Care Plan Conference Summary
Updated record used to document resident and/or the resident representative participation in the care plan conference. Now includes:
· Diagnosis(es)
· Resident Goals
· Plan of Care
o Nursing
o Medications (New)
o Dietary
o Activities
o Social Services
o Therapy/Restorative Program
o Risks/Needs/Preferences/Strengths
o Advance Directives (New)
o Discharge Plan/Return to Community Referral
o PASARR Services (New)
o Special Requests/Choices/Conditions
o Other
Areas for comments and summary of care plan discussion as well as signature area for staff involved in care planning as well as resident/resident representative acknowledgment/request for copy of care plan.
Two-sided form provides for two (2) separate Care Plan Conference summaries.
- Size: 8 1/2" x 11"
- White paper, black ink
- Printed two sides same
- 5-hole punched top and side
- 100 per pad
Reviewed for accuracy 11/2022