Once the person with the LTC and the healthcare professional have had a planned, meaningful discussion about what matters to the person, they may agree goals and actions as well as any support required to enable self-management.
- The personal goals and actions are recorded on the person’s care plan which they have brought with them or are printed off at the appointment
- The health professional records the plan and all the clinical issues covered on a template within the practice system
| 1. | Options for recording the care plan | Explanatory notes about the options for recording and documenting the plan for patients and professionals. |
| 2. | Your PCSP summary for patients | Proforma for the care plan. |