REVIEW PROCESS OF DISCHARGE PLANNING

1. REVIEW PROCESS OF DISCHARGE PLANNING By Janet Bowen

2. 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.

3. 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.

4. 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.

5. 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

6. 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

7. Crucial part of discharge planning • Medical record review • Assessment • patient mental state • support system • financial position • Patient Interview and family involvement

8. 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?

9. 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

10. 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

11. 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