Discharge planning Flashcards
who is apart of the interdisciplinary team
Nursing, family and friends, case manager, MD, discharge planner, healing and spiritual services, OT, PT, infectious disease team
what do we need the help from for a safe discharge?
the whole interdisciplinary team
Skilled services
the skills of a therapist are necessary to provide safe and effective interventions whose goal is to improve in impairments of functional limitations
example of skilled PT
- ther ex
- sit to stand or other transfers
- assistive device training
non skilled services
services that can be safely and effectively provided by non-skilled personnel family member/caregiver without the supervision of therapist such as maintenance or restorative services
examples of non-skilled services
- use of a hoyer lift for bed transfers
- assisting pts with personal hygiene
- completing ADLs with safe level of assist that is recommended by therapist unless pt is completely independent
key elements for examination
- examination
- evaluation
- DX
- PX
- innervention
- outcomes
- discharge planning process
- reassessment
ADLs examples
- eating
- bathing
- grooming
- dressing
- bed mobility
- transfers
Instrumental activities of daily living
- cooking
- shopping
- housekeeping
- balancing a checkbook
- driving a car
- ability to use public transportation
who do you take information from in discharge planning
- structural impairments, activity limitations, participation restriction
- pt ability and willingness to participate
- familys wants and needs
- discharge worker and social support network
what areas do you funnel discharge planning through
- prognosis for recovery
- insurance constraints
- therapist experience
home health care
given to a patient who is expected to reach an acceptable level of recovery who is returning home after discharge and going to appointments is a hardship so they need someone to come to their home
home health professionals
- PT
- OT
- Nursing
- SLP
examples of skilled home health services
- wound care
- pt and caregiver education
- injections
- IV or nutrition therapy
length of time of home health
depends on dx, px, need and practitioner recommendation. PT can be 2-3 times a week for 4-6 hrs.