the same situation (through national or local ...
These programmes provide self care strategies that will increase their self eficacy to self care and help them to reach their goals. A large part of self care and self management is the person finding out about practical support and self care. Encourage people to find out more. See information sheet 7.
A health needs assessment (HNA) tool developed by NHS Kirklees helps healthcare professionals to identify the needs of the individual and target resources more effectively, offering more personalised support to individuals with long term conditions. For more information on the HNA tool in Kirklees, please visit www.kirklees.nhs.uk/your-health/ help...
The Well-being StarTM for long term conditions is another free tool that can support healthcare professionals in their care planning discussions. The tool works by encouraging the person to consider a range of factors that impact on their quality of life. These are not restricted to health, but cover a broader range of issues including lifestyle, l...
This is designed for healthcare professionals supporting people with long term conditions. www.e-lfh.org.uk/projects/ supportingselfcare/index.html
This enhances the training and education of all those involved in delivering end of life care. www.e-lfh.org.uk/projects/e-elca/ index.html More information on personal health budgets can be found at: www.personalhealthbudgets.dh.gov.uk Publications and other resources on long term conditions management are available at: www.dh.gov.uk/longtermcondi...
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Personalised care and support planning is key for people receiving health and social care services. It is an essential tool to integrate the person’s experience of all the services they access so they have one joined-up plan that covers their health and wellbeing needs. The process recognises the person’s skills and strengths, as well as ...
Nov 4, 2015 · Your care plan. A care plan is a written record of the care you have agreed to meet your needs. You should be involved in writing your care plan if you want to be. Your care plan is unique to you and you should feel in control. You can choose what to put in it and can add a summary of your life story if you want your team to know more about you.
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Dec 2, 2013 · 10. 1. Independence, not dependence. Promoting independence, not dependence and prudent healthcare are key and integral principles of agreeing individual care with people who have mental health, cancer and other long term conditions. Agreeing individual goals, action and care is well established good professional practice.
