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When creating a discharge plan, be sure to include the following: Client education regarding the patient, their problems and needs, and description of what to do, how to do it, and what not to do. History of the hospitalization and an explanation of test data and in-hospital procedures.
The purpose of discharge planning is to enable both the health professional and older adult to work together to plan their return home, identify any needs and organise support for after discharge [9, 10].
According to Medicare, discharge planning is a process that determines the kind of care a patient needs after leaving the hospital. Discharge plans should ensure a patient's transition from the hospital to another medical facility or to their home is as safe and smooth as possible.
Essentially, the discharge planning nurse serves as a connection between in-patient care and follow-up or out-patient care. They help to make sure that the patient and their family understand exactly what to do after discharge to prevent injury and encourage healing. They are a crucial part of proper patient care.
Put simply, discharge to assess (D2A) is about funding and supporting people to leave hospital, when safe and appropriate to do so, and continuing their care and assessment out of hospital. They can then be assessed for their longer-term needs in the right place.
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Discharge planning is an interdisciplinary approach to continuity of care and a process that includes identification, assessment, goal setting, planning, implementation, coordination, and evaluation.
In general, discharge planning is conceptualized as having four phases: (1) patient assessment; (2) development of a discharge plan; (3) provision of service, including patient/family education and service referral; and (4) follow-up/evaluation [12].
Information for the patient. Most discharge letters include a section that summarises the key information of the patient's hospital stay in patient-friendly language, including investigation results, diagnoses, management and follow up. This is often given to the patient at discharge or posted out to the patient's home ...
The discharge planner may be one of the following persons: (1) social workers2, 9, 11, 17; (2) a nurse18, the patient's primary nurse19, the nurse in charge of the unit20, the hospital liaison nurse13, a \u201csuper\u201d nurse (clinical care coordinators)21, or a registered nurse located within the social work department11; (3) ...
Put simply, discharge to assess (D2A) is about funding and supporting people to leave hospital, when safe and appropriate to do so, and continuing their care and assessment out of hospital. They can then be assessed for their longer-term needs in the right place.

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