Seven Key Principles Of The Hospital Discharge Process

This principle is to ensure that within the hospital, the patients dignity is respected, they are given their own independence, even if that means by supervision of staff and their safety is protected. It’s the staff’s responsibility to ensure that this need is met. For example, when it comes to giving the patients a bed bath, the staff must ensure that the patient’s privacy is protected by not exposing the patient and making sure no others can see by closing the curtains or by closing the door. The patients in the hospital should be encouraged to make their own decisions. Such as, a member of staff should take the menu around each of the patients in the morning and ask them what they would like to eat for that day. I experienced this first-hand during work placement as I was asked to go around the ward and ask each patient what they would like from the set menu. Another method from the principle is before a patient receives further

This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).

The NMC (2015) are the providers of the Nursing Code of Conduct. The code contains the professional standards to which all nurses must uphold, allowing for accountability of patients that come into their care. As well as the code of conduct, all nursing professionals have a responsibility to develop their knowledge in relation to law within clinical practice, and furthermore, ethical frameworks that are linked to judgment and decision making when providing care (Savage & Moore, 2006). In light of this, the overall aim of this essay is to elaborate on issues surrounding law and ethics in nursing. To do so, a case study has been chosen from a previous clinical experience. The focus of the case study will be on the decision of withdrawal from life sustaining treatment. Emphasis will be largely on the law and ethics concerning the issue of withdrawal from treatment. Moreover, the ethics and law involved in the palliative/advanced end of life care planning and decision making. In order to protect the identity and uphold the confidentiality of the case study, a pseudonym will be used throughout. Hendrick (2005) portrays confidentiality as being ‘one of the most important and well established moral obligations of health-care ethics’.

Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.

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).

In 1974, the federal government adopted the Uniform Hospital Discharge Data Set (UHDDS) as the standard to help improve the uniformity and comparability of hospital discharge data, the principal diagnosis, and other diagnoses for hospital procedures; including comparable data that could help to determine which hospitals were best at treating patients and for reporting inpatient data in acute care, short-term care, and long-term care hospitals. This dataset works towards a standardized system of reimbursement for the federal government nationwide which in turn could lower costs, UHDDS helps in collecting general information pertaining the patient and the specific care including the age, sex, and race of the patient. The data elements are collected

The hospital that I worked for while working as a case manager was not in network with Kaiser Permanente. It was also the time when the hospital started to hire hospitalists to manage patient care while they are a patient in the hospital. It actually worked out because it filled in the gap in patient care. The hospitalists were acting as the patient's primary care provider. Kaiser as with many other insurance have a case manager designated to ensure that the patient is meeting criteria not only for an inpatient hospital stay but for the level of care they are receiving as well such as ICU, Stepdown, or Med-Surg. I would have to give them an updated clinical information daily or every 3 days depending on the severity of illness. As a case manager, I was responsible for discharge planning and I preferred to transfer the patients to

In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.

It is important that the patient is aware not only of their rights, but of their individual responsibilities.

Firstly, What? During my first hospital placement on an acute medical ward, I acted as an advocate for an elderly patient who will be named Margaret for this essay. The instruction given to Margaret by the Staff Nurse was regarding her discharge plan and medication she needed to take at home which was not fully understood due to the Nurses Strong foreign accent. However, Margaret agreed to what had been discussed then referred to me to clarify as she didn’t understand what was explained. I advised Margaret I would speak to the nurse concerned,

Permission was consented from the patient to use their condition for this essay; the information was accumulated from their admission, assessment and plan of care. The patient authorized usage of information relating to their period of hospitalisation in agreement that any personal information would not be used. This essay will address this matter in accordance with the Nursing and Midwifery Council (NMC) confidentiality guidelines set out in the Code of Professional Conduct (NMC, 2004). The pseudonym “David” will be used for this reason throughout this essay.

This principle stood out to me as it covers topics that influenced me to study nursing. The standard asses culturally safe and respectful practice, which to me in vital when talking with a patient. The sub-topic I will be analysing is sub-standard 3.2d which acknowledges that a nurse must adopt practices that respect diversity, avoids bias, discrimination and racism and challenges belief based upon assumption. Making assumptions based upon what we see or hear is something that we all do, but as a nurse we must deliver the same level of care to every patient despite our own values and beliefs. A great nurse once said “At a time like this, I am more needed now more than ever” – Edith Cavell. This quote may mean nothing alone but the story behind

Discharge planning and management with an elderly person can become very complicated and should be approached with an open mind and the willingness

An individualized discharge teaching plan for a patient going home from the hospital is essential. In this paper, I will summarize this week’s readings from the Bastable (2013) textbook and review how the information will improve my skills related to clinical teaching.

I enjoyed reading your post. Your response to the discussion question and your thoughts on terminating a client is similar to my companies discharge plan. One of the criteria to our discharge plan is to go back and review each individual family member desired outcome. We have them express if they feel their desired outcome was met or if there is some issues/concerns we have not addressed. I feel this is an important aspect to address because it not only give you the therapist/counselor and idea of the progress you have made with the family but it also provides the family with a sense of impowerment. It shows the family you do care about their issues/concerns and those issues/concerns matter.