Care Plan Opportunities (list in order of priority) Agreed goal (measurable) Action/s to be taken & by whom Target date Action: Arrange a visit to the GP on Tuesday 1 Pain in the knees need 1.1 would like to find out – Thursday at 10am to investigate cause and causes of her knee pain by the end Who: Aunt: HACC Coordinator or Aboriginal treatment options of March worker will provide information to the GP with Aunty’s consent Action: Following the GP and if Date / time 1.2 Seek advice about treatment appropriate, arrange an appointment with and/or pain relief for the knee the physiotherapist at the community health centre Who: Aunty, Aboriginal worker, HACC Coordinator 2 2.1 2.2 3 3.1 3.2 4 4.1 4.2 Plan developed: / / Target Review date: / / □ □ Case Conference: Yes No □ □ Yes No Service User understands and agrees to this plan: Signature if applicable: Date: / / Attach more sheets as necessary. This information collected by: CP Page 2 of 3 Name: Position/Agency: Sign: Date / / Contact number:
Care Plan Opportunities (list in order of priority) Agreed goal (measurable) Action/s to be taken & by whom Target date 1 Pain in the knees – need to investigate cause and treatment options 1.1 would like to find out causes of her knee pain by the end of March Action: Arrange a visit to the GP on Thursday at 10am Who: Aunt: HACC Coordinator or Aboriginal worker will provide information to the GP with Aunty’s consent Tuesday 1.2 Seek advice about treatment and/or pain relief for the knee Action: Following the GP and if appropriate, arrange an appointment with the physiotherapist at the community health centre Who: Aunty, Aboriginal worker, HACC Coordinator Date / time 2 2.1 2.2 3 3.1 3.2 4 4.1 4.2 Plan developed: / / Target Review date: / / Case Conference: Yes □ No □ Service User understands and agrees to this plan: Yes □ No □ Signature if applicable: Date: / / Attach more sheets as necessary. This information collected by: CP Page 2 of 3 Name: Position/Agency: Sign: Date / / Contact number:
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