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christy
June 28th, 2006, 12:24 PM
I would really like to view this powerpoint presentation. Can it be reposted?

“I” Format Care Plans

Consider person directed care plans to enhance residents highest physical, psychosocial well being. Changing the style of care plan documentation assists to reflect the emphasis on the resident care from their personal perspective. The care plan is written from the resident’s point of view. Document assessments of the resident’s social history, communication ability, mobility, activities of daily living etc. as though the resident was talking. The care plan reflect a conversation with the resident regarding these key issues. For example, for Mobility; instead of “ambulation 2x/day”, a care plan would say “I like to walk. My favorite times for walking are after lunch and dinner. I usually walk about 15 minutes, but on nice days, I like to walk outside and stay a little longer” Goals: “ I want to remain as active and mobile as possible”. Areas that might reflect a decline such as Communication/Memory: “I use to communicate well and enjoy conversation with friends and family. I have become much weaker as my health has failed. Occasionally I have episodes of confusion. Sometimes I do not know where I am and I become frightened. Please provide orientation during these times and when you are providing my care. Let me know who you are and what you are going to be doing. When I am confused and frightened, I may strike out at you. Use calm gentle touch, and a soft spoken voice, while providing me reassurance.” Goals: “I don’t want my memory loss and confusion to interfere with my ability to accept the car I need.” These phrases address in the care plan, the residents assessed needs, interventions, and goals in a personal comment format.

Shared through Rhode Island Quality Partners is the attached powerpoint.

Maureen
August 7th, 2006, 10:16 AM
Christy,

I will e-mail it directly to you and re-post it here.

If anyone else has trouble opening the power point presentation, please let me know.

Thanks,

Maureen

Maureen
August 7th, 2006, 10:19 AM
Hi, I'm Gloria Mayotte and I work at Loomis House Nursing Center. We are just starting to look at using the I format for care plans, which we have looked at before. I need more information on how to start implementation. I'm happy to be part of the group and hope that you will be able to help me. We love the concept of the I care plan and have already started to educate the staff on the concept.

(Copied from original post in the Information Booth & Help Desk section of this JENY site to this Nursing Home Shares section)
Gloria,
In the Nursing Home Shares section of this site
http://jeny.ipro.org/showthread.php?t=258
A discussion of "I Centered Care Plans" includes a power point presentation. It is part of a Person Centered Care Discussion.
Let us know here how you are implementing these changes at your facility and the staff response? What challenges have you encountered and how have you addressed these?:)

Maureen
November 3rd, 2006, 05:45 AM
Conference: Fundamental Principles of Culture Change & Depression in Long Term Care
IPRO sponsored a set of educational conferences entitled "Fundamental Principles of Culture Change and Depression in Long Term Care".

The materials from the conference are available at
http://providers.ipro.org/index/fall2006_conf_material

Here is just a sample of the comments from the Rochester evaluations....

:) "This program was awesome. The speakers were great and the subject matter extremely relevant. You should run it again so everyone I told about it can go!" :)

:) "Overall, I feel this was an outstanding program, and am looking forward to being able to send additional staff to a program in Buffalo." :)

:) "I enjoyed the program. As a surveyor I think culture change is of great benefit to residents and their caregivers. Thank you for the opportunity to attend.":)

Maureen
November 3rd, 2006, 06:12 AM
The Eden Alternative is a small not-for-profit organization working to de-institutionalizing the culture and environment of today’s nursing homes and other long term care institutions. Based on the core belief that aging should be a continued stage of development and growth, rather than a period of decline, The Eden Alternative is seeking to remake the experience of aging around the world.

Through this link to the Eden website, find future trainings


Eden Alternative Trainings
http://www.edenalt.org/component/option,com_events/Itemid,32/

Maureen
July 10th, 2007, 11:23 AM
These materials on "I" Centered Care Plans were shared through our collaboration with other state QIO's. There is a template, a few sample "I" Centered Care Plans, and a power point presentation.

Please review and share here changes in care plan writing at your facility or other materials on "I" Centered Care Plans.

Stringbeans
January 30th, 2008, 09:34 PM
“I” Format Care Plans

Consider person directed care plans to enhance residents highest physical, psychosocial well being. Changing the style of care plan documentation assists to reflect the emphasis on the resident care from their personal perspective. The care plan is written from the resident’s point of view. Document assessments of the resident’s social history, communication ability, mobility, activities of daily living etc. as though the resident was talking. The care plan reflect a conversation with the resident regarding these key issues. For example, for Mobility; instead of “ambulation 2x/day”, a care plan would say “I like to walk. My favorite times for walking are after lunch and dinner. I usually walk about 15 minutes, but on nice days, I like to walk outside and stay a little longer” Goals: “ I want to remain as active and mobile as possible”. Areas that might reflect a decline such as Communication/Memory: “I use to communicate well and enjoy conversation with friends and family. I have become much weaker as my health has failed. Occasionally I have episodes of confusion. Sometimes I do not know where I am and I become frightened. Please provide orientation during these times and when you are providing my care. Let me know who you are and what you are going to be doing. When I am confused and frightened, I may strike out at you. Use calm gentle touch, and a soft spoken voice, while providing me reassurance.” Goals: “I don’t want my memory loss and confusion to interfere with my ability to accept the car I need.” These phrases address in the care plan, the residents assessed needs, interventions, and goals in a personal comment format.

Shared through Rhode Island Quality Partners is the attached powerpoint.
hi maureen,
thanks for the informative post, on the above scenario, it seems that
“I like to walk. My favorite times for walking are after lunch and dinner. I usually walk about 15 minutes, but on nice days, I like to walk outside and stay a little longer” is more of a goal that is measurable than the goal stated above which is
Goals: “ I want to remain as active and mobile as possible”.
this was brought up in our organization, has this been brought up in yours, i am assuming jhaco still mandates goals that are measurable /smart goals?