Writing and sharing care plans in general practice

摘要

Sharing a well-written care plan allows individuals, carers, emergency care providers and primary care teams to access information about managing patients' problems in line with their wishes. It allows the documentation and sharing of information from conversations with patients, relatives and carers. There are multiple formats for patient care plans, but this article will focus on care planning for patients with frailty or in end of life care. A care plan is only as good as the conversation that informs it. A good care plan requires clear documentation and effective sharing of the information with easy access for all care givers.