"Care Package" 4 the C.21st ?
"The CARE Package was the original unitindividual
of aid distributed by the humanitarian organization
CARE (Cooperative for Assistance and Relief Everywhere)."
Disaster Conflict Refugee context?
Individual choices -
facilitating autonomy
whenever possible - Sign Language?
Mental health Care Plan
includes relapse prevention /
Staying well / Self care
Mental capacity / Decision making
Physical health check
Patient Reported Outcomes*
Specific management of medication - lithium, psychotropics and safety completed and health literacy demonstrated with support if needed.
Making Every Contact Count -
in every care context
Psychological therapies
One narrative: told recorded once
Cognitive access:
Health Information
Access to my health record
My Care - Why?
Understanding, Awareness
C[P]-Suite "I Consent" - My data,
Genetic Profile, Reimbursement?
INTEGRATED -
| Disaster Conflict Refugee context? Avoid admission, over-treatment Quaternary Prevention Preparation for Admission? Physical Care Plan includes relapse prevention / Staying well / Self care If in-patient THEN is medication ordered and ready for discharge? e-Prescription? Electronic Health Record Mobility - aids, Transport Advice / instructions Wound / Dressing management Making Every Contact Count - in every care context Clinic location: urban / rural transport Virtual - Telemedicine, e-Health m-Health Patient Reported Outcome Measures Patient involvement in Research Trials Physical therapies - access Physical access services/devices?
- CARE ?
|
Care IN the Community? Housing :: Homeless? Pre-discharge home visit - e.g. Occupational Therapy? Living alone? Safety Carers involved with due consent in care planning. Engaged in recognition and role of warning signs and actions to follow. Recovery, Rehabilitation, Reablement Awareness and shared competency in medication, in event of physical illness. Patient/Family audit of clinical record: accuracy if/when appropriate BUT check completed. Plan of care - activities, groups, information, arts, studies, volunteering. Carers assessment Social care. Advance (anticipatory) care planning Progress (this time) PRO* Introduce respite care, day care, volunteering Avoidance of admission: this time :: next time? | [Finance of Health Service Delivery] Care Package for specific groups / populations / circumstances: Forensic, Prison, Homeless, Substance Misuse, Veterans Need for interpreter, advocacy? Feedback on care experience: patient and carer(s) Management of Belongings, Cash Community care - follow up instigated - introductions made with continuity of care (personnel) were possible. Communication with (family) GP/Doctor Out-of-hours services and contact details. Patient & Carer invited to phone purely as a trial-run. Law - Policy? 72 hour, 7 Day - follow-up at home. Incidents - Complaints? Apologies? Organisational Learning Welfare - Employment Data capture and reporting of care spell/episode. De-identified. Reports submitted stats. Reporting plans to Public re. Health Services Public involvement in Services |
The above is not comprehensive and in itself begs questions of scope and what is a 'comprehensive' care package?
The mapping above to Hodges' model includes many assumptions - existing health service provision, governance, finance, housing, social infrastructure - social determinants of health and how these are mitigated (if at all).