Most.
Mastura
Khatun
Nursing Instructor
Nursing Institute
ChapaiNawabganj
DN 135:Fundamentals of
Nursing
TOPIC: HOSPITAL DISCHARGE
Define discharge
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.
OR
Cont….
Discharge planning is a
centralized, coordinated,
multidisciplinary process that
ensures that the patient has a
plan for conferring care after
leaving the hospital.
Purposes of discharge:
To ensure continuity of care by providing
instructions and guidelines
To prepare patient physically and emotionally for to
transfer to the changed environment
Determine need and make referrals for home health
care or extended care services.
Ensure client ability to perform self-care after
discharge
Provide family members with knowledge and skills
needed to administer care to client in a home
setting.
General principles of discharge of a
patient from hospital:
Patient and family understands the diagnosis,
anticipated level of functioning, discharge
medications and anticipated medical follow up.
Specialized instructions or training is provided to
the patient and family to ensure that proper care
after discharge will be provided to the patient
Community support systems are coordinated to
enable the patient to return home
Relocation of the patient and coordination of
support system or transfer to another health care
facility are performed.
The steps of discharge planning
Medication.
Discharge summary.
Transport and preparing home.
Follow-up.
Feedback.
Procedure of discharge of a patient from hospital:
[Link] patients’ health care needs at the time of
discharge using nursing history, care plan and ongoing
assessment of physical abilities and cognitive function
from time of admission
2. Assess patients and family needs for health
teaching related to home therapies, restrictions
resulting from health alterations and possible
complication.
3. Assess with patient and family any environmental
factors within home that might interfere with self-care
e.g. size of room, bathroom facilities, stairs etc.
4. Collaborate with physician and staff in other disciplines e.g.
physical therapist, social worker etc.
5. Consult other health team members about needs after
discharge e.g. dietitian, social worker, make appropriate
referral etc.
6. Preparation before day of discharge;
Suggest ways to change physical arrangement of home to
meet patients’ needs if required
Provide patient and family with information about community
health care resources
Conduct teaching sessions with patient and family as soon as
possible during hospitalization in anticipation of preparation
for discharge e.g.-signs and symptoms of complications, use
of medical equipment etc.
7. Day of discharge:
Allow patient and family questions
Check physicians discharge orders for
prescription and change in treatments
Determine whether patient or family has
arranged for transportation home.
Checkall closets and drawers for belongings.
Obtains copy of valuables when required.
Provide
patient with prescriptions for
medications ordered by physicians
Provide information about follow up
visit and home health care facilities
available.
Provideprinted teaching materials as
per patient’s requirement with
necessary instructions.
Obtainwheel chair for patients who are
unable to ambulate
8. Complete documentation of patients
discharge in nurse’s notes.
9. Ensure that the discharge summary
from physician is ready.