Hi Thomas, > firstly, I am not offering the Care Plan means of extensionally identifying > problems as a bullet-proof method; it's just a working theory at this stage.
Sure, I am not trying to put people wrong (I can't, at any rate), just treading the line a bit of being advocatus diabolus... > For the above: wouldn't this patient normally have a diabetic care plan, and > for surgery that is not diabetic related, then there will be a care plan for > that, say 'left hip problem' or whatever. Agree. > If the surgery is diabetic related, then it would > presumably occur as an intervention that is part of > the diabetic care plan? Agree except that the primary diabetic care plan would live at the GP office (or the diabetes clinic office) while the surgeon would now set up her own diabetes-related surgery care plan under the problem "diabetes". However, even before that the surgeon would certainly want to record the fact "diabetes" as a problem such that she is reminded of one potential cause of future wound infections, delayed healing processes, ... in surgery *not* related to diabetes itself. A considerate surgeon would want to be able to recommend getting blood sugars checked and/or even switch from oral diabetes medication to insulin application for the time of healing of a non-diabetes wound. But there wouldn't be a diabetes care plan per se (at the surgeon's) during such times. Karsten -- GPG key ID E4071346 @ eu.pool.sks-keyservers.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346
