Discharge Planning Flashcards
1
Q
What is discharge planning?
A
- Planning that takes place for a patient to return to their own home (or alternative location) following medical clearance.
- Process of preparing the client/patient and getting everything organised ready to leave the hospital.
2
Q
What is involved in discharge planning? How do you get it organised and plan for it?
A
- Complete initial Ax to identify OP issues, abilities and limitations, clients life situation (environmental/cultural etc). determine client preferences and set goals
- Once you have the information you can:
- Identify current functional status and contrasts with previous level of function
- Identify what client needs to be able to safely ‘do’ (prioritise)
- Identify therapy interventions that will bridge the gap
- Identify available assistance/equipment once home
- Assist to arrange any equipment and services required
- Refer on to other health professionals as required
3
Q
Where do you get relevant information from?
A
- Read clinical notes/referral
- Discussion with other hospital staff
- Informal discussion with client, family/carer
- Formal and informal Ax: initial Ax, functional Ax, environmental Ax/HV etc
4
Q
When does discharge planning start?
A
Initial OT assessment or stage 1 of OPPM
- In rehab or post acute setting: on admission
- In acute setting: after person is medically stable
5
Q
What does a home assessment involve?
A
- Discussion with client and/or family in relation to home environment. Assessment of the client in the home environment if possible.
- Assessment of internal and external environment. eg. access, hazards, ability to complete tasks, transfers, mobility, safety, equipment and home modifications required
6
Q
Why do OTs complete a home assessment?
A
OT’s complete home assessments to assist with safe discharge of clients to their own home.
7
Q
What assessments are conducted to when planning for discharge in the acute setting?
A
- Initial assessment
- Functional assessment/kitchen assessment
- Home assessment
- ADL assessment
- Assessment re services/support and equipment needed to assist with safe discharge
