What is the difference between independence and dependence in care planning?

• A. Independence supports client autonomy; dependence relies more on caregiver support.
• B. Independence means no care is needed ever.
• C. Dependence means patient controls all decisions.
• D. Independence means medication management is removed.

Answer: (C)

Independence in care planning means the person retains control over their choices and daily activities, with support provided as needed to help maintain that autonomy. Dependence means the person relies more on others—for tasks, decisions, and daily routines—rather than acting independently.

The option that best captures this distinction says independence supports client autonomy while dependence relies more on caregiver support. That wording aligns with the goal of care planning to maximize the person’s own decision-making power and involvement in their care, while recognizing that some help from caregivers may still be necessary.

It’s important to remember that independence doesn’t mean “no care at all.” It also doesn’t imply that the patient controls every decision in every situation or that medication management is always removed. In real care planning, a person can be independent in many areas while receiving appropriate support for tasks that are challenging, such as complex medication management or safety concerns.