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CMS 4 Step Discharge Process
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Discharge plan

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Discharge plan

  1. 1. DISCHARGE PLAN FOR NIITA MWANZA-B-WARD PRE-ADMISSION PLANNING INTERVENTION EVALUATION AREAS OF INTEREST 1. Restlessness, confusional state and risk of violence 2. Relative to play an active role in the management of the patient during and after hospital stay • To stabilize the patient as soon as possible. • Familiarize the patient to the ward and hospital environment • Explain to the family members the importance of visiting the patient and their role in the multidisciplinary team. • Give the prescribed medications to calm the patient down • Isolate the patient if necessary when behaviour is unpredictable • Give the appropriate information/timetable of the ward activities/routines and visiting hours. • Patient is relaxed and calm. • Not a threat to self, property and significant others. • Relatives well informed of their active role in the management of the patient. INTRA-ADMISSION PLANNING INTERVENTION EVALUATION Areas Of Interest 1. Patient’s education. 2. Drug monitoring. 3. Family involvement in the • Conducting educational sessions with the pt. • Ensure patient adheres to the medication • Family members actively are involved in the pt’s care • Hold frequent sessions with patient to discuss disease process, treatment modalities and its risks and benefits. This is to foster compliance and improve insight.  Patient has adequate information about the disease and its treatment and takes medications
  2. 2. DISCHARGE PLAN FOR NIITA MWANZA-B-WARD planning of patient’s management. 4. Family counselling sessions. • Family members encouraged to visit patient so that she feels a sense of belonging. without problems.  Family member are always close to the patient and they are also impacted with the knowledge on the disease as well as drugs ( benefits and risks) POST-ADMISSION PLANNING INTERVENTIONS EVALUATION Areas Of Interest 1. Follow up care 2. Drug compliance 3. Review dates 4. Community based activities • To set dates for following patient. • To reinforce drug compliance • Emphasize on review dates • Attach patient to community based care centres. • Plan with the family when to make the home visit. • Re-emphasize the importance drug compliance. • Explaining the importance of coming for reviews • Looking for community based rehab centres which the patient can be attached to. Collaborative approach and contact stuck with health care team and the family to enhance patient’s stability at home and community as a whole.
  3. 3. DISCHARGE PLAN FOR NIITA MWANZA-B-WARD
  • JaisnaSimon

    Jul. 13, 2020

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