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- 1 Introduction
- 2 IDEAL discharge planning
- 3 Checklist of items for favourable discharge from hospital.
- 4 References
The video below goes into good detail the discharge planning process and outlines 3 basic discharge plans. The basic, the moderate and the complex discharge plan, detailing what is involved in each.
IDEAL discharge planning
The key elements are of discharge planning are incorporated in the IDEAL discharge planning
Include the patient and family as full partners in the discharge planning process.
Discuss with the patient and family five key areas to prevent problems at home:
1. Describe what life at home will be like 2. Review medications . 3. Highlight warning signs and problems . 4. Explain test results . 5. Make followup appointments
Educate the patient and family in plain language about the patient’s condition
Access to be sure the doctors and nurses explain the diagnosis, condition, and next steps in the patient’s care to the patient and family.
Listen to the patient’s and family’s goals, and concerns.
Checklist of items for favourable discharge from hospital.
Anticipated time and date of discharge
Establish the expected time and date of discharge to identify potential problems which may effect the patient’s discharge. Provide details to the patient, their family and carer.
Determine if the patient has a carer (e.g. family member, friend, neighbour, other). Check the carer is happy to assist and capable.
Mobility and independence
If there are concerns regarding post-discharge independence or safety, consult a Physiotherapist Therapist or other relevant allied health
professional e.g. OT, Respiratory Physician, Podiatrist, Dietician, Speech Pathologist. Check use of aids and appliances, and the need for any home modifications. Arrange instruction via eg physiotherapist on the use of aids or appliances as necessary.
Confirm with patient/family/carer whether or not community nursing services are already in place. Forward a timely referral and discharge plan, with appropriate clinical information, to the community nursing agency.
Sufficient quantities of medication should be supplied until the next consultation. Check that the patient understands the purpose, dosage,
frequency and side-effects of their medication, and that no confusion exists between past and present medications.
Recovery and special instructions
Outline expected recovery path and confirm understanding. Provide any necessary or special instructions in writing.
Medical and other appointments
Arrange all necessary appointments. Provide the patient or carer with written details of the appointments.
Ensure relevant clinical information is provided to health professionals.
Discuss future nutritional needs and organise services to meet these if necessary.
DISCHARGE SUMMARY FOR THE PATIENT’S GP
Arrange the issue of a discharge summary to the patient’s GP and referring doctor at the time of discharge, with a copy given to the patient / carer.
Patients medical/other records
Ensure the patient takes with them any private x-rays, scans, medical documents, medicines as well as all personal belongings.
Organise transport home and to follow-up appointments as early as possible.
- Stringfellow memorial. Discharge planning assessment. Available from: https://www.youtube.com/watch?v=QnmGmI3KyIA (last accessed 25.4.2019)
- AHRQ IDEAL discharge planning. Available from: https://www.thewellnessnetwork.net/health-news-and-insights/news/ideal-discharge-planning-smooth-patient-transitions-hospital-home/ (last accessed 25.4.2019)
- Australian Government. Your discharge planning checklist. Available from: http://www.dva.gov.au/sites/default/files/files/providers/hospitals/dpclist.pdf (last accessed 25.4.2019)