Resident Care Profile

The Resident Care Profile captures and communicates additional care-related information for residents in a structured way. Staff can share relevant clinical information using standard nomenclature at the point of transfer. Some key pieces of resident information do not fit well into existing areas of the chart. The Care Profile completes the picture of the resident and is critical to a comprehensive plan of care.

There are 12 sections in the Care Profile: Special Instructions, Auxiliary Devices and Services, Devices and Treatments, Isolation/Precautions, Special Care, Therapies, Risk Alerts, Impairments-Musculoskeletal, Impairments-General, Communication, Smoking Status, and Family Health History.

There are 2 reports available in the Care Profile: Audit Report and Printable View.

  • The Audit Report shows changes made to each section of the Care Profile. It designates the specific Question, Item Value, Revision Date, who made the Revision, and their Position. The current responses appear with grey shaded lines and historical responses appear in white.

  • The Printable View provides a one page view of the Care Profile.

Procedure

  1. Resident chart > click Edit in the resident header > select Care Profile.
  2. Complete the fields as required.
  3. Click Save.

Hints and tips

  • You can use the Special Instructions section for information that is critical to know on a daily basis or for emergencies. The Special Instructions appear on the resident header.
  • Add Family Health History by clicking New and selecting the Family Member Type and ICD Code and Description.
  • Care Profile items flow to assessments (if configured), and vice versa.