Discharge planning Flashcards
What is discharge planning?
A process that aims to improve the coordination of services after discharge from hospital by considering the patient’s needs within the community
Who is involved in discharged planning?
Patient, Family, Medical, Nursing, SALT, Dietician, Physio, OT, Social Worker
Who is the most important out of these 9 involved in discharge planning
Patient
When would you start discharge planning
Admission
What are your discharge destination options?
- Home
- RH
- NH
- Rehabilitation unit
- Home with intermediate care/ESDS (Early Support Discharge Team Stroke)
- Intermediate care in different setting
- Sheltered/Warden-controlled
- Family member house
- Hospice
What do you need to know about for a safe discharge in regards to the patient
- Physical ability – can they get OOB, transfer, walk, climb stairs/steps, get washed, dressed, make their meals, carry food, get their shopping, do their laundry, drive, walk outside
- Cognitive ability – can they communicate/ understand how to wash, dress, make meals, shop. Can they remember to take their medication?
What do you need to know about for a safe discharge in regards to the environment
- Home – flat, bungalow (still check if they go upstairs), house, maisonette. Stairs, steps. Outside toilet. Bed/Toilet downstairs. Walk-in shower, shower over bath. Kitchen – gas, electricity. Oven low or high. Microwave
- Carers - do they live alone, what family and friends are available, are they available every day, what can they help with, are they physically and mentally able.
- Disability equipment and transport:
- OT assessments – chair raises, rails, kitchen equipment, bathroom equipment, bed levers, stair lifts, ramps, widen doors, downstairs toilet, wheelchairs etc
- Mobility scooters, Community alarm, Bus passes
- Community transport services, Garden maintenance service, meals on wheels (all depends on council)
- Driving with a disability
Who would you need to speak to for the following:
Equipment
Physio & OT can order from NRS
Who would you need to speak to for the following:
Package and care
Social services & OT
Who would you need to speak to for the following:
Garden maintenance
Social services or local charity e.g. age concern
Who would you need to speak to for the following:
Pendant alarm
OT & Social services
Who would you need to speak to for the following:
Key safe
OT & Social services
Who would you need to speak to for the following:
Meal service
Private services e.g. meals on wheels. OT or Physio can give info on this
Who would you need to speak to for the following:
Therapy in the community
Physio, community therapy referral, MDT referral
