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Hi Kristen

Here Is some information about care plans on Golden Carers

https://www.goldencarers.com/9-examples-of-activity-based-care-plan-interventions/6691/

https://www.goldencarers.com/how-to-write-an-activity-based-care-plan/3249/

https://www.goldencarers.com/care-plan-goals-interventions/3332/

This article may help you also

https://www.goldencarers.com/your-departments-role-in-end-of-life-support/7279/

I wrote my care plans a little differently

I had three columns

Column one

I would start with several problems or statements about the person

Column two

Then I would talk about interventions

Column three

Goals

More than likely you won’t will not have to include each thing you mentioned

I am sure spiritual may be

very important

May be intellectual why are you include Indepedent leisure activities

Community might include the visitors this person gets from the community or your volunteer visits

Person may be on hospice care or not but if so should be included in the care plan as to what they do or what problem they solve

If you give me more details about what this person does I could help you further

Each facility has their own format which you probably have to use

When describing things to me you may be able to formulate your own care plan

Let me know if you need further help

Thank you so much Susan for the goldencarers links. I have found them very help for other residents but the person I need to do the care plan for. My resident has no family, no contacts I can ring to asks the necessary questions. Sleeps almost all day, is peg feed, and is non communitive. So far I have read to him from a memories magazine, kept his finger nails neat and trimmed, given hand massages and used a essential oil diffuser. I also make a point of stopping by just to say hello before and after my shifts. I document all of this in his progress notes. I'm sure I could implement what I do into a care plan. Thanks again.

Yes Kristen

Sounds like you are doing a lot for him

I assume he gives you some indication of his enjoyment of what you are doing

Maybe he smiles maybe he squeezes your hand maybe he nods Maybe he opens his eyes or his mouth

Goal might be to have him do one of these things or what ever he does three times a week or whatever

To me it sounds like you are doing a great job