Discharging complex need patients

Question 1

discharge- definition

Answer 1

transferring from one care provider to another

Question 2

frailty- definition

Answer 2

increased vulnerability to poor resolution of haemostats after a stressor event which increases the risk of adverse outcomes (falls, delirium, disability)

PRISMA
eFI
gait speed
TUG

Question 3

discharge

Answer 3

planning begins ON or BEFORE admission

are they frail / complex

get a clear detailed baseline- family/care home/notes from previous admission

comprehensive geriatric assessment
- MDT

co-orinated
clear allocation of action / timescales

Question 4

pathways / pseudonames

Answer 4

DTA- discharge to assess

DTA-1 - reablement, care package, home first

DTA-2 community hospital, temporary care home, rehab unit, intermediate care bed

DTA-3: care home, hospice