Skilled PT discharge planning Flashcards
What is discharge planning?
- Discharge planning is a multi-factorial and multi-disciplinary process involving input from various healthcare professionals and the patient’s family.
When should discharge planning begin?
Discharge planning should begin on day 1 of patient evaluation.
What does the ‘I’ in IDEAL discharge plan stand for?
- ‘I’ stands for Include, which means including the patient and their family in the planning process.
What should be discussed with the patient and family during discharge planning? (D-Discuss)
Key areas to discuss include home situation, medications, warning signs, test results, and follow-up appointments.
1) Describe in detail what the home situation will be like and daily scenarios.
2) Review all medications with the patient and strategies/plan for taking meds
3) Highlight warning signs or problems with the d/c placement
- This may be physical issues with the patient, structural issues with the home, caregiver support issues, or medical fragility.
- This may come to light with a home evaluation.
4) Explain test results or refer them to a medical professional who can
5) Make sure they have follow-up appointments scheduled and understand their need for continued care.
What does ‘E’ in IDEAL discharge plan represent?
- ‘E’ stands for Educate, ensuring the patient and family understand the discharge recommendations and process.
What is important to assess according to the ‘A’ in IDEAL discharge plan?
- Assess the understanding of the diagnosis, prognosis, and follow-up instructions provided by medical professionals.
What does ‘L’ stand for in the IDEAL discharge plan?
- ‘L’ stands for Listen, meaning to honor the patient and family’s goals, preferences, and concerns.
What are some items included in the patient education checklist?
Educating about diagnoses, follow-up care, prescribed medications, and providing written materials.
What should be reviewed regarding services to provide?
Review pending test results, schedule follow-up appointments, and provide referrals for ordered services.
What is DME and what should be considered for it?
DME stands for Durable Medical Equipment, and considerations include existing equipment condition, new requirements, and insurance coverage.
What is the role of physical therapy in hospice care?
PT in hospice care involves nonpharmacological pain management, education for comfort, and transition assistance.
What is palliative care and when is it used?
- Palliative care provides additional support for serious illness and can be used along with curative treatments.
Why is a successful discharge important?
- It benefits patient well-being, prevents hospital readmissions, and improves satisfaction with rehabilitation services.
How does including the family in discharge planning increase patient compliance?
Including family in discharge planning helps increase compliance by assisting with therapy tasks and understanding the patient’s prior level of function.
Why should discharge recommendations reflect the patient’s performance on their worst day?
Discharge recommendations should reflect the patient’s performance on their worst day to ensure they can manage even under the most challenging conditions.
