BBC Key Skills: Apprenticeships: Health and Social Care
Care Plan: Mrs. Moore
First Name(s): Elizabeth Preferred name:
DOB: 15/07/16
Last Name: Thomas Other Names: Alice Title: Mrs Gender: Female
Insert Photo
Permanent Address: GP's Name: Dr Doolittle
26 Longnor Road Practice Address:
Somewhere Fair Oak Surgery
England Somewhere
ST6
5NY England
Phone No: 01359 337543 Phone: 01359 337561
Ethnicity: White British
Faith: Methodist Preferred Language: English
Date admitted:
Significant Contacts (indicate emergency Contact and main carer)
Name:
Date discharged: Address: Contact details Relationship / Comments:
Lesley Thomas C/o Mr D Brown - friend 07786 553472 Son
13 Blackheath Key Holder
Company Name &
Logo: Nearby
England
Annie
Cartwright: 20 Settle Road Not known Sister
Alice Springs No contact in more than 20 years
Australia
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BBC Key Skills: Apprenticeships: Health and Social Care
Care Plan: Mrs. Moore
Date Category of Identified Aim to be Assistance required and resources to be provided Date aim
problem(s) need problem / need achieved Use the information from Mrs. Moore’s Case History and the achieved
Identified notes you gather from your interview with her to fill out this
column. You need to assess how much assistance she’ll need
and what resources will need to used to care for her.
Section 1 Unable to tend To give
Personal care to any aspect of sufficient help
and Physical personal to enable Beth
well being hygiene and to be as
dressing independent as
without possible
assistance
Section 2
Sight, Hearing
and Partial To promote
communication Deafness in left effective
ear, and short communication
sighted
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BBC Key Skills: Apprenticeships: Health and Social Care
Care Plan: Mrs. Moore
Section 3
Oral health
Sore Mouth due To treat the
to ill fitting sore mouth
dentures effectively
To ensure
dental check up
takes place
Section 4
Foot care
Corn on little To effectively
toe causing treat corn
discomfort
Section 5
Nutrition To increase
Loss of weight appetite and
Poor appetite promote
Inability to use independent
cutlery in right eating and
hand drinking. To
bring weight
into a more
acceptable
range
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BBC Key Skills: Apprenticeships: Health and Social Care
Care Plan: Mrs. Moore
Section 6
Mobility and
dexterity Right sided To promote
weakness independent
mobility
Section 7
History of Falls
Occasionally To promote
right leg gives safe mobility
way
Section 8
Continence
Incontinence To maintain
due to inability continence and
to reach toilet in reduce
time. embarrassment
Embarrassment
from being
incontinent
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BBC Key Skills: Apprenticeships: Health and Social Care
Care Plan: Mrs. Moore
Section 9
Medication
Usage Unable to open To be able to
medicine Self medicate in
bottles a safe and
convenient
manner
Section 10
Mental state
and cognition Anxiety To alleviate
worries as far
as is possible
Section 11
Social
Interests / Lack of social To reintegrate
hobbies, stimulation in to the
religious / community and
cultural needs internal social
groups
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BBC Key Skills: Apprenticeships: Health and Social Care
Care Plan: Mrs. Moore
Section 12
Personal
Safety and risk Expressed To protect
recent loss of clients property
property and money
causing anxiety
Section 13
Family
involvement Loss of contact To facilitate
with sister effective family
Wishes to relations
maintain
contact with son
Section 14
Dying
Hasn’t recorded To facilitate
wishes access to
regarding death specialist
formally services
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