Discharge Plan

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

This week’s reflection paper focuses practice-based evidence and the operation of the theoretical framework of person-in-environment as each relates to discharge planning at UMPC Mercy Detoxification Unit (UPMC-MDU).

The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.

2. Plenty of potatoes, bread, rice, pasta and other starchy foods- All this kind of foods are healthy but we cannot have too many of them, but we need to make sure that we have them in our diet and this is because it gives us or nutritional needs of fibre which we need.

10. List five suggestions you might make to teach him about lifestyle modifications and techniques he can use to prevent or minimize future problems and rational for each.

It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.

What does your state law say regarding public hospitals and discharging patients who do not have a place to go?

In order to be sure that you are giving the right medication, you must read the medication label carefully. Check the spelling of the medication carefully. Make sure that the medication name is on the label, the medication order and medication log match, before giving the medication. Make sure you triple check.

Hospitals and other medical facilities like to keep things moving along efficiently. One tasks that might get out of hand is the discharge summary. This is a summary of the patient's hospital stay. Creating a discharge summary is a difficult tasks for those working in a busy hospital environment. However, the staff at numerous medical facilities discovered that a discharge summary template helped to simplify the entire process. Often, the quality of the summary affects the entire standing of the hospital. Therefore, it is important that the hospital create a professional quality discharge summary that is clear, precise, and complete.

Note amount, color, and character of sputum. Monitor pulmonary function tests before initiating therapry and periodically during therapy. Observe for paradoxical bronchospasm (wheezing). If condition occurs, withhold medication and notify HCP immediately. Implementation: PO: Administer oral medication with meals to minimize gastric irritation. Do not break, crush, or chew ER tablets Inhaln: Shake inhaler well, and allow at least 1 min. between inhalations of aerosol medication. Prime the inhaler befoe first use by releasing 4 test sprays into the air away from face – ProAir Respiclick doesn’t require priming. Teaching: Instruct pt. to take albuterol as directed. If on a scheduled regimen, take missed dose as soon as remembered, spacing remaining doses or increase the dose at regular intervals. Caution pts to not exceed recommended dose or frequency of doses; may cause adverse effects (paradoxical bronchospasm, or loss of effectiveness of medication. Instruct pt to contact HCP immediately if SOB is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain. Instruct pt. to prime unit with 4 sprays before using and to discard canister after 200 sprays. Actuators should not be changed among products. Evaluation: Prevention or relief of

Shopping for fresh fruits, vegetables, and seafood a few times a week. This diet requires you to grill, bake, and broil instead of frying food. Snacks can be quick and easy, too. For example, grab a clementine or a handful of nuts, or dip whole wheat pita chips into hummus.

The way forward for the client is eating on time, using better cooking methods that preserve the nutrients in the food and to cut on snacks that she eats more often (Wildman et al., 2014). I want Ella as my client not to obsess about the scale or end goal. She should focus on the individual goals by enjoying her nutrition plan that will include five tips of protein, veggies, fruit, eating complex carbohydrates only after a workout and eating every 2-4 hours to ensure she reaches her outcome goal. As a new client with lower motivation and so close to the holidays, I purpose that we have an assessment meeting every two weeks for nutrition counseling during which time we will be looking for progress and making changes to anything that isn’t working well for her. If the client changes their mind, I will use the defaulter tracing records so that they are brought for the healthy and all inclusive

Many nurses associate cost control with the efficient use of material supplies or the minimization staffing cost. Nurse’s knowledge and leadership are critical to improving the healthcare system and ensuring access, cost and quality care (Dunham-Taylor & Pinczuk, 2015). Every interaction with a patient provides the nurse with an opportunity to advocate for finical health of the patient and the facility. Patient education may be the nurses strongest tool to help control health care cost. Soon, a direct correlation of cost savings maybe be seen with effective discharge planning and instruction. Discharge planning has always been important, but now it is critical with readmissions less than 30 days resulting in loss reimbursement (Dunham-Taylor

The first step is to provide oxygen therapy to this patient who is struggling to breathing.

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