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