Ongoing Monitoring

Ongoing monitoring is a process of reviewing the services that have been received since initiation of the care plan, noting what conditions may have changed since then, and tracking progress toward the goals and objectives of the care plan.

The goal of the monitoring process is to stay in contact with the client and family to ensure that services are being delivered, that the clients are satisfied with them and that the agreed -upon time frame is being maintained.

Monitoring the care plan to ensure that it is contributing to the well-being of the individual is critical. Seniors who are living alone and/or experiencing physical or declining cognitive abilities are especially at risk. Even common tasks like bathing, dressing, or preparing a meal can be a challenge.

The monitoring can occur as often as once a day, as little as once a month or even annually, depending on the goals of the plan and the resources that are available. Questions to be addressed include: Has the problem changed? Should the plan be altered? Are we making progress towards the desired goals? Are there new issues that need to be evaluated? Examples of services that may require review include: finances, personal safety, living arrangements, and psychological and physical health status, to name but a few.

Occasionally, there may be a problem, or simply a delay between developing the plan and the provision of services that simple monitoring can correct. If the individual’s circumstances change and require an alteration in level of support, monitoring will allow the care team and family members to keep up with new developments and ensure that the most appropriate and cost effective plan is in place at all times.

In short, monitoring tracks progress toward the goals and objectives of the care plan. It enables you to sure that your loved one has received the services that were part of the initial care plan in a timely manner, and note any changes in your loved one’s health or living situation.