Table 2.

 Three examples of treatment plans, with recommendations left for care home staff

Resident and problem identified	Goals	Actions	Outcome (including recommendations for staff)
Resident A:
Dressing	To dress top half of body independently	Assessment of perception and motor skills	Able to dress and undress top half safely and with minimal assistance but requires time and prompting, although he tires quickly. Encourage resident A to participate in dressing whenever possible
Feeding	To feed independently	Issued right angled light weight spoon	Managed independently with the spoon but tired quickly and had difficulty finding food on the plate. Encourage independence with feeding within resident A’s stamina levels. Resident A still requires supervision and assistance. Position in wheelchair to facilitate independent function when eating at the table. Placement of feet on the floor may assist with sitting balance
Transfer from chair	Standing from a chair	Supply chair raisers to facilitate standing from a chair	Ensure height of chair is correct. Resident A requires constant prompting and may require assistance to position feet before standing. Use hoist if unable to weight bear or to follow instructions to stand
Resident B:
Mobility/transfers	Standing from a chair	Practice transferring from wheelchair to chair	Resident B was able to transfer between two chairs safely and independently. Ensure height of chair is correct. May require prompting to push up from the chair and may require assistance to position feet before standing
	Walking with three wheeled walker	Walking practice, replace ferrules on walking aid	Resident B leans heavily on walking frame when mobilising, but mobilises safely and independently with walking frame. However, some supervision and prompting required because of difficulty anticipating manoeuvres required to sit in a chair safely. Continue to use walking frame
Resident C:
Dressing	To participate in dressing	Dressing assessment	Encourage resident C to continue dressing independently
Mobility	To maintain mobility	Assessment of walking aid	Replace ferrules. Check ferrules regularly for wear
Transfers	To maintain safe and independent transfers	Advise on use of bed lever	Encourage correct transfer technique. Prompt resident C to come to the front of the chair and to push up to stand from the bed and chair; encourage use of the bed lever when sitting up in bed and pushing up to stand