References

Brooker D. Person-centred dementia care.London: Jessica Kingsley; 2007

What is a nursing intervention: a beginner's guide. 2019. https://tinyurl.com/mh2mwhb6 (accessed 1 November 2021)

Butterworth C. How to achieve a person-centred writing style in care plans. Nurs Older People. 2012; 24:(8)21-26 https://doi.org/10.7748/nop2012.10.24.8.21.c9310

Centre for Policy on Ageing. The effectiveness of care pathways in health and social care. 2014. https://tinyurl.com/3t835kfd (accessed 1 November 2021)

Clinical and service integration. The route to improved outcomes. 2010. https://tinyurl.com/whb87xd6 (accessed 1 November 2021)

Department of Health. Refocusing the Care Programme Approach. Policy and positive practice guidance. 2008. https://tinyurl.com/anyrzhy6 (accessed 3 November 2021)

Department of Health. Personalised care planning: improving care for people with Long term conditions. 2011. https://tinyurl.com/uc3u3tkh (accessed 1 November 2021)

Department of Health. Care planning in the treatment of long term conditions: final report of the CAPITOL Project. 2013a. https://tinyurl.com/7399vphc

Department of Health. Mental health payment by results guidance 2013-2014. 2013b. https://tinyurl.com/9zyfmy87 (accessed 1 November 2021)

Dimond B. Exploring the legal status of healthcare documentation in the UK. Br J Nurs. 2005; 14:(9)517-518 https://doi.org/10.12968/bjon.2005.14.9.18078

Foundations of nursing practice: making the difference, 2nd edn. In: Hogston R, Simpson PM (eds). London: Palgrave Macmillan; 2002

Kozier B, Erb G, Berman A, Snyder S, Lake R, Harvey S. Fundamentals of nursing: concepts, process and practice, 8th edn. Harlow: Pearson Education; 2008

Leach M. Clinical decision making in complementary & alternative medicine.Chatswood (NSW, Australia): Elsevier; 2010

Lloyd M. A practical guide to care planning in health and social care.Maidenhead: Open University Press; 2010

Matthews E. Nursing care planning made incredibly easy!.Philadelphia (PA): Lippincott Williams and Wilkins; 2010

Monitor. Delivering better integrated care: A summary of what delivering better integrated care means and how Monitor is supporting the sector. 2015. https://tinyurl.com/825k8kd6 (accessed 1 November 2021)

NHS website. NHS launches accredited suppliers for electronic patient records. 2019. https://tinyurl.com/4fzs4up5 (accessed 1 November 2021)

National Institute for Clinical Excellence. What to expect during assessment and care planning. 2021. https://tinyurl.com/63hm5vvp (accessed 1 November 2021)

NHS England. Personalised care and support planning handbook: the journey to person-centred care: Core information. 2016a. https://tinyurl.com/9fyrtw45 (accessed 1 November 2021)

NHS England. Mental health clustering booklet v5.0 (2016/17). 2016b. https://tinyurl.com/7p6dfnry (accessed 1 November 2021)

NurseChoice. Nursing smart goals: how to set smart goals for Nursing. 2018. https://tinyurl.com/s292baez (accessed 1 November 2021)

Nursing and Midwifery Council. Future nurse: standards of proficiency for registered nurses. 2018a. http://tinyurl.com/yddpadva (accessed 1 November 2021)

Nursing and Midwifery Council. The code: professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018b. https://tinyurl.com/gozgmtm (accessed 1 November 2021)

Nursing and Midwifery Council. Keep records of all evidence and decisions. 2021. https://tinyurl.com/4pcabhms (accessed 1 November 2021)

Revello K, Fields W. An educational intervention to increase nurse adherence in eliciting patient daily goals. Rehabil Nurs. 2015; 40:(5)320-326 https://doi.org/10.1002/rnj.201

Royal College of Nursing. RCN factsheet on nurse prescribing in the UK. 2014. https://tinyurl.com/hkndnbhv (accessed 3 November 2021)

Nursing process. 2021. https://www.ncbi.nlm.nih.gov/books/NBK499937 (accessed 1 November 2021)

Wing JK, Beevor AS, Curtis RH, Park SGB, Hadden J, Burns A. Health of the Nation Outcome Scales (HoNOS). Br J Psychiatry. 1998; 172:(1)11-18 https://doi.org/10.1192/bjp.172.1.11

World Health Organization. Integrated care models: an overview. 2016. https://tinyurl.com/6encn9a5 (accessed 1 November 2021)

Yeomans D. Clustering in mental health payment by results: a critical summary for the clinician. Adv Psychiatr Treat. 2014; 20:(4)227-234 https://doi.org/10.1192/apt.bp.113.011320

Assessing the patient's needs and planning effective care

11 November 2021
12 min read
Volume 30 · Issue 20

Abstract

Nurses have an essential role to play in the assessment and planning of patient care. This is emphasised in the Nursing and Midwifery Council's 2018Future Nurse proficiency standards. In this article, the author discusses the importance of person-centred care in assessing needs and highlights the need for all nursing interventions to be evidence based. The topics covered include assessing people's needs, care planning, stages of care planning, benefits of care planning, models of care, care pathways, and care clustering in mental health care. The article also highlights the significance of record-keeping.

The central role of nurses in assessing patient needs and planning care is one of the core areas emphasised in Future Nurse, the Nursing and Midwifery Council's (NMC) (2018a) nursing proficiency standards. The document categorises ‘assessing needs and planning care’ as the third of seven areas of proficiency, which are grouped into ‘platforms’. Future Nurse emphasises that the delivery of person-centred care and evidence-based nursing interventions are vital components for effective patient assessment and care planning. The standards further highlight that the nurse should understand the need to assess each patient's capacity to make their own decisions and to allow them the opportunity to give and withdraw consent.

An assessment is a form of a dialogue between client and practitioner, in which they discuss the needs of the former to promote their wellbeing and what they expect to happen in their daily life (National Institute for Health and Care Excellence (NICE), 2021). Nursing assessment involves collecting data from the patient and analysing the information to identify the patient's needs, which are sometimes described as problems.

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