Table 1.

Example of an individualized health care plan

Domain	Example from a participant who could walk independently
Living conditions	Client likes to help with household tasks and is stimulated to help as much as possible. Client tidies up her apartment herself, but her family does the laundry. Sometimes client wants to wash her own clothes; if this is the case, stimulate her to do so. She has laundry detergent in her room. Her bedsheets are washed weekly by the service agency, but client is encouraged to change her bed herself. Client can independently prepare breakfast and is stimulated to get the newspaper in the morning.
Participation	Client likes to go outside to walk. Stimulate client to participate in day activities. Involve client in household tasks such as preparing meals, setting and clearing the table, and folding napkins. Client takes care of groceries independently. Client likes to be social, but needs to be stimulated to do so.
Mental well-being and autonomy	Client has some problems with getting out of bed at night, sometimes resulting in bedwetting. This makes client anxious and restless. Assist client at night with going to the toilet between 01:00 am and 02:00 am and between 05:00 am and 06:00 am in the morning.
Physical well-being and health	Client is able to do a lot independently, sometimes with help of verbal cues. Remind client to brush her teeth, including the denture. Client can wash herself independently, but remind her to wash her face and arms. Assist in choosing clothes, client can dress herself. Make sure her clothes are clean. Client needs help with her stockings. Client takes a shower every Tuesday, Friday, and Sunday. Help client wash her hair on Tuesdays. The care supervises the medication intake.