Post–op Discharge Planning/Discharging of elderly patient

Question 1

What is the structure of the post op discharge consultation

Answer 1

Introduction (WIPERQ)
Assessing if patient is medically fit for discharge (A->E )
Current health (biopsychosocial)
Med review
Head to toe assessment
Safety net

Question 2

How do you assess the bio part of a patient’s current health before discharge?

Answer 2

A->E
Nutritional status:
- “Any difficulties with swallowing or loss of appetite”
- “Noticed any unexpected weight loss?”
- Check dental health

Question 3

How do you assess the psycho part of a patient’s current health before discharge? (4)

Answer 3

Assess:
Pain
Memory/ consciousness
Depression screen
ICE

Question 4

How do you assess the social part of a patient’s current health before discharge? (4)

Answer 4

Living situation
ADLS

Question 5

What ADLs should be assessed before discharge?

Answer 5

BE GD BTTMS – Bathing, Eating, Grooming, Dressing, Bowel/Bladder control, Toilet use, Transfers (bed to chair and back), Mobility on level
surfaces, Stairs

SHAFT: Shopping, Housework, Accounting (LPA? If in care home, do you pay, or do arrangements need to be made?), Food and medication prep, Transportation (outside of home)