Patient Discharge Case Summary

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,

Class, in this thread we will be looking at patient documentation and patient encounters. The purpose of this thread is to familiarize you with the Key Concepts found in Terminal Course Objectives (TCOs) 1 and 2. You must address all of the questions located after the example of surgical history and patient encounter of Darryl McFadden.

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

REQUEST, REASON, ISSUES, BOARD TYPE, AND DECISION: The applicant requests an upgrade of his uncharacterized discharge to honorable. The applicant states, in effect, he served for four years in the National Guard and deployed to Afghanistan in 2005 thru 2006. The applicant contends, he enlisted upon redeployment despite having Post-traumatic Stress Disorder (PTSD) symptoms and other medical problems. The applicant states, he requested counseling for his PTSD, instead he received a counseling statement informing him that he would receive an entry level status (ELS) separation with an uncharacterized discharge. The applicant further contends, he was diagnosed with PTSD and rated 40 percent disabled rating by the VA for PTSD. The applicant states, he had held a position as the communications sergeant with the McAllen Police Department after being discharged. The applicant contends, he is an upstanding member of the community has never been in trouble with the law, and this is evidence of his desire to serve. The applicant further contends, he served his country honorably as an infantry Soldier and an uncharacterized discharge for PTSD is wrong. The applicant states, an honorable discharge would do justice for the unfortunate administrative action taken against him in September 2006.

Class, in this thread we will be looking at patient documentation and patient encounters. The purpose of this thread is to familiarize you with the Key Concepts found in Terminal Course Objectives (TCOs) 1 and 2. You must address all of the questions located after the example of surgical history and patient encounter of Darryl McFadden.

PO is referred to continue chemical dependence treatment at the community agency. PO will need to have a new assessment to determine appropriate level of care. PO is recommended to attend minimally of two self-help meetings per week, abstain from all mood-altering substance, and utilize positive support structure to aim and maintain substance free lifestyle.

Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic

DISCUSSION OF ISSUE(S): The applicant requests an upgrade of his uncharacterized discharge to honorable. The applicant’s record of service, the issues and documents submitted with his application were carefully reviewed.

Student’s Role in Project: I was engaged in this project from the very inception and was involved in developing the project. In the developing phase of this project, patient needs, utilization, and costs were evaluated and two major priority needs areas were identified: non-emergent utilization of emergency department (ED) care and incomplete post-partum services, including well-baby visits. This project would help the discharge navigators connect with the frequent ED-utilizing and post-partum patients with a PCP and follow-up appointments. The goals of these discharge services are: (1) to minimize non-emergent use of ED services, thereby reducing cost and improving continuity of care with PCPs; (2) to ensure that pregnant patients schedule

After Graduation in 2011 I was unable to find a job for several months dues to both the economy, and living in a rural area without reliable transportation. In 2013 Converge diagnostic was sold to quest, and relocated outside a reasonable commute distance. I could live off my emergency funds, until I was offered a position as a pathology tech at Lahey clinic and medical center.

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

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.

Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research

The patient is an 84-year-old gentleman who presented to the ED because the J-tube had fallen out. The patient had a subtotal gastrectomy Roux-en Y and gastrojejunostomy with D tube adenoidectomy and placement of jejunostomy tube on 12/14/2016 for gastric tumor. The patient was discharged to a rehabilitation and presented because the jejunostomy tube had dislodged. It actually had been pulled out the morning of presentation. The patient was clinically stable and was admitted inpatient. The patient was already tolerating oral feedings and basically stayed overnight in the hospital and was discharged. We attempted to request an outpatient order on this patient and never received it, therefore the admission is

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