Review Process of Discharge Planning: by Janet Bowen
Review Process of Discharge Planning: by Janet Bowen
Review Process of Discharge Planning: by Janet Bowen
OF DISCHARGE
PLANNING
By Janet Bowen
WHAT IS DISCHARGE
PLANNING
Discharge planning is the process by
which the patient is assisted to develop
a plan of care for ongoing maintenance
and improvement of health care even
after he or she may be discharge from
the acute care hospital.
IMPLEMENTATION OF DISCHARGE
PLANNING
Discharge planning has been part of nursing for
a long time.
It is a vital aspect of patient care and labeled as a
patient’s right.
Patient’s play an important role in contributing
to care outside the hospital.
Hospitals continue with the continuity of care
and allows many patient to be independent
quickly.
What is necessary for the
Discharge Process?
Advisement of the next Doctor’s visit. Review of
the patient Medicare insurance payment.
Explanation of the patient medication regiment.
Uniformity with home health care in the home.
Any type of equipment for example like
wheelchair, walker special beds are taken care of
before the discharge.
Multidisciplinary Process of discharge
planning
Discharge planning department
Continuity of care department
Clinical social work department
Patient management Services
Case management Department
Patient resources department
Utilization management services.etc
Variation in the discharge planning process
Over 65 years of age and lives alone
Developmentally disable, regardless of age
Suspected abuse or neglect
Admitted from a nursing home, residential care home,
or specialty hospital
No known address or residence outside the area
Readmissions within 30days
Attempted suicide
Crucial part of discharge planning
Medical record review
Assessment
patient mental state
support system
financial position
Patient Interview and family involvement
Questioning the patient intelligence and
observation in discharge planning process
Does he or she follow instruction?
Does he or she seem angry at or fearful of family
members?
Does the patient live in a house, condo apartment?
Does the patient share a bedroom with someone.
Who is responsibility for laundry, meals and
shopping?
Education, Teaching Return demonstration
Diet
Diabetic teaching
Crutch training, walker or wheel chair mobility
Help necessary for grocery shopping
Bed adequacy
Transfer from bed to chair
Family participation
Financial burden
Benefits Available
Medicare is available to people who meet
requirements.
65 years old
Disabled for two years or longer
People with permanent kidney failure
Application to the program before age 65.
Medicare part A and Medicare part B
Appropriate Discharge planning
Focus on health education
Disease management
Reduction in hospital cost
Patient rights/involvement of family and decision
making
discharge planner integrity
Smooth transition into the community
Follow up phone call within 24 hours of discharge