Deposition-Long-Term Care Adjustment

Long-Term Care Adjustment

Category / Primary Body System

• Psychosocial / Emotional Well-being

Problem

• Patient is at risk for maladjustment to the facility due to placement in this facility for long-term care.

Goal

• Patient will adjust to the facility, as evidenced by participating in care daily, for the next 90 days.

Plan/Approach

1. Emotional and Psychological Support

   • Encourage verbalization of feelings regarding long-term care (LTC) placement as needed to provide emotional support and address concerns.

2. Family Involvement

   • Encourage family visitations as appropriate to support the patient's emotional well-being and adjustment.

3. Social Services and Consultation

   • Arrange social service consults as needed to assist with emotional, social, and practical support.

4. Medication Management

   • Administer medications as ordered to manage any underlying conditions and support overall health.

5. Rehabilitation Services

   • Provide PT/OT as needed to maintain or improve physical function and support daily activities.

6. Activity Engagement

   • Encourage participation in diversional activities to enhance quality of life and provide meaningful engagement.

7. Medical Monitoring and Communication

   • Notify MD/RNP of any changes in medical condition to promptly address any emerging health concerns.

Rationale

1. Emotional and Psychological Support

   • Verbalizing feelings helps in addressing emotional distress and provides an outlet for the patient to express their concerns.

2. Family Involvement

   • Family support can provide emotional stability and assist in the adjustment to the new environment.

3. Social Services and Consultation

   • Social services provide critical support for emotional, social, and practical needs, enhancing overall well-being.

4. Medication Management

   • Proper administration of medications ensures the management of symptoms and underlying conditions, supporting overall health.

5. Rehabilitation Services

   • PT/OT services help maintain or improve mobility and independence, which is crucial for overall health and adjustment.

6. Activity Engagement

   • Participating in activities helps maintain a sense of normalcy and improves the patient's quality of life.

7. Medical Monitoring and Communication

   • Prompt communication with healthcare providers ensures timely intervention for any changes in the patient's condition.

Actions

1. Emotional and Psychological Support

   • Encourage the patient to express their feelings and concerns about LTC placement.
   • Provide a supportive environment for these discussions.

2. Family Involvement

   • Facilitate family visits and provide opportunities for family involvement in care.

3. Social Services and Consultation

   • Coordinate social service consults to provide emotional and practical support to the patient.

4. Medication Management

   • Administer prescribed medications regularly and monitor for side effects.

5. Rehabilitation Services

   • Coordinate PT/OT evaluations and treatments as needed.

6. Activity Engagement

   • Encourage the patient to participate in diversional activities that are enjoyable and appropriate for their condition.

7. Medical Monitoring and Communication

   • Monitor the patient's medical condition closely and report any changes to the MD/RNP immediately.