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Comparing and contrasting policies
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Introduction
Provision of high-quality care at the right time, in the right place and delivered by the right persons is of vital importance in reducing pressure on hospital services. Rapid and efficient discharge of patients from acute hospital beds to the next level of care plays a vital part in ensuring capacity is available for patients needing to access acute care beds. Equally important is the need to ensure that the transition for patients from acute hospital to community care is safe, well coordinated, and well communicated.
Discharge planning begins at the patient’s initial assessment or within 24 hours of admission or initiation of a service (ACT, 2006). It requires the development and implementation of a documented discharge plan, which locates and builds on any previous assessment or care plans.
The purpose of the planning is to ensure continuity of care, so the plan is reviewed and altered to take into account changes in individual housing and social situations, and it should be tailored to the patient’s characteristics (Wibe, et al., 2014). The process of discharge planning is the responsibility of all the healthcare providers involved with the patient. It is, however, coordinated by a named person who has responsibility for ensuring that all aspects of planning have been addressed by the time of discharge from the care setting.
The discharge policy should be developed to support good practice by providing direction for staff involved in the discharge planning process. The aim of the policy should be to ensure provision of fit, timely discharge arrangements to an appropriate safe environment for all patients on completion of their care (Silow-Caroll et al., 2011). The aim of this paper is to analyze discharge policy ...
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...e issue that it deals with it, clarifying what it hopes to achieve, and outlining appropriate and inclusive structures for monitoring and evaluation.
The fourth step is suggesting alternatives such as performing comprehensive patient assessment within twenty-four hours, basing the discharge process on consultation with the multi-disciplinary team, involving the patient and their family in the discharge process, and determining the responsibility of each member of the healthcare team. The fifth step is assessing each of these possible alternatives.
The final step of policy analysis is describing the process of implementing, monitoring, and evaluating the policy.
Overall, it was concluded from analysis of the discharge process of Prince Hamzah Hospital that the policy should remain a live document which could be refined, updated and expanded as required.
Discharge planning and education has been one of the most important component of patients education provided y nurses and other health care providers. According to Bastable (2008) patient education is the process of assisting people to learn health related behavior that can be incorporated into everyday life with the goal of optimal health and independent in health care. She also mentioned that key to learning and changing is the individual cognition, perception, thoughts, memory, and ways of processing and structuring information. The purpose of this discussion is to provide a home discharge planning for Tina Jones on wound care, diabetes and asthma management (Bastable, Susan Bacorn, 2008).
Angela Burke who was a patient admitted to the psychiatric ward for suspected mental health issues required care. When working with mental health patients, it is necessary to use a patient centered care approach which emphasizes on each individual’s personal preferences and needs (Bromley, 2012). The main goal of this is to empower patients so that they can participate and become active in their care and allowing them to have a sense of control of their life (Bromley, 2012). For this to happen, it is essential for Authorised Mental Health Practitioners (AMHPs) to work together in collaboration using the NMBA’s Nursing Practice Decision Making Framework Tool in order to develop an efficient and effective patient centred care plan using goals to avoid or minimise potential risks in a ward setting. This paper will also discuss the different appropriate delegation, supervision and mentoring strategies which can be used amongst the inter-professional in order to create an effective shared
setting and as the patient returns to their home and community. The goal by all involved is to move the patient towards
... bedside, and reminders to take antibiotics. It is critical in plan of discharge that the patient finishes out the antibiotic regimen if prescribed, also encourage and explain the necessity of the antibiotics in treating the condition. Lastly the patient must avoid overexertion to prevent relapse or exacerbation of the infection.
According the National Transitions of Care Coalition (2008), improving communication in transitions of care, implementing standardized electronic medical records, establishing points of accountability for sending and receiving care, and expanding roles of pharmacists in transitions of care all aid in the continuity of care and result in positive patient outcomes. However, often the expectations of transitions of care fall short because team members are unsure of their role and the information that should be relayed. The patient’s risk for harm may have been increased when she was discharged
Standardizing The Hospital Discharge Process for Patients with Heart Failure to Improve the Transition and Lower 30 day Readmission. http://www.cfmc.org/integratingcare/files/Remington%20Report%20Nov%202011%20Standardizing%20the%20Hospital%20Discharge.pdf
Changes in the current health care system can help prevent unsuccessful transitions of care. In order to move away from the “silos” of care, many institutions are starting to trend towards primary patient centered and interdisciplinary care. Having a team in charge of the care for a patient will allow more effective treatments and more communication between the different providers. While this is only within an inpatient setting and not necessarily transitions of care, the variety of clinicians involved in the care of a patient allows more information to be transmitted across different setting. The Society of Hospital Medicine developed Project BOOST to address issues with care transitions and to standardize a method for transition of care. Project
Thirty minutes before evening shift change and you receive the call. A new admission is in route to your facility. The patient is reported to be of high acuity, requires intravenous antibiotics, and has a diagnosis of chronic pain. In some health care settings this would be considered a typical new patient admission. However, for rural long-term care facilities there is potential for considerable complications. In a setting where registered nurses are only required to be in the facility eight hours within a twenty-four hour time frame, significant complications can arise during admissions that require certain specialty care specific to the RN. Ineffective discharge planning between any health care settings can be detrimental to patient care.
Next steps of the plan would be to do a more comprehensive assessment with the client. Review recommendations, and put the plan in action. After carefully reviewing the plan with the client, the case manager can establish a review date with the care planning team. The care planning team would meet with the client to see if the goals were met, if more time is needed for the goals to be completed, or if there are any changes to be made to the treatment
policies as well as practices. It enables authorities to make informed decisions based on the
OUTCOME/GOAL STATEMENT: Short Term: Pt will verbalize feelings of concern regarding at home maintenance of self with SO prior to discharge. Long Term: (after discharge) Pt will work with home health care giver to relief frustration and avoid further depression.
To help in improving the health status of the population and focus on the quality improvement concepts to address organizational performance issues.
Quality patient care is an ongoing endeavor that involves many different areas of healthcare. One area of healthcare that is often employed is Utilization Management. We read in John’s that UM “is composed of a set of processes used to determine the appropriateness of medical services provided during specific episodes of care” (John,2011). Things that are used to determine the appropriateness of care include the patient’s diagnosis, site of care, length of stay, and other clinical factors. This system consists of three main functions aimed at improving patient care and controlling healthcare costs. These functions include utilization review, case management, and discharge planning. One source states that it also includes the claim denials and appeals process (Interviewee C. Jarvis, e-mail communication, May 3, 2014). When used correctly, these UM processes can expedite the patient’s care and reimbursement. It also demonstrates to third party payers that the organization is taking measures to help control costs. This monitoring and management of patient healthcare needs ensur...
There are legal requirements and policy to govern specific areas of health care practise. It differentiates nurse responsibilities, help establish boundaries of independent nursing action and assists in maintaining a standard to ma...
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;