Short Answers, a paragraph each

1. What are the key components of the treatment plan?
2. How do you develop goals and objectives? How do you develop a strong continuing care plan?
3. What is a treatment plan review? who are the key team members that are part of the process?
4. What is key to the continuing care plan?

Chapter 5

The Treatment Plan

 

• The road map that a patient will follow in his or her journey through treatment
• No two road maps are the same
• Treatment planning is a never-ending stream of therapeutic plans and interventions

 

• Treatment plans are built around the problems that the patient brings into treatment
• Physical
• Emotional
• Behavioral
• Treatment plans focus on the patient's strengths and weaknesses
• Treatment plans follow in to discharge planning

 

Diagnostic Summary

• A summary of the interdisciplinary team members
• Having a team develop the summary is better because it pulls from the various fields and expertise from each team member

 

Problem List

• This list be specific, vague will not work

 

Goals and Objectives

• An objective is s specific skill the patient must acquire to achieve a goal
• An objective is a concrete behavior that you can hear, taste, smell or feel
• Goals are abstract statement that you cannot actually se happen
• Once the problem list is made, then you can determine what the patient needs to do to restore himself or herself to normal functioning
• Goals and objectives should direct the patient towards learning new and more functional methods of coping
• All goals and objectives are aimed at change
• Each goal should have one or more objectives

 

How to Develop Interventions

• Interventions are used to help patients complete the objectives
• If the patient does not complete the objective, then new interventions should be added to the treatment plan
• Interventions should be selected by looking at the patients needs

 

How to Select Goals, Objectives and Interventions

• It takes clinical skill to decide exactly what a patient needs
• Every treatment plan is individualized, but counselors should focus on the following:
• Identifying that the patient has a problem
• Knowing exactly what the problem is and how it affects the patient
• Apply healthy skills that will reduce or eliminate the problem

Patients must move through the following steps in developing goals and objectives:

• Identify that he or she has a problem
• Understand how the problem negatively affects him or her
• Learn what she/he is going to change
• Practice the change

 

Treatment Plan Review

• Treatment teams should review plans on a regular basis
• Major points for review should be at a minimum:
• Admission
• Transfer
• Discharge
• Major change in patients condition
• The point of estimated length of treatment
• Some programs have weekly or daily staffing meetings to review the patients and it is at this point treatment plans can be modified

 

Documentation

• Records should be kept on each patient's progress through treatment
• Notes should be short
• Document if goals and objectives are being met
• Progress notes should include:
• Treatment plan
• All treatment
• Patient's clinical course
• Each change on condition
• Descriptions of the patient's response to treatment
• Outcome of all treatment
• Response to significant others to important events during treatment

 

Formal Treatment Plan Review

• Once a week the Treatment Team does meetings