Slide 2
Usually, discharge planning refers to the client leaving the hospital for home. However, discharges occur among many other settings. Within a facility it can occur from one unit to another. For example, a client with a stroke may move from medical unit to s rehabilitation unit, Or a client with trauma may move from the emergency department to an intensive care unit. Clients may move from hospital to a long-term care agency, from rehabilitation center to home, or from a home health care setting to a hospital or so on Example cancer patients Each agency generally has its own policies and procedures related to discharge. Many agencies have case managers or discharge planners, a helath or social services professionals who coordinates the transition and acts as a link between the discharging agency and the receiving facility.
Slide 3 Remember Ideally, and especially for the most complicated medical conditions, discharge planning is done with a team approach.
Slide 4
In some situations
Effective discharge planning involves ongoing assessment to obtain comprehensive information about the clients ongoing needs and nursing care plans to ensure the clients an and caregivers needs are met. After Both types of conferences give the client, family, and health care professionals the opportunity to mutually plan care and set goals. Slide 6
DISCHARGE PLANNING: HOME ASSESSMENT PARAMETERS: Personal and health data Age, sex, heaight and weight, cultural beliefs and practices, medical history. Current health status, surgery Abilities to perform activities of daily living
Abilities for dressing, eating, toileting, bathing, ambulating Disabilities/Limitations Sensory losses (auditory, visual) Motor losses (paralysis, amputaion), communication disorder, mental confusion or depression Caregivers Responses/Abilities Principal caregivers relationship to client. Thoughts and feelings about clients discharge, expectations for recovery, health and coping abilities. Comfort when performing needed care Financial Resources Financial resources and needs (equipment, supplies, medications and special food required) Community supports Family members, friends, neighbors, volunteers, nutrition services, health centers, community health nurses, Home hazard appraisal Safety precautions (stairs with or without handrails) Need for health care assistance Special dietary needs, friendly visiting, assistance with bathing, wound care, tubes, intravenous medications. Referrals/agencies
Rehabilitation Support Groups Community agencies Kinds of high risk Homeless Suspected abuse Trauma victims