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Lama & Abscond - it is a legal procedure where patient is willing to go from hospital without medical advice.
- 1. LESSON PLAN ON LAMA AND ABSCOND SUBMITTED TO SUBMITTED BY REGNO: 21501401002 MSC (N) 1st YEAR NURSING INTERNAL EXAMINER
- 2. LESSON PLAN ON LAMA AND ABSCOND SUBMITTED TO SUBMITTED BY REGNO: 21501401002 MSC (N) 1st YEAR NURSING EXTERNAL EXAMINER
- 3. IDENTIFICATION DATA Name of the student Teacher = Eslavath Swathi Name of the course = MSC (N) 1st year Year of the study = 2021 to 2023 Name of the subject = Nursing Education Unit No. = Group = Method of teaching = Lecture method Previous knowledge = Date = 9/2/24 venue = Av – aids = Black board, PPT, pamphlets, chart, OHP Time duration = 15min
- 4. GENERAL OBJECTIVES: At the end of the session students will be able to understand about LAMA and ABSCOND modalities and they will be able to apply this knowledge in the clinical practice. SPECIFIC OBJECTIVES: At the end of this teaching session students will be able to: ➢ Define LAMA and ABSCOND ➢ Type of discharge ➢ Definition of LAMA and ABSCOND ➢ Consent of LAMA and ABSCOND ➢ Summarize about LAMA and ABSCOND ➢ Conclusion about LAMA and ABSCOND ➢ Assignment about LAMA and ABSCOND ➢ References about LAMA and ABSCOND
- 5. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATIO N 1. 1 Min 1 Min Introduct ion Explain about discharg e definitio n Introduction on Discharging the patient This is the stage when patient is shifted from hospital to home. Discharging means per milling the patient to let go from the hospital to his home. Discharge is the preparation of patient to leave the hospital. A formal statement in written form is given from the hospital in which he has been undergoing treatment. Discharge Definition “Discharge of patient from the hospital means, relieving a patient from the hospital setting, who admitted as an inpatient in that hospital” LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS p p T ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 6. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVAL UATI ON 2 min Explain about objective of discharg e “Discharge or dismissal from the hospital means the departure of patient from the hospital” “Discharge from the hospital is the point at which the patient leaves the hospital and either return home or is transferred to another facility such as one for rehabilitation or to a nursing home” Objectives of discharge: • To complete obligations to hospital. • To ensure proper medical care after discharge. • To motivate the patient and relatives LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS OHP ASSIGN MENT, ESSAY TYPE&S HORT ANSWE R QUESTI ONS
- 7. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIES LEARNING ACTIVITIES AV AIDS EVALUATI ON 2 min Explain type of discharg e • To promote independence and self- reliance throughout illness. • To promote good public relations. Type of discharge The patient is discharged from the hospital in one of the following ways. ➢ Cured and discharge/ planned discharge ➢ Discharge to another hospital or another unit within the hospital (referral) ➢ LAMA/ DAMA: left against medical advice/ Discharged against medical advice. LECTURE& DEMONSTRATI ON METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS CHAR T ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 8. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVAL UATI ON 2 min s Explain about definitio n ➢ ABSCOND ➢ Death discharge ➢ Planned ➢ Transfer Definition LAMA/DAMA (Left against medical advice/ discharge against medical advice): in LAMA/ DAMA, patient choose to leave the hospital before the treating physician recommends discharge LAMA : The patient will leave the hospital against the doctor’s advice even though after explains patient condition. LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS OHP ASSIGN MENT, ESSAY TYPE&S HORT ANSWE R QUESTI ONS
- 9. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATI ON 2 min Explain about consent for lama CONSENT FOR LAMA • I am leaving the hospital ward against medical advice. • Doctor explained me about my disease condition and ill effects of discharge against medical advice. • Doctors and nursing staffs will not be responsible for any ill effects happing after my departure. Name of the patient: Relation Signature Date Time LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS p p T ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 10. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATIO N 2 min Explain about abscond ABSCOND Definition: Patient leaves the hospital without prior information Patient went out of the hospital without doctors or other staff knowledge. Or patient may abscond or leave the hospital without and prior information. DISCHARGE IN ANOTHER CONDITION Lama: if the patient leaves against medical advice the nurse is responsible to LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS OH P P A M P H L E T S ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 11. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATIO N a) Follow the institutional polices for patient discharge do not force the patient to stay in the hospital. b) Explain about the critical condition of the patient c) Inform the medical officer. d) Signature of the relatives, in which that she writes that there is full responsibility on the part of relatives about the risk of taking away the patient with them. e) Hospital equipment (given to patient during admission) and the clearance of bills, should be checked before the discharge. f) Records should be kept safe. LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS PP T ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 12. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATI ON 2 min Explain about abscond ABSCOND: If the patient runs from the ward- hospital to avoid these problem the nurse must a) Check the no. of patients admitted, discharged of the shifts. b) Inform immediately the CMO in writing of get it signed. c) Record of the patient should be kept under lock and key. LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS O H P ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 13. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATIO N ROLES & RESPONSIBILITIES OF NURSE DURING DISCHARGE PROCEDURE • 1. See doctor’s written order for discharge: no client should be discharged without doctor’s written order • 2. Explanation of discharge procedure • 3. Hand over personal belongings: clothing, jewelry or other valuables that were entrusted with hospital at the time of admission should be returned to client. • 4. Check and receive any hospital property: any of the hospital property that was given to client for his/her use in hospital should be checked and received back before he/she leaves • 5. Teach nursing procedures to be continued at home, get it’s practice done: Provide instructions regarding medication, follow-up visit LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS E X P L A N A T I O N ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 14. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVALUATIO N • 6. bill paid: Before client leaves, nurse should confirm that the client has paid the hospital bill • • 7. Inform other departments regarding discharge. • • 8. Documentation: the nurse should check that the charts & • 9 . if the client is not able to walk, then the nurse should see that he/she is transferred either on a wheel chair or stretcher • • 10. If DAMA: -check consent, the form should state that the person is leaving against medical advice of doctor and that neither doctor nor the hospital can be held responsible for any ill effect happening after the departure • • 11. Care of patient’s room and articles after discharge. LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS E X P L A N A T I O N ASSIGNMENT, ESSAY TYPE&SHORT ANSWER QUESTIONS
- 15. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVAL UATI ON SUMMARY such discharge is called LAMA or left against medical advice of DAMA, discharged against medical advice and doctor should be taken in writing that all case history, treatment and investigations done were provided to attendants and it full payments not done then it should be also mentioned LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS ASSIGN MENT, ESSAY TYPE&S HORT ANSWE R QUESTI ONS
- 16. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVAL UATI ON CONCLUSION discharge from the hospital is the point at which the patient leaves the hospital and either returns home or is transferred to another facility such as one for rehabilitation or to a nursing home .discharge involves the medical instructions that the patient will need to fully recover.it could be when attendings doctor advice to leave the health care facility or patients himself wishes to leave. LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS ASSIGN MENT, ESSAY TYPE&S HORT ANSWE R QUESTI ONS
- 17. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVAL UATI ON ASSIGNMENT This study was supported by Tehran heart center affiliated to Tehran university medical science. We wish to thank the surgery data base group at Tehran heart for it support REFERENCE Albert HD, Kornfeld DS (1973) The threat to sign out against medical advice. Ann Intern Med 79(6): 888-891. Long JP, Marin A (1982) Profile of patients signing against medical advice. J Fam Pract 15(3): 551-556. LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS ASSIGN MENT, ESSAY TYPE&S HORT ANSWE R QUESTI ONS
- 18. SL NO. TIME SPECIFIC OBJECTIV E CONTENT TEACHING ACTIVITIE S LEARNIN G ACTIVITI ES AV AID S EVAL UATI ON Onukwugha E, Saunders E, Mullins CD, Pradel FG, Zuckerman M et al. (2010) Reasons for discharges against medical advice: a qualitative study. Qual Saf Health Care 19(5): 420- 424. BIBLIOGRAPHY Author: suresh k sharma Text book: fundamental of nursing Edition: 2 Page no. 300 to 306 LECTURE& DEMONSTRAT ION METHOD STUDENT TAKE DONE THE NOTES GIVE RESPONSE TO THE QUESTIONS ASSIGN MENT, ESSAY TYPE&S HORT ANSWE R QUESTI ONS