Aged Care Nursing Care Plans

Aged Care Nursing Care Plans

  • Prakash Bartaula
  • 9 July, 2024
6 Min Read

Aged care nursing care plans are comprehensive documents crucial for delivering high-quality, person-centred care to older adults in Australia. They outline the specific care needs, goals, and interventions for residents in aged care facilities or home care services, providing consistent and individualized care. Key components include assessments, identification of care needs, goal setting, intervention planning, and progress evaluation. These plans enhance communication among care staff, residents, and families, maintain high standards of care.

Aged Care Nursing Care Plans

Aged care nursing care plans are essential tools for providing high-quality, person-centred care to older adults in Australia. These plans help ensure that each resident receives individualised care tailored to their unique needs, preferences, and goals. Let’s explore the key aspects of aged care nursing care plans and how they contribute to optimal care for older Australians.

What is an Aged Care Nursing Care Plan?

An aged care nursing care plan is a comprehensive document that outlines the specific care needs, goals, and interventions for an older adult residing in an aged care facility or receiving home care services. It serves as a roadmap for care providers, ensuring consistency and continuity in the delivery of care.

Aged Care Nursing Care Plans

Key components of an aged care nursing care plan include:

  • Assessment of the resident’s current health status
  • Identification of care needs and goals
  • Specific interventions and strategies to meet those needs
  • Evaluation criteria to measure progress and outcomes

Importance of Care Plans in Aged Care

Care plans play a crucial role in aged care for several reasons:

  1. Person-centred care: They ensure that care is tailored to each individual’s unique needs, preferences, and goals.
  2. Continuity of care: Care plans provide a consistent approach across different shifts and care providers.
  3. Communication tool: They facilitate clear communication between care staff, residents, and family members.
  4. Quality assurance: Care plans help maintain high standards of care and ensure compliance with aged care regulations.
  5. Risk management: They identify potential risks and outline strategies to mitigate them.

Key Areas Covered in Aged Care Nursing Care Plans

Aged care nursing care plans typically address a wide range of areas to ensure comprehensive care. Some of the key areas include:

1. Activities of Daily Living (ADLs)

Care plans outline the level of assistance required for basic daily activities such as:

  • Personal hygiene and grooming
  • Dressing and undressing
  • Eating and drinking
  • Mobility and transfers
  • Toileting

2. Medical Management

This section covers:

  • Medication management
  • Chronic disease management
  • Pain management
  • Wound care

3. Nutrition and Hydration

Care plans address:

  • Dietary requirements and restrictions
  • Assistance with eating and drinking
  • Monitoring of food and fluid intake

4. Mobility and Falls Prevention

This area focuses on:

  • Mobility aids and equipment
  • Exercise and physical activity programs
  • Falls risk assessment and prevention strategies

5. Cognitive and Mental Health

Care plans may include:

  • Cognitive stimulation activities
  • Behaviour management strategies
  • Depression screening and management
  • Dementia care approaches

6. Social and Emotional Wellbeing

This section covers:

7. Skin Integrity and Pressure Injury Prevention

Care plans address:

  • Skin assessment and monitoring
  • Pressure injury prevention strategies
  • Wound management

8. Continence Management

This area focuses on:

  • Continence assessment
  • Toileting schedules
  • Incontinence product management

Steps in Developing an Aged Care Nursing Care Plan

Creating an effective aged care nursing care plan involves several key steps:

  1. Comprehensive Assessment: Conduct a thorough assessment of the resident’s physical, cognitive, emotional, and social needs.
  2. Identify Care Needs: Based on the assessment, identify specific care needs and priorities.
  3. Set Goals: Establish clear, measurable goals for each identified care need.
  4. Develop Interventions: Create specific interventions and strategies to address each care need and achieve the set goals.
  5. Determine Evaluation Criteria: Establish criteria to measure progress and determine the effectiveness of interventions.
  6. Document the Plan: Clearly document all aspects of the care plan in a format that is easily accessible to all care providers.
  7. Implement the Plan: Put the care plan into action, ensuring all staff are aware of their responsibilities.
  8. Regular Review and Update: Continuously monitor the resident’s progress and update the care plan as needed.

Example Care Plan Entries

To illustrate how care plan entries might look, here are a few examples:

Mobility and Falls Prevention

Goal: Maintain current level of mobility and reduce risk of falls.


  • Assist with transfers using a walking frame
  • Encourage participation in daily exercise program
  • Ensure walking aids are within reach at all times
  • Conduct regular environmental safety checks

Evaluation: Monitor incidents of falls and assess mobility level monthly.

Nutrition and Hydration

Goal: Maintain adequate nutrition and hydration status.


  • Provide assistance with meals as needed
  • Offer preferred drinks regularly throughout the day
  • Monitor and record daily food and fluid intake
  • Refer to dietitian for specialised meal plan if required

Evaluation: Weekly weight checks and daily monitoring of food and fluid intake.

Best Practices for Aged Care Nursing Care Plans

aged care plan

To ensure the effectiveness of aged care nursing care plans, consider the following best practices:

  • Involve the Resident: Whenever possible, include the resident in the care planning process to ensure their preferences and goals are considered.
  • Collaborate with Family: Engage family members or representatives in the care planning process to gain valuable insights and support.
  • Use Clear Language: Write care plans in clear, concise language that is easily understood by all care providers.
  • Regular Reviews: Conduct regular reviews of care plans to ensure they remain current and effective.
  • Individualise Care: Avoid generic care plans and ensure each plan is tailored to the individual resident’s needs and preferences.
  • Focus on Strengths: Highlight and build upon the resident’s strengths and abilities, not just their limitations.
  • Promote Independence: Where possible, include interventions that promote and maintain the resident’s independence.
  • Consider Cultural Needs: Ensure care plans are culturally appropriate and respect the resident’s cultural background and practices.

Challenges in Implementing Care Plans

While care plans are essential tools in aged care, there can be challenges in their implementation:

  1. Time Constraints: Developing and updating comprehensive care plans can be time-consuming for busy care staff.
  2. Staff Training: Ensuring all staff are trained in developing and following care plans can be challenging.
  3. Resident Compliance: Some residents may be resistant to certain aspects of their care plan.
  4. Changing Needs: The rapidly changing needs of some residents can make it difficult to keep care plans current.
  5. Documentation: Ensuring accurate and timely documentation of care plan implementation can be challenging.

To address these challenges, aged care facilities can:

  • Implement efficient documentation systems
  • Provide ongoing staff training on care planning
  • Regularly review and streamline care planning processes
  • Encourage open communication between staff, residents, and families


Aged care nursing care plans are vital tools in providing high-quality, person-centred care to older Australians. By addressing the diverse needs of residents, from physical health to emotional wellbeing, these plans ensure that each individual receives comprehensive, tailored care. While developing and implementing care plans can present challenges, the benefits in terms of improved care quality, resident satisfaction, and regulatory compliance make them an essential component of aged care practice.

As the aged care sector continues to evolve, care plans will remain a cornerstone of effective care delivery, helping to ensure that older Australians receive the respectful, dignified, and personalised care they deserve.


Prakash Bartaula

Joined : 5 April, 2024

I’m deeply passionate about the National Disability Insurance Scheme (NDIS) and dedicated to exploring its intricacies. Through research, communication, and writing, I aim to shed light on NDIS provisions and empower individuals with disabilities. Join me as we navigate the transformative potential of the NDIS together.

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