title: Is it time for a comprehensive approach in older home care clients' care planning in Finland?
abstract: BACKGROUND
  Home-care services require access to high quality information. Apart from the provision of right-time organised planning of care and to document information about clients' needs, in home care, the care planning is intended to facilitate continuity and individual nursing through nursing documentation of the assessment of the client.
  
  
  OBJECTIVE
  The aim was to describe the contents of older (+75 years) home-care clients' electronic care and service plans and to evaluate how the clients' resources have been taken into account.
  
  
  METHODS
  The data were collected from the care and service plans (n = 437) of home-care services during July 2010. The data were analysed by quantitative methods and by thematic content analysis.
  
  
  RESULTS
  Based on the analysis, medication was the most reported component in all plans (92.7%); other commonly reported components were self-care (85.4%) and coping (78.0%). Components within respiratory, follow-up treatment, life cycle and health behaviour were forgotten. Most of the care and service plans were designed from the home-care professionals' point of view but the plans lacked the perspective of older clients.
  
  
  CONCLUSIONS
  To be able to promote older home clients' ability to live at home, home-care planning needs to be individually designed and must take into account clients' needs and their perspectives regarding meaningful activities and social relationships. In addition, there is a need to develop a more comprehensive care planning system, based on the clients' individual needs and standards of care planning.
authors.affiliation: Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
authors.forename: Riitta
authors.initials: R
authors.lastname: Turjamaa
authors.affiliation: Faculty of Health Sciences, Research Centre of Geriatric Care, School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
authors.forename: Sirpa
authors.initials: S
authors.lastname: Hartikainen
authors.affiliation: Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
authors.forename: Mari
authors.initials: M
authors.lastname: Kangasniemi
authors.affiliation: Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.|Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland and Health Care Services, Kuopio, Finland.
authors.forename: Anna-Maija
authors.initials: AM
authors.lastname: Pietilä
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004282:Documentation; D005260:Female; D005387:Finland; D006295:Health Resources; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D011787:Quality of Health Care; D012648:Self Care
keywords: care planning; home care; home-care professional; nursing documentation; older home-care client; resources