Patient details: Jean is 86 year old female with heart problems, chronic back pain, Alzheimer’s, suicide attempts and continual thoughts of suicide and depression. Activities of daily living
| Assessed needs
| Support and care provided
| Outcome of plan
| Maintaining a safe environment
| Jean has had three overdoses of painkillers and been going out and forgetting where she lives and is no longer able to live on her own.
| To ensure Jean’s safety she has been referred for psychiatric evaluation and CPN and help look for a place of safety for her to live.
| CPN makes regular visits to see Jean and assess her needs. Jean has a safe place to live in a care home where her medication can be monitored. Regular psychiatric appointments.
| Wears hearing aid but can communicate her needs.
| Can become confused and anxious.
| To reassure jean at all times.
| Jean has history of heart failure.
| Keep up to date with hospital referrals.
| Assist Jean with her hospital referrals.
| Eating and drinking
| Weight loss due to forgetting to eat.
| Monitor weight and referral to dietician, encourage eating meals.
| Stabilise weight.
| Forgets to use the toilet on occasions.
| To monitor and prompt jean to use the toilet.
| Jean is using the toilet more by herself.
| Washing and dressing
| Forgets to wash and dress.
| To assist and encourage Jean to wash and dress.
| Jean is now washing and dressing a lot more on her own.
| Controlling temperature
| Jean feels the cold.
| Assist Jean to put on extra clothes when cold.
| Jean now has thick cardigans and jumpers.
| Can mobilise on her own without the use of any walking aids but has chronic back pain.
| To maintain that Jean is not in any pain.
| Regular pain relief
| Working and playing
| Retired from workLoves to dance.
| Encourage Jean to join in activities with other residents.
| Jean is teaching other residents and staff to dance.
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