Make Interventions Measurable
Your recommended care plan interventions should be measurable. This means you should specify the number of times an intervention will be carried out.
For example, let’s take the case of elderly client Tom Jefferson , who I have referred to in this blog. You the aging professional or geriatric care manager have created a dual assessment care plan to give respite to his live in woman companion and love interest 80 year old Sally Hemingway .
The measurable respite you create in your care plan is hiring a private duty home care agency. How do you make this measurable? In your care plan you state the name of the agency- that is “Good Care “. You state how many times a week Good Care will come to Mr. Jefferson’s home. You state 4 days a weeks in your care plan. You state how many hours a day the Good Care care provider will be there. Good Care will send an aide 8 hours each of the 4 days. You have made the intervention more measurable.
You need to show the family exactly how to measure whether the intervention was completed. For example the private duty care should supply charting for each day and the care provider should fill out and sign in and out on a charting page for each day of their shift. This also provides the GCM or aging professional who monitors the care of the older person a basis to review both status of the older person and whether the care provider was present.
If the care provider has come only once a week, you know you need to follow up. If the family wants to monitor the care, this approach also tells them how to measure the care. You can also measure the care by reviewing the charting when you make a home visit and by getting feedback from the family and client about how tasks were completes, and in Ms. Hemingway’s case, did her caregiver stress diminish, with this respite and help with care for Mr. Jefferson. This is how you make care plan interventions measurable.
Interventions in a care plan- how do you craft them? First of all, what are they in simple terms – they are solutions to the problems of your geriatric care management or aging client.
Where do you find them? You find the interventions for your care plan in your completed assessment tools and their care plans. You tailor these interventions to the client.
For example, consider my You Tube Dual Assessment March 14 with Mr. Tommy Jefferson – Mr. Jefferson problems includes self-care deficits. His care provider is his “significant other-“Sally Hemingway, who is in her 80’s. They are living together as a couple. She is presently assisting him with bathing, dressing, making meals shopping and driving.
You, the geriatric care manager , or aging professional ,has done a dual assessment of both Sally, the family care provider and Tommy, the care receiver. Through your functional and psychosocial assessment a have Mr. Jefferson and caregiver assessment of Sally Hemingway, you know you need to craft new interventions for this couple. .
You realize that a new intervention is needed, as Sally is 80 and risks injury to herself both physically and mentally. So the new intervention to this problem might be hiring a paid care provider to come in to protect her health and give her respite. Each intervention must have a clear plan.
How do you connect aging client assessments? For example, if you find through your functional assessment that the client’s clothes are dirty and they are not bathing, start with self care deficit in your care plan then list that manifestation of the problem. If you find your caregiver assessment that the family caregiver is depressed and angry and is on the edge of placing the older person even if they are at the level of care- start with caregiver burnout and then list the manifestation of that burnout. You have then connected two different assessments.
As a GCM or aging professional , you should start your care plan with the problem you were asked to solve initially. Why was your agency called in? For example, was the client very dirty and unable to shower alone when the out-of-town son visited? Start there. This becomes your first problem in your care plan. Always start with the initial presenting problem.