Summary: Consider The Five Barriers To Patient-Centered Care During Discharge

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

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

Preadmission for example, in a nursing home is done by the manager, the patient’s GP or multidisciplinary hospital staff. It is the nurses or receptionist’s job to take the patient’s information and pass it on to the multidisciplinary team. Managers have the job of overviewing the situation. Discharges are granted by the doctor, social worker, occupational therapist or multidisciplinary team. The domestic assistant cleans the room before and after a patient, they also

Standard 16 of the American Nurses Association (ANA) Scope and Standards Practice, directs nurse leaders to advocate not only for patients but for all members of our healthcare community. As a discharge planner, I am in a unique position to advocate not only for patients but for caregivers as well. As part of my responsibilities, I participate in daily multi-disciplinary team rounds. The meetings take place so that all disciplines can openly discuss patient care needs. They provide the perfect opportunity for anyone to bring to light problems or concerns.

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,

nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization

Discharging an inpatient at work…this would be done face to face. This would need to be done so the care can be explained in depth to the client and also so I can see that there is an understanding of what has been done / happening. Also so I can see that the client understands what needs to be done as part of home care.

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.

The AICU is full and the discharge planner is under pressure from his supervisor to free up beds, which are needed for other critical patients (Belhaven University, 2015). The hospital’s business office requests if the patient can be discharged from AICU due to the cost being the responsibility of the hospital, in the amount of $9,000 per day, or if the family will agree to disconnect the ventilator. Unfortunately, “the attending physician is new on the

Zakzesky, Klink, McAndrew, Schroeter, and Johnson (2015) used a qualitative, descriptive survey to study the discharge process, including MDR from the patient’s point of view. A convenience sample of 14 participants from a

The listed components are: the board of trustees, administration, medical staff, resource management committee, medical direction for the utilization process, and hospital staff. The Board monitors the process through reports from the Medical Staff 's Executive Committee and the Chief Executive Officer (Chestatee, 2014). The administration responsibility states that the Board has assigned accountability and delegated authority to the Chief Executive Officer for providing the Medical Staff with administrative and technical support for all components of the Utilization process (Chestatee, 2014). The plan (2014) states that the Medical staff fulfills accountability through internal assignment of functions to the Medical Staff, Resource Management Committee, and physicians selected to provide medical direction for the Utilization Process. The Resource Management Committee is responsible for discharging all duties and functions, and must have at least two physicians serving on the committee. Both the medical direction and hospital staff are responsible for the discharge of the utilization process. Including a list of authority and responsibilities gives a brief explanation for the UR plan, and provides readers with the opportunity to see the figures in charge of the process.

Continuity of care is important to not only patients but to staff members as well. To provide safe care they must have a relationship with the provider and the patient. Continuity of care is ongoing management of their goals together for improved care, the quality of care and cost effective to both patient and provider. At one time when a patient left the hospital they felt lost and confused. Now with discharge nurses they are able to follow through with care with home health and

• Reiteration (R): Facilitator gives attention to learning and improvement of newcomer nurses and tells the nurses about the instructor reference.

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

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