Using Expanded Individualized Health Care Plans to Assist Teachers of Students With Complex Health Care Needs

2004 ◽  
Vol 20 (3) ◽  
pp. 150-160 ◽  
Author(s):  
Kathryn Wolff Heller ◽  
Jennifer Tumlin
Keyword(s):  
Health Care ◽  
Special Education ◽  
Special Education Teachers ◽  
Individualized Education Program ◽  
School Nurses ◽  
Care Plan ◽  
Care Needs ◽  
Healthy Environment ◽  
Care Plans ◽  
Care Problems

As special education teachers have increasing numbers of students requiring health care procedures in their classrooms, school nurses need to help these teachers maintain a safe, healthy environment for their students. Part of this consists of having teachers know the steps to take should certain problems arise. This article examines the receptivity of using an expanded version of an individualized health care plan (IHP) to provide critical information to address health care problems, as well as having individualized education program (IEP) objectives for instructional targets identified in the IHP. The findings of this study indicate that a high percentage of school nurses and special education teachers were in favor of an expanded version of the IHP. There was also support for teaching students to independently or partially participate in performing their own health care procedures and having this instruction formalized as IEP objectives.

School Nurses’ Experiences, Concerns, and Knowledge of Growth Disorders in Children: Development of a Monograph

2002 ◽  
Vol 18 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Janet K. Williams ◽  
Ann Marie McCarthy ◽  
Helga Bragadottir ◽  
David Reed
Keyword(s):  
Health Care ◽  
Psychosocial Adjustment ◽  
Behavioral Problems ◽  
School Personnel ◽  
School Nurses ◽  
School Age Children ◽  
Growth Disorders ◽  
Care Plans ◽  
Growth Assessment ◽  
Nurses Knowledge

Growth disorders may be associated with difficult psychosocial adjustment, learning problems, and specific health risks. Appropriate school health programming relies on school nurses who are skilled in growth assessment, management of psychosocial and behavioral problems, and effective communication with school personnel, children, families, and health care resources. A monograph and model individualized healthcare plans were developed for growth disorders in school-age children as an educational resource for school nurses. Knowledge of growth disorders among nurses receiving the monograph was evaluated in a random sample of 336 school nurses, members of the National Association of School Nurses. Knowledge of growth assessment and individualized health care plans for children with specific growth disorders was significantly higher in the group of school nurses who received the monograph. Specific obstacles to implementing school-based health care for children with growth disorders are discussed.

scholarly journals Are Care Plans Suitable for the Management of Multiple Conditions?

2016 ◽  
Vol 6 (2) ◽  
pp. 103-113 ◽  
Author(s):  
Charlotte E. Young ◽  
Frances M. Boyle ◽  
Allyson J. Mutch
Keyword(s):  
Primary Care ◽  
Patient Preferences ◽  
Care Plan ◽  
Care Practice ◽  
Multiple Chronic Conditions ◽  
Comorbid Conditions ◽  
Care Needs ◽  
Care Plans ◽  
Number Of Patients ◽  
Multiple Conditions

Background Care plans have been part of the primary care landscape in Australia for almost two decades. With an increasing number of patients presenting with multiple chronic conditions, it is timely to consider whether care plans meet the needs of patients and clinicians. Objectives To review and benchmark existing care plan templates that include recommendations for comorbid conditions, against four key criteria: (i) patient preferences, (ii) setting priorities, (iii) identifying conflicts and synergies between conditions, and (iv) setting dates for reviewing the care plan. Design Document analysis of Australian care plan templates published from 2006 to 2014 that incorporated recommendations for managing comorbid conditions in primary care. Results Sixteen templates were reviewed. All of the care plan templates addressed patient preference, but this was not done comprehensively. Only three templates included setting priorities. None assisted in identifying conflicts and synergies between conditions. Fifteen templates included setting a date for reviewing the care plan. Conclusions Care plans are a well-used tool in primary care practice, but their current format perpetuates a single-disease approach to care, which works contrary to their intended purpose. Restructuring care plans to incorporate shared decision-making and attention to patient preferences may assist in shifting the focus back to the patient and their care needs.

A Training Program for Unlicensed Assistive Personnel

2007 ◽  
Vol 23 (2) ◽  
pp. 92-97 ◽  
Author(s):  
Beverly S. Gursky ◽  
Barbara J. Ryser
Keyword(s):  
Health Care ◽  
School Districts ◽  
Training Program ◽  
Nursing Staff ◽  
School Nurses ◽  
School Nursing ◽  
Health Care Needs ◽  
Care Needs ◽  
Assistive Personnel ◽  
Unlicensed Assistive Personnel

In many school districts, school nurses are assigned multiple schools with responsibility for the health care needs of all students at those schools. Because they cannot be physically present at all sites simultaneously, it is necessary to delegate tasks to unlicensed assistive personnel (UAP). Educating and supervising UAP are critical steps in the delegation process. This article shows how one school district developed and implemented a training program for UAP using its school nursing staff.

Moving into a care home: the pre-admission process

2019 ◽  
Vol 21 (7) ◽  
pp. 415-417
Author(s):  
Adrian Ashurst
Keyword(s):  
Needs Assessment ◽  
Care Home ◽  
Care Staff ◽  
Care Plan ◽  
Good Care ◽  
Care Needs ◽  
Admission Process ◽  
Care Plans

A personalised care plan is key to delivering good care to residents; therefore, care staff should be trained to carry out care assessments and draw up care plans. This month, Adrian Ashurst underlines the importance of the care needs assessment.

Financing Health Care for the Medically Indigent Child

PEDIATRICS ◽  
1987 ◽  
Vol 80 (6) ◽  
pp. 957-960
Author(s):  
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Local Governments ◽  
Federal State ◽  
Policy Statement ◽  
Care Needs ◽  
Quality Health Care ◽  
Financial Barriers ◽  
Care Plans ◽  
State And Local

Children should not be denied access to the health care system because of financial barriers or preexisting medical conditions, and yet evidence suggests that for millions of children this is the case. The American Academy of Pediatrics (AAP) in its 1986 "Medicaid Policy Statement" and its 1983 "Principles of Child Health Financing" espoused the belief that all children have a right to receive comprehensive and quality health care. Regrettably, no national policy exists which addresses medical indigency among children and their families. Although most state legislatures have considered the indigent care issue, they have focused primarily on hospitals1 uncompensated care burdens and not on ambulatory care needs. Moreover, because of budget implications and the lack of federal revenues, these state initiatives appear to be limited measures and are not intended to support comprehensive, long-range health care plans for the medically indigent. Data show that lack of ambulatory care, is a significant problem for medically indigent children. Comparisons of average numbers of visits to physicians for uninsured and insured children point to measurable service gaps.1 In particular, medically indigent children are not receiving the primary preventive care promulgated by the AAP and its "Recommendations for Preventive Pediatric Health Care." The AAP believes that equitable financing solutions for the medically indigent child must be developed immediately. The purpose of this statement is to inform AAP Fellows and health policymakers of the growing numbers of underserved children and to recommend remedial action by the federal, state, and local governments, as well as the private sector.

An evaluation of the reablement service programme on physical ability, care needs and care plan packages

2018 ◽  
Vol 26 (2) ◽  
pp. 140-149 ◽  
Author(s):  
Paul Slater ◽  
Felicity Hasson
Keyword(s):  
Care Plan ◽  
Long Term Effects ◽  
Care Needs ◽  
Post Discharge ◽  
Physical Ability ◽  
Content Type ◽  
Care Plans ◽  
Physical Independence ◽  
The Impact ◽  
At Home

Purpose In response to an aging population and rising prevalence of disability, reablement initiatives have been introduced yet the evidence base concerning the long-term effects remains inconclusive. The purpose of this paper is to examine the impact of reablement on physical independence, care plans and care packages post-discharge for older adults. Design/methodology/approach A retrospective cohort design was used to examine patient records who had completed a reablement programme. Measures on internationally renowned and psychometrically strong tools, completed by trained healthcare professionals, were examined pre-and post-intervention with a consecutive sample (n=416) of participants since the introduction of the reablement programme. Findings Reablement had a significant impact on physical independence living scores and a corresponding reduction in care needs and care plans post-discharge enabling the person to stay at home. Originality/value The study’s findings present empirical evidence on the value of reablement health service programme developed to promote independent living at home following a short illness, for older people. While no examination of financial data was recorded in this study, the increase in physical ability and corresponding reduction in care needs and care plans post-discharge indicates a reduction in costs and a better standard of living.

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