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Discharge Planning: A Comprehensive Guide with Questions and Answers, Exams of Nursing

Liberty University (LU)Nursing

A comprehensive overview of discharge planning, a crucial aspect of healthcare. It covers key concepts, processes, and roles involved in ensuring a smooth transition for patients leaving a healthcare setting. Questions and answers, making it a valuable resource for students and professionals seeking to understand discharge planning principles and practices.

Typology: Exams

2024/2025

Available from 02/14/2025

Papersbylynn
Papersbylynn 🇺🇸

561 documents

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Discharge Planning Test Correct
100%.!
Discharge Planning - ANSWER-The systematic process for preparing the patient to leave the
healthcare setting & continuing of their care
-Begins when they are admitted
-Already gathering info for when they go home
-Case manager does all discharge planning!
Discharge Planning Assessment - ANSWER-Comprehensive information abt clients ongoing needs
-Health care team conferences, focus on how to indiviualize client care
-Family conferences where health professionals & family discuss client issues
-Personal & health data
-Ability to perform ADLs
-What limitations?
-Caregivers responses & abilities
-Adequacy of financial resources
-Hazards & Barriers in home environment
-Community support
-Home health nurse? Pharmacy deliver?
***CASE MANAGERS JOB!
Continuity of Care - ANSWER-Process by which health care providers give appropriate, uninterrupted
care and facilitate the patients transition to diff settings and levels of care.
-Resources they need and appropriate after hospital care
Who needs discharge planning? - ANSWER-Everyone no matter what prognosis!
-It does not matter where they are going after always discharge plan!
PROCESS - ANSWER-Begins on admission!
-Assess strengths & limitations
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Discharge Planning Test Correct

Discharge Planning - ANSWER-The systematic process for preparing the patient to leave the healthcare setting & continuing of their care -Begins when they are admitted -Already gathering info for when they go home -Case manager does all discharge planning! Discharge Planning Assessment - ANSWER-Comprehensive information abt clients ongoing needs -Health care team conferences, focus on how to indiviualize client care -Family conferences where health professionals & family discuss client issues -Personal & health data -Ability to perform ADLs -What limitations? -Caregivers responses & abilities -Adequacy of financial resources -Hazards & Barriers in home environment -Community support -Home health nurse? Pharmacy deliver? ***CASE MANAGERS JOB! Continuity of Care - ANSWER-Process by which health care providers give appropriate, uninterrupted care and facilitate the patients transition to diff settings and levels of care. -Resources they need and appropriate after hospital care Who needs discharge planning? - ANSWER-Everyone no matter what prognosis! -It does not matter where they are going after always discharge plan! PROCESS - ANSWER-Begins on admission! -Assess strengths & limitations

-Considers individual, family & community resources -Involves patient, caregiver, & health care professionals responsible for care while is in hospital & returns home -Evaluates effectiveness of care! -Usually coordinated by the nurse -What can patient do by themselves? -Do they fear going home alone? -Who will resume responsibility of care? **CASE MANAGERS ARE USUALLY RNS! Goal - ANSWER-Client & family will achieve optimum level of wellness -Client back to pre hospital functioning -Highest level they can achieve -How to cope & adapt to their changes Medication Reconciliation - ANSWER-Current information must be communicated in the health care team when pt moves from one location or care level to another one. -Process of comparing all medications a client is & should be taking with newly ordered or changed medications NURSE RESPONSIBILITY -Done on admission & when they go home -Educate the pt on new medications they are going home with Referrals - ANSWER-Home care referrals are often made before discharge for: Elderly, Children w/ complex conditions, frail people who live alone , or those who lack or have a limited support system, caregiver with failing health, home presents barriers to safety -Is there a new diagnosis that needs to be covered? New onset of diabetes-do they need to see an endocrinologists?? Procedure for Discharge/Transfer - ANSWER-See that patient has discharge order -Give discharge instructions & have client sign the instructions-Parent or legal guardian for underage -Make sure patient has made financial arrangements -Return their valuables-They leave with everything they arrived with!

-Where supplies can be obtained -Tell verbally & give a written copy to refer back to at home Against Medical Advice (AMA) - ANSWER-May be unhappy with their care or the cost of their care -Nurses Role: Prevention, notify the physician, Sign AMA form, witness, provide their teaching, DOCUMENT! -They cannot leave if on 72 hour hold or in mental hospital -Insurance will not pay if they leave AMA -Can be prevented by education and making patient feel involved in their care -Always notify their provider! -If leave before AMA is signed, two nurses can witness this -Document because undocumented information can easily be turned into lawsuit -BE SURE PATIENT KNOWS OUTCOMES OF THIS DECISION