Transcript Patient discharge

Patient discharge
objective
• By the end of this lecture you
will be able to :
Explain the ideal process of
patient discharge .
Formal discharge
• Patient who meet of the flowing
criteria need formal discharge
plan and referral to another
agency :
- Lack of knowledge of the
treatment plan .
- Social isolation .
Con..
- Recently diagnosed chronic
disease .
- Major surgery .
- Emotional or mental instability .
- Complex home care regimen .
- Financial difficulties .
- Terminal illness .
Con..
- Prolonged recuperation from
major surgery or illness .
When you are planning for a
patients discharge home, your
responsibilities are similar to
those in transfer to another unit
and include the following :
1- obtaining order for discharge
2- planning for continuity of care
3- teaching the patient
4- performing a final assessment
5-caring for personal property
6- performing business functions
7- Providing home healthcare
referrals
8- documentation
obtaining order for discharge
An order is needed for patient to
be discharged. Although the
nurse begins planning for the pts
discharge as early as admission,
if you have been told verbally that
pt is to be discharge but the Oder
has not yet been written, you may
sometimes complete such tasks
as ordering take home
Medications and making patient
assessment before the actual
discharge order is written .
planning for continuity of care
and setting goals with patient
Your nursing responsibility does
not end when the pts leaves the
area in which you work .you are
responsible to see that plans
are made for continuing care as
needed .
Con…
- Set the realistic goals and
involved the patient in
establishing it to met expected
outcomes of plan of care .
- encourage pts to call the unit
after discharge if they have any
concerns .
teaching the patient
Explain what will happen and
when it will happen. The pt
may need information about
medications, treatments,
activity, diet, and continued
heath supervision. form
detailing home care
instructions may be given
to pt being discharge .
Preparing a final assessment
Before a pt leaves your unit, you
must prepare a final
assessment ( assessing the
limitations and strengths of the
patient , family or support
person and the environment and
community resources).
Con..
• Include the pts physical status ,
psychosocial status, and ability
to continue or participate in
care .
Caring for personal property
Be sure that all personal
belongings accompany the
patient especially critical are
dentures, glasses, and special
appliances such as crutches .
Performing business functions
Before a pt leaves healthcare
facility, it is customary for
either the pt or the family to
consult with the business office
regarding financial matters.
Providing home
healthcare referrals
• For home healthcare visits to be
reimbursed , the physician must
write an order for all services
and the patient must meet the
eligibility criteria .
Documentation
Document your plans for
continuity of care, pt teaching ,
final assessment , disposition of
personal items, and completion
of business functions .
Evaluating discharge
planning effectiveness
• My be carried out way of
telephone call or home visit or
… ,To ensure the quality and
appropriateness of services .