A care plan should enhance the patient’s treatment plan by providing a list of identified health conditions with a corresponding prioritized list of interventions to meet the patient’s goals. Standard assessment domains are used as a basis for this list of challenges and corresponding goals

Care plans include, but are not limited to, the following:

• Prioritized goals for a patient’s health status
• Established time frames for reevaluation
• Resources that might benefit the patient, including a recommendation as to the appropriate level of care
• Planning for continuity of care, including assistance making the transition from one care setting to another
• Collaborative approaches to health, including family participation

Tyice Strahl (CSA, CHW)