Applying The Models Of Reflection

Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations

The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. The lack of consistency with both the discharge process and the quality of discharge planning has led to many avoidable readmissions. To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition.

Firstly I felt nervous at the start as I was doing things I had never encountered before I was also apprehensive about how well I would perform in front of the other nurses. as the procedure went on I became flustered and more nervous which made me even more jittery and I started to loose track of what I was doing this made me annoyed with myself, all this combined made me suddenly feel very hot and dizzy I tried to concentrate on what I was doing but it was impossible. After I had recovered I just felt a bit stupid and embarrassed.

While implementing Primary Health Care models, identical to those in metropolitan areas, in a rural setting is not practical, I feel there is an obvious need to improve primary health care in remote areas. This is due to the significant health gap between Indigenous and non-Indigenous Australians, in rural and remote areas

Discharge planning is a routine feature of health in many countries. The aim of discharge planning is to reduce hospital length of stay and unplanned readmissions to hospital, to improve the co-ordination of services following discharge from hospital thereby bridging the gap between the hospital and community (S. Shapperd, 2008). The focus of this story is discharge planning that occurs while

During the whole situation from the moment we pulled up out side the house I was very nervous and wanting to give a good impression only made this worse. Once we had entered the house and met Tom I calmed down a little. I was surprised at my own reaction of distaste when I entered the house and encounter a grumpy drunk so early in the morning; I had no prior knowledge of his situation (Claire later informed me that his wife had recently divorced him and he was having difficulties coping).

The following databases were reviewed for this systemic review: CINAHL Plus, MEDLINE, ERIC and Cochrance. The following journals were reviewed and information obtained for this systemic review: Nursing Times, Journal of Gerontological Nursing and The American Journal of Nursing. The following expert organizations were reviewed: World Health Organization (WHO) and Centers for Medicare and Medicaid Services (CMS). This systematic review was conducted by searching for “Effective discharge planning; does it decrease hospital readmission rates?”. The search was further limited by information that was published within the last five years and in the United States.

A key aim of discharge planning is to provide good continuity of care to ensure good patient outcomes, hence effective handover to primary care. This is most often achieved through the immediate discharge document.13 Limited data are available on discharge documentation, but recent audits have shown that key facts and data such as follow-up arrangements, new diagnoses, and accurate medication lists are often omitted.14 15 16 The Scottish Intercollegiate Guidelines Network (SIGN) has recommended that senior staff should approve every immediate discharge document.13 Box 3 outlines the recommended minimum content for discharge documentation. In complex or unwell patients, contacting the general practitioner, community matron, or specialist nurse before discharge may be necessary to ensure an effective handover. See also the scenario box (Case study part 4).

This semester I learned a lot about writing in English 151. It has been a roller coaster ride with these essays for me this semester. I learned step by step how to write a good essay and how to have your readers be engaged in what you’re trying to tell them. Each essay I did has taught me something valuable I can take to the next level of English. I feel as if as the semester went by I did not take my writing that seriously and that reflected in my grades I received in each essay. It made me a better student and writer and it will reflect next semester. In this essay, I will reflect on what I learned throughout this semester that you should apply in your writing when you begin English 151.

Literature found that hospital discharge delays are raising in the last years, affecting mostly elderly people. According to the NHS (2016) from 2015 to 2016 the hospital discharge delays have been increased 17.3%. 79% of respondents have experienced delays when discharged from hospitals. Lack of communication between agencies has been found in the literature as one of the principal barriers to discharge people on time. Some of the respondents (16%) have pointed that they had to stay longer in

Increasing emphasis has been placed on discharge planning since the publication of the NHS Plan (DH, 2000), advocated the freeing up of acute beds by considering improvements in the way patients could be moved into intermediate or community care settings. Discharge planning has been identified as requiring greater collaboration between hospital and community professionals, since problems associated with discharge are often the result of poor communication and co-ordination between professional groups (McKenna, et al., 2000; Bull and Roberts, 2001).

The first key driver is that the process of discharge and clinical letters are not managed on time. In fact, the poor service performance was investigated and identified by the CCG in this GP surgery where the delay in discharge letters procedure has negatively affected on the result of service evaluation. Moreover, the delayed procedures of these letters will result in delayed transfer of care that can have catastrophic impact on patient’s life and increase the cost for both NHS and wider public sector. In terms of patient safety, the delay in follow up services can lead to worsening of their current condition or increase the chance of relapse on their previous condition and eventually rehospitalisation.

Discharge instructions and planning are vital components of patient care and when properly done, ensure that patients meet the needs requires to restore or maintain their health (Reddick & Holland, 2015, p. 1).

Using the seven key principles of the hospital discharge process devised by the Department of Health (DH, 2003), this case study will critically analyse the process of an elderly patient who was discharged from a local acute trust. It begins by providing a definition of discharge planning, before providing a brief biography of the patient, including a rationale of why this patient was selected, details of her past medical history, reason for current admission, any issues raised and details of any care provided. Throughout this case study, in accordance with the Nursing and Midwifery Council (NMC, 2008) and the Data Protection Act (1998), the patient shall be referred to as Mrs. Blue to maintain anonymity. Although the

In 1938, Donald Schon’s The Reflective Practitioner: How Professionals Think in Action was published. He promoted two types of reflection, which he referred to as 1) reflection-on-action and 2) reflection-in-action (Somerville and Keeling, 2004). Reflection-on-action is the most common used reflection among practitioners. It involves constantly re-accounting what happened in the past. Reflection-in-action is a form of reflection mainly used by professional