A written document which defines problems/needs and defines resident goals and staff interventions.

A written document which defines problems/needs and defines resident goals and staff interventions.

• A. Care Plan
• B. Initial Assessment
• C. RAI
• D. MDS

Answer: (A)

A care plan is a written, individualized document that identifies a resident’s problems or needs, defines the resident’s goals, and outlines the staff interventions needed to achieve those goals. It translates assessment findings into concrete, actionable steps, assigns responsibilities, and sets the timeline for evaluating progress. The plan is developed by the interdisciplinary team and is updated as the resident’s condition or preferences change, ensuring care stays aligned with goals. The initial assessment gathers baseline data about health status and needs, but it isn’t itself the ongoing, goal-directed plan of care. The RAI framework organizes data collection, and the MDS is the standardized data set used for reporting and supporting care planning. Together they inform the care plan, which is the actual document guiding daily care and measuring progress.

A care plan is a written, individualized document that identifies a resident’s problems or needs, defines the resident’s goals, and outlines the staff interventions needed to achieve those goals. It translates assessment findings into concrete, actionable steps, assigns responsibilities, and sets the timeline for evaluating progress. The plan is developed by the interdisciplinary team and is updated as the resident’s condition or preferences change, ensuring care stays aligned with goals.

The initial assessment gathers baseline data about health status and needs, but it isn’t itself the ongoing, goal-directed plan of care. The RAI framework organizes data collection, and the MDS is the standardized data set used for reporting and supporting care planning. Together they inform the care plan, which is the actual document guiding daily care and measuring progress.