You can also address this in a recreation therapy problem if they don't need
a mood or adjustment problem. It can be something along the lines that the
resident chooses which activities to attend. It can also be somewhere that
they want to attend a special family or community event, i.e. be strong
enough to attend a family wedding or anniversary party. We have some folks
who have a goal that they want to attend the county fair every summer. Our
recreation department always takes a large group to the fair every year and
we arrange for one volunteer to accompany each resident so they can see what
they want to see. It can also go in a discharge potential problem that their
goal is to return to their prior setting or transition to a lesser level of
care if possible. It can also be included in an ADL problem, such as that
they want to do their own hair every morning or visit the beauty shop every
week for a shampoo and set. Look at the big picture and try to figure out
what the resident's goals are and address them in the care plan wherever
they fit.

Deanna J. Ogle, RN
Care Manager
St. Francis Extended Health Care
(360)734-6760, ext. 322
[EMAIL PROTECTED]
 
 


-----Original Message-----
From: carol maher [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, December 31, 2003 4:09 PM
To: [EMAIL PROTECTED]
Subject: Re: Establishes Own Goals


When this triggers it is considered  "strength."  We should care plan to the
resident's strengths.  See page 4-30 of the RAI manual "Addressing resident
strengths in the care planning process."  F-279.  It is important for the
IDT to look at resident strengths and use them to prevent declines and to
improve resident quality of life and self-esteem.

-----Original Message-----
From: Gail RN <[EMAIL PROTECTED]>
Sent: Dec 31, 2003 1:51 PM
To: [EMAIL PROTECTED]
Subject: Establishes Own Goals

Just curious......when this triggers, how does everyone care plan to this? 
Our social services who code this area don't want to care plan to it under 
psychosocial. Any ideas?

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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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