Nurse Life Care Planning Standards of Practice

Nurse Life Care Planning Standards of Practice

The following standards of practice and performance are adapted from the American Nurses Association 2010 Nursing: Scope and Standards of Practice, Second Edition.

Standard 1. Assessment

 The nurse life care planner performs comprehensive data collection pertinent to the healthcare consumer’s health and unique situation.

Competencies: The nurse life care planner:

  • Collects comprehensive data including but not limited to physical, functional, psychosocial, emotional, cognitive, sexual, cultural, age-related, environmental, spiritual/transpersonal, and economic assessments in a systematic and ongoing process while honoring the uniqueness of the person.
  • Assesses any exiting plan of care.
  • Analyzes current plan of care for adherence to current standards and clinical guidelines.
  • Elicits the healthcare consumer’s values, preferences, expressed needs, and knowledge of the healthcare situation when possible and as appropriate. Includes the healthcare consumer, family, and healthcare providers in data collection when possible and as appropriate.
  • Identifies barriers (e.g., psychosocial, literacy, financial, cultural) to effective communication and makes appropriate adaptations.
  • Identified unwarranted or unwanted treatment and causes of healthcare consumer suffering in the current plan of care.
  • Recognizes the impact of personal attitudes, values, and beliefs.
  • Assesses family dynamics and impact on healthcare consumer health and wellness.
  • Prioritizes data collection based on the healthcare consumer’s history, current condition and anticipated needs or situation.
  • Uses appropriate evidence-based assessment techniques, instruments, and tools.
  • Analyzes data and information to prescribe necessary system and community support measures, e.g., home modifications, nursing care, counseling. synthesizes available data, information, and knowledge relevant to the situation to identify patterns and variances.
  • Applies ethical, legal, and dissemination of data and information.
  • Recognizes healthcare consumers as unique sources of information on their own health.
  • Documents relevant data in a retrievable format.

Standard 2. Diagnosis

The nurse life care planner analyzes assessment data to determine diagnoses and issues.

Competencies: The nurse life care planner:

  • Derives diagnoses and issues based on assessment data.
  • Validates the diagnoses or issues with the healthcare consumer, family, and other healthcare providers when possible and appropriate.
  • Identifies actual and potential risks to the healthcare consumer’s health, safety, and barriers to health, including but not limited to interpersonal, systematic, and environmental circumstances.
  • Uses standardized classification systems and clinical decision support tools, when available, in identifying diagnoses.
  • Documents diagnoses and issues in a way that makes it possible to identify expected outcomes, establish priorities, and develop the life care plan.