Download - Discharging Ppt
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DISCHARGINGDISCHARGING
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METHODSMETHODS
y M- Medications
y E- Environment
y T-Treatment
y H- Health teaching
y O- Outpatient referral
y D- Diet
y S- Spirituality
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A. THE PROCEDURE FORA. THE PROCEDURE FOR
DISCHARGINGDISCHARGING
yAlways check with the
nursing supervisor to be surethe patient has officially been
discharged by the doctor.
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On the day the patient is toOn the day the patient is to
be discharged:be discharged:Check when the patient will be
leaving
Set up a schedule for thepatient's care so that the patient
does not become too tired.
Allow for a rest period between
the bath and packing
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yMake sure the patient is ready
when family members arrive
yAs you help the patient with
her/his care, make sure theinstructions are understood
about home care and follow-up
visits.yHave the nurse answer any
questions the patient has.
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yAsk a family member to
check with the businessoffice this person will be
given a release paper stating
financial matters for thepatient have been taken care
of and the patient is ready
for discharge.
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yHelp the patient into a
wheelchair, and wheelhim/her to the entrance of
the healthcare facility
nearest the car.yChart the Patients
Discharge
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The following information should be
charted :
The date and time the patient
was discharged.
The way the patient left thehealthcare facility.
Any special instructions, diet, or
medications the patient is to
continue after discharge.
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REFERRAL SYSTEMREFERRAL SYSTEM
y - is a systematic problem approach
that helps clients to use resources
that meet their health care needs.y -it also involves knowledge of
community resources and an ability
to solve, problems, set priorities,coordinate, and collaborate.
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Home care referrals are oftenHome care referrals are often
made for:made for:y Elders
yChildren with complex conditions
y Frail person who live aloneyThose who have lack or have a
limited support system
yThose who have a care giver whosehealth is failing
yThose whose home presents barriers
to their safety
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Components of referralComponents of referral systemsystem
yHealth System
yInitiating facility
yReferral practicalitiesyReceiving Facility
y
Supervision and capacitybuilding
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DISCHARGE PLANNING: HOMEDISCHARGE PLANNING: HOME
ASSESSMENT PARAMETERSASSESSMENT PARAMETERS
yPersonal and health data
yAbilities to perform activities
of daily living
yDisabilities/limitationsyCaregivers responses/abilities
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y
Financial resourcesyCommunity supports
y
Home hazard appraisalyNeed for health care
assistance
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TIPS ON HOW TO MAKETIPS ON HOW TO MAKE
EFFECTIVE DISCHARGEEFFECTIVE DISCHARGEINSTRUCTIONSINSTRUCTIONS
Provide a hospitable learning
environmentHelp your patients decide who
should be involved in the
learning process.Establish a baseline of
knowledge.
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Ask your client what they think
they need to know.What do they need to know to
go home safely?
Are there any cultural, religiousor beliefs and practices
Assess a patients motivation
prior to embarking on ateaching plan.
Establish special needs of your
patient.
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Leave your judgments at
the door. Be open to conversation
when caring for your
patient. Break up the time you
spend educating
Adults speed of learning
changes over time.
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Utilize your resources.
Evaluate the success of yourteaching.
Be sure to document your
teaching properly
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FIN