omsorgsplan

Omsorgsplan is a document used within Norwegian municipal health and care services that describes an individual’s plan for care and support. It states the person’s goals, current needs, and which services will be provided, including who is responsible for delivering each service. The plan also indicates how often services are given and how progress and outcomes will be evaluated.

Content typically covered in an omsorgsplan includes health and functional status, safety considerations, and the range of services offered. These can include home health nursing, personal and practical care, meals, rehabilitation or training, aids and equipment, housing adaptations, and respite or social support. The plan may also outline goals, priority areas, and the user’s preferences and choices regarding care.

Development and use: The omsorgsplan is prepared by the municipal health and care services in collaboration with the user, and with involvement of family or relatives when appropriate. It is intended to coordinate services, promote continuity of care, and serve as a basis for decisions about what help is provided. In some contexts it may be connected to an individual plan for people with long-term, complex needs.

Updates and access: The plan is reviewed regularly or whenever there are changes in the user’s situation. It is a confidential document, accessible to authorized staff and the user, who should be involved in decisions about care. The omsorgsplan supports coordinated, user‑centered care and can facilitate transitions between services or settings.