Page 102 - CPE E-BOOK ROUGH COPY

Advanced Spiritual Care Case Conference Report

Name: Total Number of Visits with Person:
Date and Time of Visit: Number of Reports Written re: this Person:
Length of Visit: Total Number of Reports:

1: PRELIMINARY DATA

CASC Competency 1.4: Planning: Co-develops with the client(s) a spiritual care plan that complements and is
integrated with the inter-professional care plan, treatment and interventions

Record what you know about this patient/family member/staff before this visit. Summarize
pertinent information from previous visits.

What was your spiritual/pastoral plan?

2: INITIAL IMPRESSIONS

CASC Competency 5: Documentation and Charting: Documents clinical assessments, interventions and
referrals in a way that is understood by members of the inter-professional team. Uses clear and concise language
that respects whole person care. Provides concise statements about the significance of appearance, voice quality,
and/or non-verbal communication in clinical interactions

Set the scene and give a word picture of the patient/family member.

3: THE VISIT

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