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    Discharge Planning: Ns. Yufitriana Amir., MSC., PHD., Fisqua Dosen Ilmu Keperawatan Universitas Riau

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    Fajriyatul Kamal
    This document discusses discharge planning, which involves creating individualized instructions and transitioning patients from one level of care to another. Effective discharge planning requires communication between an interprofessional team that may include nurses, social workers, physicians, and therapists. The goal is to improve patient outcomes by ensuring continuity of care and reducing readmissions. Key aspects of discharge planning include protocols, health education, communication techniques, and documentation.

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    Discharge Planning: Ns. Yufitriana Amir., MSC., PHD., Fisqua Dosen Ilmu Keperawatan Universitas Riau

    Uploaded by

    Fajriyatul Kamal
    30 views11 pages
    This document discusses discharge planning, which involves creating individualized instructions and transitioning patients from one level of care to another. Effective discharge planning requires communication between an interprofessional team that may include nurses, social workers, physicians, and therapists. The goal is to improve patient outcomes by ensuring continuity of care and reducing readmissions. Key aspects of discharge planning include protocols, health education, communication techniques, and documentation.

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    Discharge Planning

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    This document discusses discharge planning, which involves creating individualized instructions and transitioning patients from one level of care to another. Effective discharge planning requires communication between an interprofessional team that may include nurses, social workers, physicians, and therapists. The goal is to improve patient outcomes by ensuring continuity of care and reducing readmissions. Key aspects of discharge planning include protocols, health education, communication techniques, and documentation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    30 views11 pages

    Discharge Planning: Ns. Yufitriana Amir., MSC., PHD., Fisqua Dosen Ilmu Keperawatan Universitas Riau

    Uploaded by

    Fajriyatul Kamal
    This document discusses discharge planning, which involves creating individualized instructions and transitioning patients from one level of care to another. Effective discharge planning requires communication between an interprofessional team that may include nurses, social workers, physicians, and therapists. The goal is to improve patient outcomes by ensuring continuity of care and reducing readmissions. Key aspects of discharge planning include protocols, health education, communication techniques, and documentation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 11

    Discharge planning

    Ns. Yufitriana Amir., MSc., PhD., FISQua


    Dosen ilmu keperawatan Universitas Riau
    [email protected]

    1
    Discharge planning
    • Protocol
    • Communication techniques
    • Health education
    • Documentation

    2
    Discharge Planning
    Discharge planning is the process of transitioning a patient from one
    level of care to the next.
    discharge plans are individualized instructions provided to the patient
    as they move from the hospital to home or instructions provided to
    subsequent healthcare providers as they move to a longer-term care
    facility.
    the goal of adequate and efficient discharge planning is to improve a
    patient's quality of life by ensuring continuity of care and reducing the
    rate of unplanned readmissions and/or complications

    3
    Issues of Concern
    chronic diseases and hospitalizations
     the discharge phase often comes earlier in their care
    to take medications as directed, continue to perform daily activities,
    and have the means to follow the plan for outpatient care, which may
    include rehabilitation programs, further testing, follow-up
    appointments, and/or lifestyle modifications.
    The lack of adequate discharge planning and failure of any of these
    elements can result in readmission and decreased quality of life

    4
    Clinical Significance
    Patients with multiple chronic illnesses are more likely to be
    hospitalized, and coordinating their care after discharge can be
    challenging.
    elderly patients, patients admitted for psychiatric treatment, and those
    who experienced major life events like myocardial infarction,
    cerebrovascular accidents, or major surgical procedures will require a
    more robust discharge plan
    require additional coordination of care with rehabilitation facilities,
    long-term care, or home health care,

    5
    educational materials
     educational materials for patients that are easily printed and provided
    with the discharge summary
    these educational materials often contain an explanation of the
    diagnosis, information regarding prescribed medications, and the
    laboratory and imaging results from the hospitalization.
    to address the various needs of the patient with greater ease.
    perform an assessment of their home situation, caregiver support, and
    access to necessary follow-up care.
    their mobility, ease of food preparation, toileting, and other activities of
    daily living.
    6
    Nursing, Allied Health, and Interprofessional Team
    Interventions
    Effective collaboration is the key to successful discharge planning.
    The discharge planning process involves an interprofessional team approach.
    Physicians are responsible for deciding the patient is safe for discharge,
    creating the discharge plan in conjunction with the rest of the team, and
    communicating instructions to the discharge nurse or designated discharge
    personnel
    While having a well-thought-out discharge plan is important, it is just as
    critical to communicate this plan to the necessary providers as well as the
    patient.
    By communicating the discharge plan effectively to the patient, the provider
    can impact the quality of care the patient receives.
    7
     Discharge planning may include nurses, therapists, social workers,
    patients, family members, physicians, occupational and physical
    therapists, case managers, caregivers, and at times, insurance
    companies.

    Each patient's discharge plan is customized to their own particular


    situation and may not necessarily involve all of these specialists.

    8
    The effectiveness of discharge planning
    is difficult to evaluate due to the complexity of the intervention and the
    numerous variables involved
    The quality of discharge planning correlates with a lowered
    readmission rate within 30 days

    9
    Protocol and documentation

    10
    11

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