The client, family, and our team collaboratively thorough Assessment: This involves gathering information about the individual's medical history, current health status, functional abilities, social support network, and personal goals.
Identification of Needs: Based on the assessment, the plan identifies specific needs in various areas, such as medication management, nutrition, mental health, and social support.
Goal Setting: The client, family, and our team collaboratively establish realistic and achievable goals that align with the individual's values and preferences.
Action Plan: The plan outlines specific steps to be taken to address identified needs and achieve the set goals, including recommended treatments, lifestyle modifications, and referrals to relevant resources.
Implementation and Monitoring: The plan is put into action, with regular monitoring to track progress, make necessary adjustments, and ensure the client is receiving the appropriate support.
Regular Review and Updates: Our team reviews and updates care plans to reflect changes in the client's health status, goals, and preferences. Plus, we provide complete access to the family to monitor daily activities using our application.
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