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What Is a Life Care Plan? A Comprehensive Guide for Plaintiff Attorneys

Dr. Andrew Tisser, DO MBA & Gina Marra, RN LCSW LNC CLCP

A life care plan is a comprehensive, evidence-based document that projects the future care needs of a person who has suffered a catastrophic injury or chronic condition, and assigns a defensible cost to each of those needs over the person's lifetime. In plaintiff litigation, it is the foundation of the future damages claim.

It answers a question that a medical record cannot answer on its own: given this injury, what will this person need for the rest of their life, and what will it cost?

What a Life Care Plan Actually Contains

A properly constructed life care plan is not a list of expenses. It is a structured projection grounded in the medical record, the treating providers' recommendations, and published standards of care. A comprehensive plan typically addresses:

**Projected physician and specialist care.** Ongoing visits with the physiatrist, neurologist, orthopedist, or other specialists the injury requires, at documented frequencies.

**Diagnostic testing and imaging.** Recurring studies needed to monitor the condition over time.

**Rehabilitation therapies.** Physical therapy, occupational therapy, speech-language pathology, and cognitive rehabilitation, with realistic durations and frequencies.

**Medications and medical equipment.** Prescription needs and durable medical equipment, including replacement schedules for wheelchairs, prosthetics, and assistive devices that wear out and must be repurchased across a lifetime.

**Attendant and skilled nursing care.** Often the largest single line item, projecting the hours and level of care required, from home health aide support to skilled nursing.

**Home and vehicle modifications.** Ramps, accessible bathrooms, lifts, and adapted transportation.

**Surgical and complication projections.** Anticipated future procedures and the reasonably foreseeable complications associated with the injury.

Why It Is a Clinical Document, Not a Spreadsheet

The number at the bottom of a life care plan is only as defensible as the clinical reasoning behind it. Every projected need must trace back to the medical evidence: a treating provider's recommendation, an established standard of care for the diagnosis, or a documented functional deficit. A plan that projects costs without that clinical foundation does not survive cross-examination.

This is why the credential matters. A Certified Life Care Planner (CLCP) is trained in the methodology that ties each projected need to its clinical basis and each cost to a defensible source. When a life care plan is built by a nurse life care planner who also understands how records are read in litigation, the projection is both clinically sound and litigation-ready.

Where Case Veritas Fits

Case Veritas offers comprehensive, multidisciplinary life care plans as an ancillary service to its core medical case screening. Plans are developed with the involvement of a Certified Life Care Planner and a board-certified physician, grounding the future-care projection in the same clinical rigor we bring to merit screening. If you have a catastrophic injury case and need a life care plan, we can prepare one on a case-by-case basis. Email us to discuss the case.

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