Discharge Planning

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Kyle Thompson – 05970640 Management of discharge Management skills in adult nursing UZTR6D4-40-2 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to…show more content…
At the time I felt that she was being sent home without appropriate support, but as a first year student nurse I did not confident enough to make my opinions heard. During her last admission Evelyn was made homeless but noöne on the ward seemed concerned by this, so I contacted Evelyn's social worker myself, being aware that whilst fundamentally important to Evelyn's well being arranging accommodation was beyond the scope of my practice and so required the involvement of other health and social care professionals. If Evelyn's social worker had not been able to arrange new housing for her I often wonder what might have happened, my colleagues seemed quite content to concentrate on their own speciality, and neglect the other health and social care needs of our patients (Glasby 2003). From this experience I feel I gained some confidence to stand up for my patients, and I gained knowledge of the rôle other health and social care professionals play in the care of our patients. Assessment of needs at admission and discharge is often subjective and dependent on the nurse assessing (Lees & Emmerson 2006). Our assessment can have long term consequences for our patients' future (in)dependence (Anon 2005) – providing 'too much' care can lead to increased dependence, lack of confidence to cope alone and can lead to premature admission to care homes
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