LIFE CARE PLANNING
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LIFE CARE PLANNING
A Life Care Plan is a tool used to estimate future medical and related costs for an individual who suffers from injuries and/or a chronic illness. The Life Care Plan identifies and projects the costs of reasonable and necessary services, supplies, and equipment over an estimated life expectancy.
The Life Care Plan helps support and validates the resources necessary to assure an individual is able to obtain and maintain a reasonable quality of life, with dignity and respect. The intention is to address the client as a whole using the team approach. The Life Care Plan should serve as a “road map” to ensure funds will be available to properly care for the client.
The Nursing Process
Our certified nurse life care planners (CNLCP®) utilize the nursing process to develop a client specific lifetime plan of care, which addresses the individual as a whole, using a team approach, versus simply identifying needs that are associated with a specific medical diagnosis. The nursing process includes assessment, nursing diagnosis, planning, outcome identification, implementation, and evaluation. It supports evidence-based practice and relies heavily on the bidirectional feedback loops between components in order to achieve desired outcomes.
The same principles of critical thinking and utilizing the nursing process apply when our certified nurse life care planners review the opposing life care planner’s life care plan or develop a separate life care plan for the defense. Our certified nurse life care planners are able to perform a detailed review of an existing life care plan for you and develop a report, for which they will testify to if needed, or work behind the scenes.
Whether requested by an insurance company, healthcare consumer, plaintiff or defense attorney, the individual’s welfare is always the foremost concern. This translates into a comprehensive and individualized plan of care, based on the individual’s specific needs.
At Northeast Life Care Planning, we believe that nurses are best suited to develop and/or review life care plans. Nurses use assessment and clinical judgment when identifying actual or potential problems, risks, and/or health promotion opportunities. Certification is a formal recognition that validates knowledge, experience, skills and judgment within a specific nursing specialty. We appreciate the value life care planning certification can bring to your case and require it of all our nurse life care planners.
As certified nurse life care planners (CNLCP®), we develop/review plans of care for individuals with catastrophic and/or chronic health care conditions such as:
Our brain controls everything we do, say, think and feel. When an individual suffers a brain injury, the effects can be mild or devastating, affecting not just the individual, but his/her family and loved ones.
The Brain Injury Association of America (BIAA) has developed the following definitions regarding brain injuries:
“A traumatic brain injury (TBI) is defined as a blow or jolt to the head or a penetrating head injury that disrupts the function of the brain. Not all blows or jolts to the head result in a TBI. The severity of such an injury may range from “mild”, (I.e., a brief change in mental status or consciousness) to “severe”, (I.e., an extended period of unconsciousness or amnesia after the injury). A TBI can result in short or long-term problems with independent function.
Acquired brain injury (ABI) is an injury to the brain that is not hereditary, congenital or degenerative. Acquired brain injuries are caused by some medical conditions, including strokes, encephalitis, aneurysms, anoxia (I.e., lack of oxygen during surgery, drug overdose, or near drowning), metabolic disorders, meningitis, or brain tumors”.
According to the Brain Injury Association of America, despite the cause, a brain injury may result in an impairment of cognitive abilities, physical functioning, and/or disturbance of behavioral or emotional functioning. Cognitive issues may include slowed ability to process information as it is received, memory loss, lack of initiation, problems concentrating, organizational difficulties, and poor judgment. Physical issues can include fatigue, headaches, balance issues, muscle spasticity, and seizures. Emotional/behavioral issues can include mood swings, anxiety, agitation, impulsivity, and depression. All or some of these issues may be present.
Brain injury affects not only the individual but can have lasting effects on families and communities. Roles and relationships change and the financial ramifications may be extensive. Our certified nurse life care planners are ready to assist you with navigating our complex healthcare system or developing a lifetime plan of care for your client outlining all of his/her future care needs.
The Life Care Plan Includes:
Extensive review of available medical and billing records, expert reports, depositions, and interrogatory responses.
Nursing assessment/interview of the individual and significant family members/care takers, when possible. Review of the process and methodology used by opposing life care planner when reviewing an existing life care plan
Collaboration with treating providers and experts as needed/allowed
Identification of nursing diagnoses
Research and identification of projected future medical and non-medical needs and associated charges. A side-by-side comparison with rationale for comments/opinions and verification of calculations, pricing, and supporting documentation when reviewing an existing life care plan
A detailed narrative report that includes, but is not limited to, the individual's medical history, summary of medical care, psychosocial/vocational history, list of symptoms/limitations, providers, recommendations, and medications
Itemized tables outlining projected future medical and non-medical care with associated charges based upon your specific needs (e.g., workers' compensation fee schedule, usual and customary fees).
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