Social work discharge planning template 2025

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Ready to Go - No Delays, one of the High Impact Actions (NHS Institute for Innovation and Improvement, 2009), offers a 10-step process for planning the discharge or transfer of patients. For simple discharges carried out at ward level, the process should be standardised throughout an entire hospital.
The IDEAL (Include, Discuss, Educate, Assess, and Listen) strategy focuses on actively engaging the patient and caregiver in the discharge process. The importance of caregiver engagement is highlighted throughout this framework, recognizing that patients informal networks are key to successful recovery at home.
The process of discharge planning includes the following: (1) early identification and assessment of patients requiring assistance with planning for discharge; (2) collaborating with the patient, family, and health-care team to facilitate planning for discharge; (3) recommending options for the continuing care of the
Social workers act as advocates for clients, trying to get their social and emotional needs considered in the discharge and aftercare planning process. They may advocate for necessary support services or accommodations based on the clients unique circumstances.
Always include the patient and family in team meetings about discharge. Remember that discharge is not a one-time event but a process that takes place throughout the hospital stay. Identify which family or friends will provide care at home and include them in conversations. prevent problems at home.
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Your discharge plan should include information about where you will be discharged to, the types of care you need, and who will provide that care. It should be written in simple language and include a complete list of your medications with dosages and usage information.

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