{
  "schema_version": "uw.editorial_geo.v1",
  "route_id": "AGE-088",
  "catalog_id": "AGE-088",
  "article_index": "AGE-088",
  "language": "en",
  "headline": "Revising a care plan when needs and capacities change",
  "description": "Review a plan through particular changed conditions while retaining the recipient’s independence and voice. Observation, needs assessment, fresh agreement and assistance begun differ. Improvement can require review too. An old agreement does not automatically cover a new need, and a revised document proves no delivered care.",
  "short_answer": "Review a plan through particular changed conditions while retaining the recipient’s independence and voice. Observation, needs assessment, fresh agreement and assistance begun differ. Improvement can require review too. An old agreement does not automatically cover a new need, and a revised document proves no delivered care.",
  "master_filename": "ARTICLE_EN.md",
  "master_revision": 1,
  "expected_revision": 0,
  "master_sha256": "d623c32ee830212870b4cec71e1cc13ee0b13af77ac73d01c549aa359824bd92",
  "claims": [
    {
      "id": "C1",
      "text": "Review may follow regained independence, needs, caregiver capacity or service changes; age predetermines no direction.",
      "type": "authorial_distinction",
      "source_ids": [],
      "article_sections": [
        "I. Notice a change in a particular activity",
        "II. Review includes independence regained",
        "IV. A helper's capacity changes separately from the recipient's need"
      ],
      "attribution": "United Wisdom reasoning on fictional Mikhail/Alina scene"
    },
    {
      "id": "C2",
      "text": "The UN Principles support participation and dignity alongside assistance; individual authority and clinical sufficiency do not follow from that norm.",
      "type": "normative_principle",
      "source_ids": [
        "S3"
      ],
      "article_sections": [
        "II. Review includes independence regained",
        "VI. Changed participation needs a fresh answer"
      ],
      "attribution": "Named source within recorded limits"
    },
    {
      "id": "C3",
      "text": "NHS describes considering everyday care needs separately from a family timetable; this is a bounded administrative example.",
      "type": "bounded_official_example",
      "source_ids": [
        "S4"
      ],
      "article_sections": [
        "III. Observation and assessing a need perform different tasks"
      ],
      "attribution": "Named source within recorded limits"
    },
    {
      "id": "C4",
      "text": "NHS connects plan content and review with suitable current support; local timing and funding are not generalised.",
      "type": "bounded_official_example",
      "source_ids": [
        "S5"
      ],
      "article_sections": [
        "V. A revised record should show what differs",
        "X. Review ends with checking and allows another review"
      ],
      "attribution": "Named source within recorded limits"
    },
    {
      "id": "C5",
      "text": "Marcus Aurelius informs a philosophical question about change; Stoicism proves no care arrangement safe and does not justify blaming someone for anxiety.",
      "type": "philosophical_comparison",
      "source_ids": [
        "S1",
        "S2"
      ],
      "article_sections": [
        "VIII. Change is not a moral defeat"
      ],
      "attribution": "Named source within recorded limits"
    },
    {
      "id": "C6",
      "text": "Agreement, assistance actually begun and a current record require distinction; intentions or dates leave possible gaps open.",
      "type": "authorial_distinction",
      "source_ids": [],
      "article_sections": [
        "VI. Changed participation needs a fresh answer",
        "VII. Check a transition through assistance actually begun",
        "IX. Participants need to understand the current record"
      ],
      "attribution": "United Wisdom reasoning on fictional Mikhail/Alina scene"
    }
  ],
  "questions": [
    {
      "id": "Q1",
      "q": "Is deterioration the only reason to revise a plan?",
      "a": "No. Regained independence and changed caregiver capacities can affect an existing arrangement too.",
      "source_ids": [],
      "article_sections": [
        "II. Review includes independence regained",
        "IV. A helper's capacity changes separately from the recipient's need"
      ]
    },
    {
      "id": "Q2",
      "q": "Does review prove previous assistance wrong?",
      "a": "No. The old arrangement may have fitted former conditions; present change is considered separately.",
      "source_ids": [],
      "article_sections": [
        "I. Notice a change in a particular activity"
      ]
    },
    {
      "id": "Q3",
      "q": "Does observation establish a medical need?",
      "a": "No. A family record retains known facts rather than determining diagnosis, safe waiting or treatment.",
      "source_ids": [],
      "article_sections": [
        "I. Notice a change in a particular activity",
        "III. Observation and assessing a need perform different tasks"
      ]
    },
    {
      "id": "Q4",
      "q": "Does a new document confirm a service started?",
      "a": "No. Enquiry, assessment, recommendation, agreement and assistance actually begun are different outcomes.",
      "source_ids": [],
      "article_sections": [
        "III. Observation and assessing a need perform different tasks",
        "VII. Check a transition through assistance actually begun"
      ]
    },
    {
      "id": "Q5",
      "q": "Does review require continuously watching the recipient?",
      "a": "No. Agree an appropriate reason to revisit and contact while preserving privacy; check the affected part without manufacturing care failure.",
      "source_ids": [],
      "article_sections": [
        "IX. Participants need to understand the current record",
        "X. Review ends with checking and allows another review"
      ]
    }
  ],
  "sources": [
    {
      "id": "S1",
      "author": "Marcus Aurelius; translator George Long",
      "title": "Meditations,Book IV",
      "url": "https://classics.mit.edu/Antoninus/meditations.4.four.html",
      "read_scope": "Identification18–24,selected26–45,69–98,entire paragraph78; not whole book",
      "edition": "George Long translation; exact printed basis not established",
      "limitations": "Stoic philosophy of change, no clinical fact, favourable outcome guarantee or duty to tolerate harm",
      "read_date": "2026-10-19",
      "rights_status": "UNKNOWN",
      "search_executor": "Codex web.run / branch E author; reused read scopes identified",
      "rights_notes": "Limited original analysis/paraphrase and short attributed reader quotations; no full source import/vectorization or access bypass"
    },
    {
      "id": "S2",
      "author": "Marcus Aurelius; translator George Long",
      "title": "Meditations,Book VII",
      "url": "https://classics.mit.edu/Antoninus/meditations.7.seven.html",
      "read_scope": "Identification18–24,selected26–64,entire paragraph48; not whole book",
      "edition": "George Long translation; exact printed basis not established",
      "limitations": "Same work asS1, another actually used context, not an independent philosophical tradition or evidence against fear",
      "read_date": "2026-10-19",
      "rights_status": "UNKNOWN",
      "search_executor": "Codex web.run / branch E author; reused read scopes identified",
      "rights_notes": "Limited original analysis/paraphrase and short attributed reader quotations; no full source import/vectorization or access bypass"
    },
    {
      "id": "S3",
      "author": "UN General Assembly",
      "title": "United Nations Principles for Older Persons",
      "url": "https://olderpeople.wales/about/about-us/legal-powers/un-principles/",
      "read_scope": "All18principles28–60, read in this branch for AGE-081; same reading reused",
      "edition": "Resolution46/91,16December1991; official Welsh commissioner reproduction",
      "rights_status": "UNKNOWN",
      "limitations": "Normative dignity/privacy/participation, no legal authority or individual capacity assessment",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch E author; reused read scopes identified",
      "rights_notes": "Limited original analysis/paraphrase and short attributed reader quotations; no full source import/vectorization or access bypass"
    },
    {
      "id": "S4",
      "author": "NHS",
      "title": "Getting a care needs assessment",
      "url": "https://www.nhs.uk/social-care-and-support/help-from-social-services-and-charities/getting-a-needs-assessment/",
      "read_scope": "Entire main14–82 and dates87–88 read for AGE-090 in this branch",
      "edition": "Reviewed22August2024;next22August2027",
      "limitations": "British administrative example, not local entitlement, funding, clinical assessment or safe waiting period",
      "read_date": "2026-10-19",
      "rights_status": "UNKNOWN",
      "search_executor": "Codex web.run / branch E author; reused read scopes identified",
      "rights_notes": "Limited original analysis/paraphrase and short attributed reader quotations; no full source import/vectorization or access bypass"
    },
    {
      "id": "S5",
      "author": "NHS",
      "title": "Care and support plans",
      "url": "https://www.nhs.uk/social-care-and-support/help-from-social-services-and-charities/care-and-support-plans/",
      "read_scope": "Entire main14–75 and dates78–79",
      "edition": "Reviewed30June2026;next30June2029",
      "limitations": "British plan content/review, not universal process, funding or period; no guarantee services have actually begun",
      "read_date": "2026-10-19",
      "rights_status": "UNKNOWN",
      "search_executor": "Codex web.run / branch E author; reused read scopes identified",
      "rights_notes": "Limited original analysis/paraphrase and short attributed reader quotations; no full source import/vectorization or access bypass"
    }
  ],
  "retrieval_limits": [
    "Fictional scene; no diagnosis, prescription change, safe waiting interval, automatic age/kinship authority or guaranteed service/funding.",
    "Observation/assessment/agreement/actual delivery remain different. Household review does not replace professional or emergency participation.",
    "No manufactured care failure to test independence/family, compulsory unsafe dialogue or continuous surveillance.",
    "Marcus Aurelius IV/VII are two contexts of one work; philosophy proves no medical safety and demands no denial of harm or emotional calm.",
    "Independent/native/clinical/production acceptance and production schema compatibility NOT_RUN."
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-088:en",
    "headline": "Revising a care plan when needs and capacities change",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}