Engaging the client

Engaging the client (and his or her caregiver, if appropriate) in the development of an individualized care plan that reflects his or her health care needs and priorities. 

Identifying all of the barriers

Ensuring that the client and his or her caregiver understand their role outlined in the care plan and feel equipped to fulfill their responsibilities. üIdentifying all of the barriers— psychological, social, financial, and environmental—that affect the client’s ability to adhere to treatments or maintain their health. üAssembling the appropriate team of health care professionals to address the client’s needs.