Negotiated Care Plan: Hypertension, Insomnia, Schizophrenia, and Mental Health

Resident Name: [Insert Name]

Date of Admission: [Insert Date]

Primary Diagnosis: Hypertension, Insomnia, Schizophrenia, and Mental Health Concerns

Care Team: Resident, Family, Caregivers, Primary Care Physician, Psychiatrist, Therapist, Pharmacist

1. Medical Care & Medication Management

Goals: Maintain stable blood pressure, manage psychiatric symptoms, and promote medication adherence.

• Administer prescribed antihypertensive medications as per physician’s orders.
• Monitor blood pressure daily and report any abnormal readings.
• Ensure adherence to antipsychotic and other prescribed medications; monitor for side effects.
• Schedule regular follow-ups with the primary care physician and psychiatrist.
• Coordinate medication refills with the pharmacist to prevent lapses.
• Provide psychoeducation on the importance of medication compliance.

2. Mental Health Support & Behavioral Management

Goals: Stabilize mental health, provide emotional support, and prevent crisis episodes.

• Encourage participation in individual and group therapy sessions.
• Implement coping strategies for stress and anxiety (e.g., mindfulness, relaxation techniques).
• Develop a crisis intervention plan with clear escalation steps.
• Maintain a structured routine to provide predictability and reduce anxiety.
• Train caregivers on schizophrenia symptoms and de-escalation techniques.
• Foster a safe and non-judgmental living environment.

3. Sleep Hygiene & Insomnia Management

Goals: Improve sleep quality and establish a consistent sleep routine.

• Establish a fixed bedtime and wake-up time.
• Limit caffeine intake in the evening.
• Encourage relaxation techniques before bedtime (e.g., reading, deep breathing).
• Provide a comfortable, quiet, and dark sleep environment.
• Monitor and report any changes in sleep patterns to the healthcare team.
• Adjust medication timing if necessary under physician guidance.

4. Nutrition & Lifestyle Management

Goals: Promote a balanced diet and encourage physical activity.

• Provide a low-sodium, heart-healthy diet.
• Encourage hydration and limit processed foods.
• Support participation in light physical activities (e.g., walking, stretching).
• Educate on the importance of lifestyle choices in managing hypertension and mental health.

5. Social & Emotional Well-being

Goals: Foster social connections and emotional support.

• Encourage participation in social activities within the adult family home.
• Facilitate family visits and maintain communication with loved ones.
• Promote engagement in hobbies and personal interests.
• Assign a key caregiver for emotional support and companionship.

6. Safety & Crisis Prevention

Goals: Ensure a safe living environment and minimize risk.

• Conduct regular safety checks to prevent falls and accidents.
• Keep emergency contacts easily accessible.
• Train caregivers to recognize early signs of mental health deterioration.
• Implement emergency protocols for psychiatric crises or hypertensive emergencies.
• Ensure appropriate supervision while maintaining resident independence.

7. Regular Review & Adjustment of Care Plan

Review the care plan every three months or as needed based on changes in health status.

Involve the resident in care plan updates to respect their preferences and autonomy.

Maintain open communication between the resident, family, and care team.

Resident Agreement

I have reviewed and agree with the above care plan. I understand my rights and responsibilities in my care.

Resident Signature: ________________________

Caregiver Signature: _______________________

Date: ____________________