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    Discharge Planning Final

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    Rose Ann
    The document outlines the discharge planning process, which involves ongoing assessment of a client's needs from admission through discharge. The assessment covers health status, living situation, mobility, meals, and more. Nursing is responsible for providing discharge instructions covering medications, exercise, hygiene, follow-up appointments, diet, and spiritual support. The goals of discharge are for the client to be stable, understand their condition and home care plan, and participate in ongoing care.

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    Discharge Planning Final

    Uploaded by

    Rose Ann
    536 views5 pages
    The document outlines the discharge planning process, which involves ongoing assessment of a client's needs from admission through discharge. The assessment covers health status, living situation, mobility, meals, and more. Nursing is responsible for providing discharge instructions covering medications, exercise, hygiene, follow-up appointments, diet, and spiritual support. The goals of discharge are for the client to be stable, understand their condition and home care plan, and participate in ongoing care.

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    The document outlines the discharge planning process, which involves ongoing assessment of a client's needs from admission through discharge. The assessment covers health status, living situation, mobility, meals, and more. Nursing is responsible for providing discharge instructions covering medications, exercise, hygiene, follow-up appointments, diet, and spiritual support. The goals of discharge are for the client to be stable, understand their condition and home care plan, and participate in ongoing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    536 views5 pages

    Discharge Planning Final

    Uploaded by

    Rose Ann
    The document outlines the discharge planning process, which involves ongoing assessment of a client's needs from admission through discharge. The assessment covers health status, living situation, mobility, meals, and more. Nursing is responsible for providing discharge instructions covering medications, exercise, hygiene, follow-up appointments, diet, and spiritual support. The goals of discharge are for the client to be stable, understand their condition and home care plan, and participate in ongoing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5
    At a glance
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    The key takeaways are that discharge planning involves assessing the ongoing needs of the client, developing a plan for their care after leaving the hospital, and educating the client and their family on how to care for themselves at home. It is a collaborative process between nurses, doctors, and other healthcare professionals.

    The main components of discharge planning are ongoing assessment of the client's needs, developing a management and treatment plan, providing instructions on medications, exercises, follow-up care, hygiene and health teachings.

    Some nursing responsibilities during discharge planning include providing instructions on medications and care, teaching the client and family about health issues, arranging follow-up appointments and referrals, and ensuring the client understands their condition and treatment plan.

    D.

    DISCHARGE PLANNING
    Discharge Planning is a process of preparing a client to leave one level of care
    for another
    DISCHARGE CONSIDERATION:
    A start from the moment patient is admitted to the hospital, where length of stays
    is considerably shortened.
    INVOLVES THE FOLLOWING:

    Ongoing assessment to obtain comprehensive information about the clients


    ongoing needs

    current health status; prognosis; surgery

    neighbors & friends; community health care & facilities

    stairways; bathroom/ hallways/ floorings; lightings; ambulatory devices

    ambulating; meal preparation; transportation

    wound care assistance

    equipment; supplies; medications; special foods required

    MANAGEMENT & NURSING RESPONSIBILITIES:


    Pre-eclampsia occurs only in the presence of a placenta. The management of
    pre-eclampsia is complicated by the presence of the fetus. The only definitive therapy
    for preeclampsia is delivery. After birth, most women will stabilize within 48 hours.
    However, because of the risk of eclampsia during the first 24 to 48 hours, careful
    monitoring of vital signs, level of consciousness, and DTRs and laboratory assessments
    are continued.

    54 | P a g e

    Nursing Responsibilities such as:

    Instructions of care

    Health teachings

    Advices on follow up, schedules of examination

    Referrals
    Either in written form or verbally depending on clients or family members level of

    education & maturity.


    Discharge teaching should begin during the perinatal period, and continue
    throughout the intrapartum and postpartum period. The main tasks of the caregiver who
    attends the postpartum period is to measure and record blood pressure after delivery, to
    swiftly identify symptoms that could be indicative of preeclampsia (headache, visual
    disturbances, epigastric pain), to protect the woman from damage during fits, and to
    arrange transport to a hospital or referral centre in case of a serious rise of blood
    pressure combined with these symptoms.
    Attention should also be given to signs of emotional and physical fatigue and
    other problems that might arise from them.
    Community health nurses have the opportunity to have ongoing assessments as
    well as caregivers in their environment. They can provide support and resources as
    needed.
    DISCHARGE GOALS:

    Hemodynamically stable, free-of-seizure activity

    Condition, prognosis, therapeutic regimen understood

    Participating in care with plan in place for home monitoring/management

    55 | P a g e

    DISCHARGE INSTRUCTIONS:
    M
    MEDICATION
    E
    EXERCISE/ ENVIRONMENT
    T
    TREATMENT
    H
    HYGIENE/ HEALTH TEACHINGS
    O
    OUT-PATIENT FOLLOW-UPS
    D
    DIET
    S
    SPIRITUAL

    Medications
    -Instruct the patient or significant others regarding the compliance of medication
    to hasten healing
    -Instruct to take medication with meal to prevent GI upset
    -Inform patient and significant others regarding the proper storage of medications

    Exercise & Environment


    Incorporating regimen to ADL such as:
    1. Breathing
    2. Walking
    3. Calisthenics
    4. Reading & other
    5. Mental exercises
    6. Relaxation

    While she may be up walking, strenuous physical activity will increase her

    bleeding and is not a good idea.


    The first time she gets up, someone should be with her to assist in getting her

    back down if she feels light-headed.


    Encourage the patient to do some exercise every morning such as a simple

    walking.
    Provide environment within normal room and body temperature.
    Maintain safe environment.
    Institute seizure precaution.
    Teach patient to perform passive range of motion exercises on patients

    extremities.
    Education about abdominal muscle tone and exercises is explained
    56 | P a g e

    Treatment
    -Emphasize the importance of treatment regimen
    Hygiene and Health Teachings
    1. Refers to clients ability
    a. dressing up
    b. eat
    c. toilet activity
    d. bathing (tub, shower, sponge)
    2. Refers to ambulating (with or without aids)
    3. Refers to transferring (assistance/ aide)
    a. from bed to chair
    b. in and out of bath
    c. in and out of car
    4. Refers to meal preparation
    5. Refers to Transportation
    6. Refers to shopping
    o Encourage and explain the importance of breast feeding to the client.
    Breastfeeding especially the first milk, colostrum, can reduce postpartum
    bleeding/hemorrhage in the mother, and to pass immunities and other
    benefits to the baby.
    o Advice client to let her child expose to mild sunlight in order to balance
    and avoid excess bilirubin in the blood.
    o Mother and her support person are informed of abnormal signs or
    symptoms to watch for in the first several days following discharge and
    given written instructions on how to receive assistance if questions or
    emergencies arise.
    o It is important to establish bladder function early in the post partum phase.
    Because bladder distention due to post partum bladder atony or urethral
    obstruction is common, encourage the woman to void early and often.
    o Stress on proper oral and body hygiene.
    o Provide information to enhance self-care
    57 | P a g e

    Out-patient
    1. Appointment schedule for follow-up checks
    2. Inform relatives regarding importance of compliance on follow-up check up.
    3. Instructions or requirements (if any) on scheduled follow-up
    4. Clinic Schedules
    Diet (collaborative)
    Advised client to eat proper diet. Encourage her to eat more vegetables and
    frequent intake of liquids. Advised her to eat food which are rich in protein, iron and
    vitamin C. Protein helps to repair body tissues, iron provides formation of Red blood
    cells and ascorbic acid for helping absorption of iron.
    Refer to dietician for dietary instructions.

    SPIRITUAL ASPECT

    Belief

    Faith

    Hope

    Verbalization with significant others

    58 | P a g e

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