Your Name: Janis Luce Date: January 15, 2015 Your Instructor’s Name: Knapp Purpose: The focus of this assignment is identifying patient’s needs and analysis and synthesis of details within the written client record and planning an appropriate discharge plan with necessary patient teaching of the disease process. Points: This assignment is worth a total of 100 points. Directions: Please refer to the Discharge Teaching Plan Guidelines found in Doc Sharing for details about how to complete this form. Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Discharge_Teaching_ Plan_Form_Smith” When you are finished, submit the form to the Teaching Plan Dropbox by the …show more content…
It would be best to use a multifaceted approach to Mr. Yoder’s discharge planning. We can use the help of his son as well as any support groups in the community and continue to implement the help of a home health nurse. Focusing on how Mr. Yoder retains information best will be important here. We can alter our teaching methods to match his needs. It will also be important to focus on his readiness to learn. Using a multitude of techniques in Mr. Yoder’s plan of care will help him be successful in his discharge from the hospital. Implementing the assistance of community-focused programs can help give Mr. Yoder companionship. Support programs with the agencies on aging can be informative and helpful (www.agingcare.com, 2015). They can assist with getting patients to doctors appointment, planning meals, and offer support, which Mr. Yoder would benefit from all of those. Jon, Mr. Yoder’s son can also assist in educating and re-enforcing things to help Mr. Yoder remember what needs to be done, assisting him with his own accountability for his health. With the help of his son Jon, we can give him other people to help be accountable for his healthcare. To measure Mr. Yoder’s goals we can look at obtaining the number of times each week that he is able to leave the house or have assistance come in.
Integrating an Advanced Practice Nurse into the discharge process to help guide proper understanding of discharge instructions to help decrease non-compliance, along with re-admission rates. The best types of research evidence will include clinical practice guidelines (CPG), Random Controlled Trials (RCT), Primary Research Studies. I included other types of studies but come up with small results. I used different variables when searching the literature. Some of these included, literacy level, different types of a disease process, use of pictograms, re-admission percentages, along with non-compliance.
Studies have found that improvements in hospital discharge planning can dramatically improve the outcome for patients as they move to the next level of care (Alliance, 2016). Moreover, Patients, family caregivers and healthcare providers all play roles in maintaining a patient's health after discharge. And although it's a significant part of the overall care plan, conversely there is a surprising lack of consistency in both the process and quality of discharge planning across the healthcare system (S. Shapperd,
Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone1_Form_Smith” When you are finished, submit the form to the Milestone #1 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have
I believe that the intake form reviewed all necessary questions needed to determine the client’s social and medical history to develop personalized goals for the client’s individualized treatment plan. I will begin to discuss the areas that the intake form reviews in order to obtain the necessary information to develop a treatment plan for the client.
If she returns home, what considerations need to be taken into account as part of her discharge plan? Using your local area, research and present the needed or preferred community resources (macro) that would be available to them. Critique the ability of these community resources to adequately meet the needs of this diverse family’s circumstances.
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.
A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”
for the beginning of my treatment with basic introduction of myself, followed by a summary of the assessments that were done by each of them. The next part will be education of the disease process. This will help the Johnsons understand the difference within each stage of the disease to better prepare the Johnson family within the home and community. Suggestions will be made such as a memory book, sticky notes, voice recording, a watch and calendar. Education will continue with the discussion of home modification information for safety. The next portion of my activity will be the enabling activity which will be 15 min. Mr. Johnson will start off with a mini memory task. COTA will begin by placing one card from a desk of cards in a drawer, the activity will continue to be graded by increasing the amount of cards in different locations. Mr. Johnson will have a pencil and note pad as a compensatory technique to assist in helping with memory recall, to help recall placement of each card he will write down the card number and the location. He is only to use his note pad when he is unable to remember. For the last portion of the session will be doing purposeful activity for 20 minutes. COTA will have a bag of tools that can be found in a plumbing store. Each tool will be unmarked with a price tag. Mr. Johnson will have to remember price numbers that will be given to him by the COTA and write them down in his note pad to help with memory when placing prices on items. A scenario will be given to him such as one to be encounter at his company. Breaks will be given as
Discharge planning is used to create a plan of care for a patient who is leaving a care setting. An evaluation is done to determine the patient’s continuing care needs once they have left the care facility. When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. Proper discharge planning can decrease the chances of a hospital readmit, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare family or caregivers to assume proper post discharge care. According to the Family Caregiver Alliance, “It is important, not only for patients, but family
I was thinking about adding in the Discharge Instructions in Allscripts a box indicating Care Coordination Status:
This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).
This patient needs an interpreter for Spanish to assist with discharge instructions. He needs to be informed of the medications the MD discontinued, new meds that are ready to pick up at his pharmacy, the co-pay involved for those medications, proper administration of the medications, side effects and when to call the doctor if there are any adverse effects. He also needs to be taught the importance of fluid restriction to 1500mL/day. This includes water, ice, gravy, soup, ice cream, dairy, soda or other fluids. He needs to be shown an example of how much 1500mL of fluid looks like and taught the importance of daily weights. This patient did not have a scale at home, so he needs to be informed that there are scales available for low cost at a local store. Dietary restrictions of potassium, calcium, phosphorus and protein should also be addressed. He
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
He contributes his time to help support youth and elderly in a volunteer capacity. He somehow manages to find time to help support anyone in need. At times, I wonder how he manages all his administrative responsibilities as a clinical supervisor, his volunteer work, his active case manager duties, supervising our food security program, all while he still makes time to say hello and chat with our clients.
CIPD Assignment Guidance for Students General Guidance from your Tutors What Assignments must Demonstrate Suggested Approach for Putting an Assignment Together Generic Report Layout Marking Scheme Assignment Grading 7 10 13 14 15 16 21