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Care Planning Patient and Carer Information

This section explains the principles of the Care Planning approach to consultations from the perspective of the Patient and the Healthcare Professional.

INFORMATION GATHERING

How am I feeling?

How is my body doing?

 
Patients will receive an appointment to attend a “one stop clinic”.
Included with the appointment will be a booklet “my care plan”.
Section A is a self assessment form “how am I feeling?” which should be completed prior to the appointment (help can be given on the day).
At this appointment a technician will perform all of the annual tests including blood, urine, blood pressure, weight, and foot check. They will complete Section B “how is my body doing?”
   

INFORMATION SHARING

How am I?

 

Section A (how am I feeling?) and the results from section B (how is my body doing?) are shared with the patient in a traffic light formation; red being of concern, green being satisfactory and amber in between.  From these the patient should be able to compare previous years' results and begin to complete Section C 'how am I?'.  This will allow patients to begin to plan what they can do, what others can do and what they need to know to change.

     

 CONSULTATION AND JOINT DECISION MAKING

  The patient will then book a care planning appointment with a health care professional (nurse or doctor) to discuss the findings of Section A and B and their thoughts on Section C
     

 AGREED AND SHARED CARE PLAN

So what now?

  From this discussion, an action plan will be produced which outlines what needs doing and how, and who is responsible for what - Section D 'so what now?'

The complete 'My Care Plan for Diabetes' booklet can be downloaded from this page