Appendix 1: Health Care Plan

Appendix 1: Health Care Plan Appendix 2 Witness testimony: Appendix 1 Example Healthcare Plan This is for reference only. Students are expected to use the format, and adhere to the requirements, of care planning/care plans in own workplace setting. PATIENTS MEDICAL INFORMATION Relevant conditions, diagnosis and latest test results: Significant past medical history: Current medication: Date of planned review of medications: Allergies: KEY ACTION POINTS For example: guidance on intervention/deterioration, unmet need to support patient (specify) OTHER RELEVANT INFORMATION (if appropriate) Other support services e.g. local authority support, housing Identification of whether the person is themselves a carer (formal or informal) for another person Anticipatory care plan agreed: YES /NO/N/A Anticipatory drugs supplied: YES / NO/ N/A Emergency care and If yes, please specify outcome: treatment discussed: YES / NO e.g.: cardiopulmonary resuscitation – has the patient agreed a DNR or what treatment should be given if seizures last longer than x or y, etc. Date of assessment: / / Date of review(s): Any special communication considerations (e.g. patient is deaf or language communication differences): Assignment Brief – continues HealthCare Practice Unit 20 Any special physical or medical considerations (e.g. specific postural or support needs or information about medical condition – patient needs at least x mgs of drug before it works, etc.): SIGNATORIES (if appropriate and / or possible) Patient signature: Date: Carer (if applicable) signature: Date: Named accountable GP signature: Date: Care Coordinator signature (if applicable): Date: