Introduction: According to the Ministry of Health (2009), the care plan is mainly to deal with the individual needs of individuals. It takes into account the need for their personal, social, economic, educational, cultural and mental health. After discussing John (patient) and clinical nurse's administrator for the first time, both parties agreed that the author could continue. All information is kept secret and the name does not reach customers or hospitals.
After being hospitalized in hospice hospital, an interdisciplinary team of experts will cooperate with patients and their families to customize the patient's treatment plan. The care plan covers all aspects of the patient's terminal illness, from physical, emotional and mental care of patients and families to providing medicines, medical equipment / expendable supplies, and support to the deaths. Hospice care is a caring and dignified choice if the patient decides that curative treatment is no longer appropriate or ineffective. If possible, patients will be treated by a team of hospice experts who have been professionally trained at their own home. All services are designed to meet equally important needs of the patient's physical, emotional, social needs, and family. The hospice team includes:
Patient-centered treatment plan Firstly, the doctor has to develop a patient-centered care plan based on the judgment of the doctor and patient's choices and values. The fact that the CMS does not specify the format of the care plan forces the physician to be creative. In some cases, we have developed our own treatment plan reflecting the patient's chronic condition, measurable goal, a list of other health care providers for the patient, and a recent health maintenance program. Other physicians establish their care plan after the necessary elements of the "Welcome to Medicare exam" or use a published template such as a patient-centered care plan template published by Family Practice Management did. For other articles and tools on CCM, please see "Related Resources" in Family Practice Management.
The patient care plan documents the process of resolving the problem. The plan must be created by the RN, must be recorded in the patient's health record, and must reflect the standards of care established by the facility and profession. The plan is patient-centric and the plan is a gradual process