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.

Standard 2. Diagnosis

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

Standard 3. Outcomes Identification

The nurse life care planner identifies expected outcomes for a life care plan individualized to the healthcare consumer or situation.

Standard 4. Planning

The nurse life care planner develops a plan that prescribes strategies, interventions, and alternatives to attain projected outcomes.

Standard 5. Implementation

The nurse life care planner provides for implementation of the plan.

Standard 5A. Coordination of Care

The nurse life care planner provides for coordination of the planned care and services throughout the lifespan.

Standard 5B. Health Teaching and Health Promotion

The nurse life care planner provides strategies to promote health and safety.

Standard 5C. Consultation

The nurse life care planner provides consultation to evaluate, develop, and influence the plan of care, enhance others’ ability, and effect change.

Standard 6. Evaluation

The nurse life care planner evaluates progress towards plan outcomes.

Standard 7. Ethics

The nurse life care planner practices ethically.

Standard 8. Education

The nurse life care planner attains knowledge and competence that reflects current nursing practice.

Standard 9. Evidence-Based Practice and Research

The nurse life care planner integrates research findings and evidence into practice.

Standard 10. Quality of Practice

The nurse life care planner contributes to quality nursing and nurse life care planning practice.

Standard 11. Communication

The nurse life care planner communicates effectively in a variety of formats in all areas of practice.

Standard 12. Leadership

The nurse life care planner demonstrates leadership in the professional practice setting and the profession.

Standard 13. Collaboration

The nurse life care planner provides collaboration with healthcare consumers, healthcare providers, and others, in the conduct of practice.

Standard 14. Professional Practice Evaluation

The nurse life care planner self evaluates nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations.

Standard 15. Resource Utilization

The nurse life care planner recommends appropriate resources for safe, effective, and financially responsible healthcare services.

Standard 16. Environmental Health

The nurse life care planner practices in an environmentally safe and healthy manner.

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.