I have goals and a plan. I monitor and communicate it.  I’m the connector for my team of more than a dozen. This is person-centered #CarePlanning.

Edward Suchman devised an approach for studying illness behavior (Social Patterns of Illness and Medical Care, 1965) with five key stages of illness experience:

  1. symptom experience
  2. assumption of the sick role
  3. medical care/healthcare contact (my italics added)
  4. dependent patient role
  5. recovery and rehabilitation.

Finally, let’s be sure to include the social determinants of health – or as we non-academics call it, life.

I haven’t yet seen a universal description of what goes into a person-centered care plan. Without that, how can we know whether we’re doing it right? How can we improve? How can we achieve the best possible care, given the resources we have? How can we teach it?

What are the minimum data elements for a care plan – verbal, written, and electronic formats?

See my previous post:  Communicate What? #CarePlanning,