Kenyon HomeCare ConsultingDo You Focus On Mental Health As Part Of Your Care Plan? Don't Be Araid To Take A Risk And Discover The Key To Replacing Outdated Care. You Can't Consider What Happens In The Heart And Discount What Is Going On In The Brain. - Kenyon HomeCare Consulting (206) 721-5091

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Do You Focus On Mental Health As Part Of Your Care Plan? Don’t Be Araid To Take A Risk And Discover The Key To Replacing Outdated Care. You Can’t Consider What Happens In The Heart And Discount What Is Going On In The Brain.

Care planIt is no secret that society is more open to mental effects on physical health today than in the past. However, there is still a lot to be done. Addressing the mental health is often missed unless that patient has a history of mental disease or defect. Those become easy in the minds of clinicians. Let’s look at how mental status really needs to be key in every care plan regardless the primary diagnosis. 

Tunnel Vision In Care Planning: 

There is so much focus on chronic disease management. There should be and we all know it’s because of cost. But we make the mistake of not considering mental roadblocks to success with outcomes. Let’s think through a couple specific case scenarios dealing with congestive heart failure: 

  • Patient A: 59-year-old female recently diagnosed with CHF resulting from chemotherapy taken over 20 years ago. At the time, the chemo was so strong that the patient was in isolation for 3 months in a facility. She was married with two young children. Family was aware there was a 50% chance she could pass from the treatment itself. There was only a minimal chance for remission.  She beat the odds.
  • Patient B: 70-year-old morbidly obese male patient diagnosed with CHF over 25 years ago. No significant lifestyle changes have occurred to combat the exacerbations of illness along the way. Patient is known to smoke 1 pack of cigarettes daily for most of his life. He is divorced and never had children. 

What do these care plans look like in your EMR? They are probably more similar than you think. They may be identical except formaybe some specific weight loss goals for the gentleman? 

Why Do They Need To Be Different? 

The care plan picture for both patients are different. Therefore, the mental state of the patient is so important here. It impacts every aspect to promote success in your care plan interventions. Do these patients suffer from anxiety or depression? How does anxiety manifest itself for one versus the other? Are these items addressed on an ongoing basis?  If there isn’t critical thinking about how this affects the care plan daily, then patient potential for improvement is hindered. Without anxiety under control, how can the patient focus on teaching and interventions to improve? Also, it is important to understand the limitations of the clinicians in recognizing the difference in anxiety responses versus signs of exacerbation. Education and evaluation is key here. 

Mental Health Care Planning: 

Mental health education and its implication on physical health is so important. Clinicians can’t address patients as though we are just the physical. Clinicians need a meaningful way to address these items as a part of routine assessments and not just for an Oasis or medication. Having a trained psych nurse on staff can help so much with your care planning to address psychological issues and mental health while helping to improve outcomes of a physical diagnosis. Chronic disease management isn’t just about the heart it is also about the mind. To exclude one minimizes the efficacy of the other. 

Kenyon Homecare Consulting: 

At Kenyon Homecare Consulting we have senior consultants who know how to paint the entire clinical picture into effective care planning. Call us today at 206-721-5091 or contact us online to see how to help you reach your agency goals. 

Category: Education & Training

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