Discharge Planning / Transfer Of Care Flashcards
1
Q
Main aims of discharge planning
A
- reduce length of stay in hospital
- prevent unplanned re admissions
- improve community services coordinations post discharge
2
Q
What is the home first approach during discharge?
A
- encourages early discharge from the hospital to prevent decline in mobility + independence
- focuses on helping patients transition home with adequate support + improving QoL whilst reducing pressure on hospital resources
3
Q
What do discharges involve?
A
- medication to take home (TTO)
- transport
- therapy assessment: is ongoing OT/PT required?
- restarting package of care
- OP appointments
- district nurse/palliative care referral if needed
4
Q
What goes wrong in a discharge plan/generally that causes re-admissions?
A
- inability to obtain suitable package of care
- patient health complications
- communication issues between social services + health care professionals
- family decisions
- issues with funding
