Review Process of Discharge Planning: by Janet Bowen

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REVIEW PROCESS

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

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