Discharge planning 2014

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Discharge planning 2014

  1. 1. Health Services (North) Nursing Foundations Discharge Planning Document Title (Editable via ‘Slide Master’) | Page 1
  2. 2. Content • What is discharge Planning? • The multidisciplinary approach • Why is effective discharge planning so important? • The discharge planning process. • Research Activity- Community Resources available for the elderly - Health Coaching Document Title (Editable via ‘Slide Master’) | Page 2
  3. 3. Discharge Planning • What is discharge Planning Document Title (Editable via ‘Slide Master’) | Page 3
  4. 4. Discharge Planning • Discharge Planning is the quality links between hospitals ,communitybased services, non- government organisations and carers. Document Title (Editable via ‘Slide Master’) | Page 4
  5. 5. Discharge Planning • Effective discharge planning supports the continuity of healthcare, between the health care setting and the community, based on the individual needs of the patient. Document Title (Editable via ‘Slide Master’) | Page 5
  6. 6. Discharge Planning • It is described as "the critical link between treatment received in hospital by the patient, and post-discharge care provided in the community.“ Document Title (Editable via ‘Slide Master’) | Page 6
  7. 7. Discharge Planning • Who needs to be involved in the discharge planning process? • Why do we need a multidisciplinary approach? Group activity Document Title (Editable via ‘Slide Master’) | Page 7
  8. 8. Multidisciplinary Team Approach • • • - The patient Professional carers, family carers Hospital Multidisciplinary team including: Medical staff Nursing staff- discharge co-ordinator Allied Health staff e.g. Speech Therapist, Psychologist, Physiotherapist, Occupational Therapist, Social worker Document Title (Editable via ‘Slide Master’) | Page 8
  9. 9. Multidisciplinary Team Approach • • • • • • ACAT Community Team Community Services Pharmacist Aged Care Facility Patient’s regular GP Document Title (Editable via ‘Slide Master’) | Page 9
  10. 10. Discharge Planning • When does discharge Planning begin? • Why does it need to begin at this time? Group Activity Document Title (Editable via ‘Slide Master’) | Page 10
  11. 11. Discharge Planning Commences at Preadmission/Discharge At pre admission/admission we must be thinking about and working on discharge processes to ensure the best possible outcomes and discharge process for our patient. Document Title (Editable via ‘Slide Master’) | Page 11
  12. 12. Discharge Planning Commences at Preadmission/Discharge • Liaison with current services already in place particularly with unexpected/emergency admission eg have meals on wheels service been cancelled? • Does your patient have a frail partner at home ? • Is your patient actually the carer? • Who is looking after the cat? Document Title (Editable via ‘Slide Master’) | Page 12
  13. 13. Discharge Planning Process • Risk screening should be performed early in an admission • Establish if the patient has simple (80% of patients) or complex planning needs. • A multidisciplinary approach is essential to effective discharge planning • Discharge date needs to be estimated early • There needs to be discussion with patient carer /family Document Title (Editable via ‘Slide Master’) | Page 13
  14. 14. Discharge Planning Process • Pre discharge education especially re medications and possible resources required • Communication with GP in a timely manner • Discharge summary should be written for the patient with a copy sent to the GP. • Follow–up appointments arranged • Timely access to support services Document Title (Editable via ‘Slide Master’) | Page 14
  15. 15. Discharge Planning • What are the benefits of good discharge Planning? Whiteboard Brainstorm Activity Document Title (Editable via ‘Slide Master’) | Page 15
  16. 16. Benefits of effective discharge planning • Improved patient health outcomes • Reduction in readmission to hospital • Reduces length of stay which is -Cost effective • Reduces error and unnecessary delays along patient pathway • Reduces pressure on beds therefore increasing patient throughput Document Title (Editable via ‘Slide Master’) | Page 16
  17. 17. Effective discharge planning • Whether we like it or not, the bucket is not bottomless and we must use our health resources in the best most efficient way possible ,whilst not compromising the provision of Quality Healthcare for all. Document Title (Editable via ‘Slide Master’) | Page 17
  18. 18. Effective Discharge Planning • How does length of stay impact on Health Funding e.g. in a Private Hospital, casepayments etc. Class whiteboard Brain-storm activity Document Title (Editable via ‘Slide Master’) | Page 18
  19. 19. How do we know if discharge planning is successful? • It is included as an aspect of care which commences on the day of or prior to admission • It goes beyond the boundaries of the facility • There has been a multidisciplinary approach • Ensures all requirements needed to facilitate discharge are in place before or by the estimated date of discharge Document Title (Editable via ‘Slide Master’) | Page 19
  20. 20. Group Research activity • Group 1 Research –Health Coaching- as per questions on worksheet • Group 2 Research ACAT services –as per questions on worksheet • Group 3-Research-HACC services –as per questions on worksheet • Group 4-Research-DVA services as per questions on worksheet • Group 5-Research –EACHP services as per questions on worksheet Document Title (Editable via ‘Slide Master’) | Page 20
  21. 21. The Continuum of Care • Let’s review what we have covered in Nursing Foundations so far and pull it all together Pre admission through to discharge Class whiteboard brainstorm activity Document Title (Editable via ‘Slide Master’) | Page 21
  22. 22. References Discharge Planning :Admission and discharge www.mmhr.org.au WA Country Health Service Quality and Service Improvement Tools Discharge Planning www.institute.nhs.uk Hospital Discharge Planning Alison Miller,ehow contributor www.ehow.com/way_5467850_disc herge-planning.html Hospital Discharge Planning Alzheimer's association www.alz.org Document Title (Editable via ‘Slide Master’) | Page 22

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