Mr. Green’s Initial Care Plan

Problem
Treatment Goal
Intervention
Disciplines Involved
Time Frame
Recurrent problems with symptoms of uncontrolled CHF and COPD
Successful outpatient treatment of CHF and COPD
O2 @ 2L/ nasal cannula;O2 saturation readings per oximeter every week; daily check of weight, abdominal girth, and pedal edema
Medicine
Pharmacy
Nursing

ASAP
Ineffective use of medications
Patient following appropriate drug regimen
Medication assessment
Establish plan for medication administration and monitoring
Pharmacy
SW
Nursing

  1. month
Poor nutrition
Patient/family able to plan and provide proper diet
Home assessment
Nutrition assessment
Nutrition education specific to Mr. Green's needs and resources for help
SW
Dietitian
Nutritionist
Nursing
  1. month
Health risks in the physical and social environment
Mr. Green residing in supportive environment with reduced risk factors
Home assessment
Family assessment
Identify community resources for patient and family
Financial assessment
SW
Nursing

  1. month