Discharge Planning In Nursing

Improved Essays
Discharge Planning
Discharge planning is a very important component in patient care. According to Gholizadeh, Delgoshaei, & Gorji (2016), “Discharge planning is a main concept for quality patient care and sustainability of health system”, (p. 168). It consists of making sure the patient is discharged with the proper care and resources before leaving the hospital. “Discharge planning is a complicated process which is composed of assessment of patient during admission in the hospital, training the patient and their family, post-discharge follow-up and evaluation”, (Gholizadeh, Delgoshaei, & Gorji, p.g 168). According to Horwitz, Moriarty, & Chen, “safely transitioning patients from hospital to home is a complex process that requires successfully
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Ongoing review: The patient is currently on Medicare. The patient’s care and needed resources are currently being followed for discharge. The patient has the potential to become debilitated, so the patient will be closely observed. Pulmonology and Cardiology are currently being consulted during patients stay.
Oxygen: The patient is currently on 2 liters of home oxygen and CPAP at bedtime. Patient states that he uses Medi Home Care to supply his respiratory and oxygen therapy at home. Patient is currently on Medicare and states he has no problem with supplying his equipment. Pulmonology is currently being consulted during patients stay.
Equipment request: Patient has not request any equipment at this time. Physical Therapy, Occupational Therapy and home health will be sent to evaluate patient’s home and living conditions to see if he will need any new equipment before being discharged.
Equipment available/delivery: Patient states that he uses a cane and a wheelchair to get around at home. He also states that he uses a CPAP machine and home oxygen supplied by Medi Home Care for respiratory and oxygen therapy at home. Patient states he does not need anything delivered, he currently has all supplies at
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Patient has the necessary equipment at home (cane, wheelchair, CPAP, home oxygen, etc.), needed for care. The discharge coordinator will review patient’s needs for anything he may need before being discharged home. If it is determined that the patient may need resources, the discharge coordinator will arrange for it. Patient will also be discharged with oral antibiotics.
Discharge address: The patient will be discharged home with spouse via POV to Scranton, SC.
Provisional discharge: The patient was admitted on 11-8-17 with a diagnosis of Severe Sepsis and Respiratory Distress. The patient will be placed on IV antibiotics for approximately 4 to 5 days and will be discharged home with oral antibiotics. The patient is expected to be discharged on 11-12-17, unless the patient becomes debilitated. If the patient becomes debilitated, his stay may be delayed and he will have to be inpatient longer than plan.
Discharge date: The patient currently does not have an official discharge date, but provisional discharge date has been discussed with spouse. Patient’s spouse agrees with the treatment and discharge plan for the patient. The spouse also agrees that the patient has equipment and resources at home. Spouse agrees to transport patient home once

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