Registered Nurses' Association of Ontario

Plan of Care with Health Team

  • One very useful tool to guide the delivery of care to a client is the individual plan of care.
  • The care plan identifies client needs and sets out the level of services and care needed to meet those objectives.
  • The care plan addresses all needs of the client including, but not limited to, communication, nutrition, hygiene, mobility and social interaction.
  • The care plan identifies:
    1. Problems determined during the initial assessment;
    2. Client-centred goals as they relate to the identified problems including achievable outcomes; and
    3.  Interventions or strategies aimed at achieving the desired goals.
  • When regularly reviewed and updated, the care plan can provide accurate, relevant and consistent communication between all care providers.

To view a sample care plan click here

Clinical Management
Oral Health: Nursing Assessment and Intervention
Sample Tools