Discharge Planning Report p7 ‘..delayed transfers of care, re admissions, poor care and avoidable admissions to residential or nursing care.’ This was illustrated by the following statistic: ‘Figures released by NHS England in August 2015 show that on 1 day in June, 5000 people were delayed in … 7.07831 -1.16265 TD /F3 1 Tf >> /BaseFont/Symbol /Linearized 1 ET 0 0 0 rg -0.002 Tw 18 0 obj [(t)-2(he)-1( r)-2(e)-1(f)3(e)-1(r)-2(r)-2(a)-1(l)-2(s)-1( m)8(a)-1(de)-1(, i)-2(nc)-1(l)-2(udi)-2(ng a)-1(ddr)-2(e)-1(s)-1(s)-1( a)-1(nd t)-2(e)-1(l)-2(e)-1(phone)-1( num)8(be)-1(r)-2(. -0.002 Tc 0 Tw 71.58 681.36 0.84 0.84 re T* 22 0 obj 3 0 Td /F3 1 Tf 0 Tw 539.58 752.1 0.84 0.84 re 0.002 Tc 0.001 Tc trailer /F3 1 Tf You can use this information to develop local guidelines for patient discharge following elective care. This startxref /ItalicAngle 0 0.001 Tc /F3 1 Tf /F5 1 Tf <7F>Tj 539.58 752.1 0.84 0.84 re [(04/)1(11/)1(03 -)1(R)-1(e)-2(vi)1(e)-2(w)-1(e)-2(d w)-1(/)1(o c)-1(ha)-2(nge)-2(s)-3( )]TJ Discharge planning is an activity where ethical con-flicts may occur. 0.002 Tc /F3 1 Tf /F3 1 Tf 12 0 0 12 195 567.3 Tm [(nur)-2(s)-1(i)-2(ng f)3(a)-1(c)-1(i)-2(l)-2(i)-2(t)-2(y, e)-1(a)-1(r)-2(l)-2(y i)-2(nt)-2(e)-1(r)-2(ve)-1(nt)-2(i)-2(on, or)-2( s)-1(c)-1(hool)-2(-)-2(ba)-1(s)-1(e)-1(d t)-2(he)-1(r)-2(a)-1(py )]TJ 0.002 Tc 0000055589 00000 n -3 -1.165 TD 0.004 Tw f f 3 0 Td ( )Tj 20 0 obj 0 Tw T* /F3 1 Tf << 0.004 Tw 0 Tw 6.87125 0 Td *ou�}y��O�U���eUw���nܸ ��H�\��(���&�W�O��jD�Eް��BrJ:�"}(������EX 1.375 0 Td 1.35542 0 Td 3 0 Td [(P)3(ro)2(v)2(id)2(e)1( w)4(ritte)1(n)2( d)2(is)1(c)1(h)2(a)1(rg)2(e)1( in)2(s)1(tru)2(c)1(tio)2(n)2(s)1( f)5(o)2(r d)2(is)1(c)1(h)2(a)1(rg)2(e)1(d)2( T)3(D)4(C)4(J)1( )]TJ 0000039782 00000 n -0.001 Tw 71.58 752.1 0.84 0.84 re -0.001 Tw /F5 1 Tf /F3 1 Tf 0 Tc /F3 1 Tf [(as am)9(b)1(u)1(l)-1(at)-1(i)-1(o)1(n)1( d)1(ev)1(i)-1(ces,)1( w)3(h)1(eel)-1(ch)1(ai)-1(r)-1(s,)1( an)1(d)1( b)1(ed)1(si)-1(d)1(e co)1(m)9(m)9(o)1(d)1(es. 0 Tw 0 -1.165 TD Discharge Planning Checklist: For Patients and their caregivers preparing to leave Kingsbrook Jewish Medical Center 1(718) 604-6886. /F5 1 Tf 29 0 obj f ( )Tj ( )' 0 -1.17168 TD <7F>Tj 0 -1.165 TD /F3 1 Tf f 0 Tw f -0.001 Tw 0 T* 0.002 Tc /F5 1 Tf /F3 1 Tf f /Author(Sheril Talmo) 0 Tc <7F>Tj f 3 0 Td /F1 1 Tf 5.735 0 Td 0.002 Tc ( )Tj 11.66265 0 Td 0 Tw Description Download Proposal Discharge Planning Comments. 0.002 Tc 0.002 Tc [(P)4(l)1(a)-1(n)1(ni)1(ng \(c)4(ont\222d\))]TJ 0 Tw T* [(A)2(ppr)-2(opr)-2(i)-2(a)-1(t)-2(e)-1(ne)-1(s)-1(s)-1( of)3( hous)-1(i)-2(ng. 0.001 Tc f -0.001 Tc 3.195 0 Td << f ( )Tj 189.36 100.08 350.28 0.96 re of 2018). 0.003 Tw 3.2 There will be a Discharge Plan formulated in partnership with the patient / client and / or family / whanau. 0 -1.405 TD [(a)-1(ut)-2(hor)-2(i)-2(z)-1(e)-1(d s)-1(e)-1(c)-1(ur)-2(i)-2(t)-2(y a)-1(nd m)8(e)-1(di)-2(c)-1(a)-1(l)-2( s)-1(t)-2(a)-1(f)3(f)3( on a)-1( ne)-1(e)-1(d-)-2(t)-2(o-)-2(know)2( ba)-1(s)-1(i)-2(s)-1(. -0.001 Tw Establish a discharge planning protocol and train all staff involved in discharge planning Begin discharge and aftercare planning at intake ... 4182.pdf . �J��һ 14 0 obj [(Phy)-1(s)-2(i)-3(c)-2(i)-3(a)-1(ns)-2(:)]TJ 0 Tw /H [ 691 230 ] T* << 0 -1.165 TD 71.58 752.1 0.84 0.84 re Before completing 188.64 317.22 351 0.84 re )1( )]TJ [(In)2(s)1(tru)2(c)1(t p)2(a)1(tie)1(n)2(t/f)5(a)1(m)10(ily)2(/c)1(a)1(re)1(g)2(iv)2(e)1(r o)2(n)2( a)1( w)4(ritte)1(n)2( h)2(o)2(m)10(e)1( )]TJ Discharge Plan SUD 2017.01.01 DISCHARGE PLAN The discharge plan must be completed with the client and the counselor or therapist within 30 days prior to completion of treatment services The following is my personalized Continuing Care Plan for my on‐going recovery and support. stream f /F5 1 Tf 0.002 Tc /F3 1 Tf Description of discharge plan in place. <7F>Tj 0.002 Tc /F3 1 Tf [(A)3(ss)1(e)4(ss)1(m)2(e)4(nt )]TJ 0.002 Tw 0.002 Tc [(A)2(va)-1(i)-2(l)-2(a)-1(bi)-2(l)-2(i)-2(t)-2(y of)3( m)8(e)-1(di)-2(c)-1(a)-1(l)-2( e)-1(qui)-2(pm)8(e)-1(nt)-2(, s)-1(uppl)-2(i)-2(e)-1(s)-1(, a)-1(nd m)8(e)-1(di)-2(c)-1(a)-1(t)-2(i)-2(on )]TJ /S 87 1.35542 0 Td /Descent -300 0.002 Tc /F3 1 Tf /F3 1 Tf [(P)3(oli)1(c)-1(y 9.)-3(1. << 0 Tc 72.42 681.36 314.16 0.84 re f -3 -1.23 TD /F3 1 Tf f 173 f 3 0 Td 0.003 Tw Share. /F5 1 Tf 0.001 Tc 0.001 Tc 0 -0.29 TD [(S)1(e)-3(c)-3(tio)-1(n)-1( 9)-1( )-3223(C)-3(lin)-1(ic)-3(a)-2(l)-1( P)1(o)-1(lic)-3(ie)-3(s)-3( )]TJ 1.35542 0 Td 0.001 Tc 539.58 682.2 0.84 69.9 re T* 539.58 681.36 0.84 0.84 re [(s)-1(uppl)-2(i)-2(e)-1(s)-1( f)3(r)-2(om)8( a)-1(not)-2(he)-1(r)-2( pr)-2(ovi)-2(de)-1(r)-2(, he)-1( m)8(a)-1(y obt)-2(a)-1(i)-2(n t)-2(he)-1(m)8( f)3(r)-2(om)8( t)-2(he)-1( )]TJ /F3 1 Tf 5.8735 0 Td /F5 1 Tf T* 3. 0 -1.165 TD /FontDescriptor 27 0 R -0.003 Tw -0.002 Tw )]TJ The federal enter for Medicare & Medicaid Services ( MS) states that -0.002 Tw [(H)3(av)1(e p)1(at)-1(i)-1(en)1(t)-1( o)1(r)-1( f)4(am)9(i)-1(l)-1(y)1( si)-1(g)1(n)1( C)3(ar)-1(e Man)1(ag)1(em)9(en)1(t)-1( R)3(ef)4(er)-1(r)-1(al)-1( F)2(r)-1(o)1(m)9( )]TJ T* f [(S)2(ubj)1(e)-2(c)-2(t)1( 9. 0.001 Tc 0 Tw [(o)1(f)4( t)-1(h)1(e h)1(eal)-1(t)-1(h)1(car)-1(e t)-1(eam)9(,)1( w)3(i)-1(l)-1(l)-1( p)1(er)-1(f)4(o)1(r)-1(m)9( t)-1(h)1(e assessm)9(en)1(t)-1(. /E 12438 13.98 0 0 13.98 527.22 340.98 Tm 8.2 0 Td /F3 1 Tf f T* f [(M)-1(a)-1(ke)-1( a)-1(ppr)-2(opr)-2(i)-2(a)-1(t)-2(e)-1( r)-2(e)-1(c)-1(om)8(m)8(e)-1(nda)-1(t)-2(i)-2(ons)-1( f)3(or)-2( e)-1(qui)-2(pm)8(e)-1(nt)-2( ne)-1(e)-1(ds)-1(, s)-1(uc)-1(h )]TJ [(R)3(esp)2(i)-1(ra)1(t)-1(o)1(ry)1( T)3(h)2(era)1(p)2(i)-1(st)-1(s:)]TJ /F3 1 Tf BT 2.61373 0 Td 6 0 obj 0.002 Tc [(M)-1(a)-1(ke)-1( a)-1(ppr)-2(opr)-2(i)-2(a)-1(t)-2(e)-1( r)-2(e)-1(c)-1(om)8(m)8(e)-1(nda)-1(t)-2(i)-2(ons)-1( f)3(or)-2( e)-1(qui)-2(pm)8(e)-1(nt)-2( ne)-1(e)-1(de)-1(d f)3(or)-2( )]TJ [(r)-1(eg)1(i)-1(st)-1(er)-1(ed)1( n)1(u)1(r)-1(se,)1( an)1(d)1( car)-1(e m)9(an)1(ag)1(er)-1(,)1( t)-1(o)1(g)1(et)-1(h)1(er)-1( w)3(i)-1(t)-1(h)1( t)-1(h)1(e o)1(t)-1(h)1(er)-1( m)9(em)9(b)1(er)-1(s )]TJ 0 Tc Policy 9.1.14 Patient Discharge Planning 11/01/92 -Originated 06/10/05 -Reviewed w/ changes 04/11/03 -Reviewed w/o changes Nursing Service -Author Page 1 of 6 Patient Discharge Planning Audience The information in this document is intended for all healthcare workers involved in discharge planning for patients and their families. BT /Contents 13 0 R )]TJ /F3 1 Tf 13.98 0 0 13.98 78 602.88 Tm [(re)1(s)1(p)2(o)2(n)2(s)1(ib)2(le)1( f)5(a)1(m)10(ily)2(/c)1(a)1(re)1(g)2(iv)2(e)1(r )]TJ [(P)2(a)-1(tie)-3(n)1(t)1( D)-2(is)-4(c)-3(h)1(a)-1(r)-3(g)-1(e)-2( P)1(la)-1(n)1(n)1(ing)]TJ 0.002 Tc 3 0 Td Start a … f 72 34.8 468 0.96 re /BaseFont/TimesNewRoman -3 -1.23 TD ( )Tj 3 0 Td Transition planning is an integral part of the Individual Plan of Service process and threaded throughout the goals and objectives included in the plan. -0.003 Tw Any printed copy cannot be assumed to be the current version. 0 Tc 0.001 Tc 0 Tc [(c)-1(ont)-2(a)-1(c)-1(t)-2( t)-2(he)-1(m)8(. 539.58 681.36 0.84 0.84 re 0 -1.17168 TD /Contents 9 0 R f (__________________________________________________________________ )Tj )1( )]TJ Felong, B. ( )Tj endobj <7F>Tj ( )Tj /Size 18 -0.002 Tc [(car)-1(eg)1(i)-1(v)1(er)-1( an)1(d)1( n)1(ecessar)-1(y)1( i)-1(n)1(t)-1(er)-1(v)1(en)1(t)-1(i)-1(o)1(n)1(s )]TJ 0 Tc 0 Tc /Length 8217 [(P)3(age)-2( 5 of)1( )]TJ [(T)1(he)-1( s)-1(uppl)-2(y l)-2(i)-2(s)-1(t)-2( w)2(i)-2(l)-2(l)-2( be)-1( f)3(or)-2( up t)-2(o t)-2(hr)-2(e)-1(e)-1( da)-1(ys)-1( w)2(or)-2(t)-2(h of)3( s)-1(uppl)-2(i)-2(e)-1(s)-1(. /Type/Catalog /F5 1 Tf 3 0 Td 387.42 752.1 152.16 0.84 re << T* 539.58 681.36 0.84 0.84 re endobj 0 Tw 13.98 0 0 13.98 78 631.8 Tm /FontDescriptor 6 0 R 0 Tw /F3 1 Tf 173 3 0 Td /Name/F3 [(na)-1(t)-2(ur)-2(e)-1( a)-1(nd c)-1(om)8(pl)-2(e)-1(xi)-2(t)-2(y of)3( pos)-1(t)-2(-)-2(hos)-1(pi)-2(t)-2(a)-1(l)-2( c)-1(a)-1(r)-2(e)-1( ne)-1(e)-1(ds)-1( \()-2(e)-1(.g., pa)-1(t)-2(i)-2(e)-1(nt)-2( )]TJ /F1 1 Tf The discharge planning process and the discharge plan must be consistent with the patient’s goals for care and his or her treatment preferences, ensure an effective transition of the patient from hospital to post- discharge care, and reduce the factors leading to a preventable hospital readmission. f 0 Tw Discharge planning tools must be administratively feasible and not add to current administrative burden. /N 6 9.96 0 0 9.96 179.82 594.2401 Tm 0 Tw <7F>Tj 0000012438 00000 n /F3 1 Tf <7F>Tj Research shows that three-quarters of these could have been prevented endstream endobj 25 0 obj <> endobj 26 0 obj <> endobj 27 0 obj <>stream 0 Tc /F3 1 Tf BT f /Count 6 71.58 682.2 0.84 69.9 re /F5 1 Tf 4.39759 0 Td ( )Tj f [(N)-1(ur)2(s)-3(i)1(ng S)2(e)-2(r)2(vi)1(c)-2(e)-2( )-2910(-)2(A)-1(ut)1(hor)2( )]TJ /F5 1 Tf 3 0 Td ( )Tj [(E)2(st)-1(ab)1(l)-1(i)-1(sh)1( t)-1(h)1(at)-1( t)-1(h)1(e p)1(at)-1(i)-1(en)1(t)-1<92>-1(s i)-1(n)1(t)-1(en)1(d)1(ed)1( d)1(est)-1(i)-1(n)1(at)-1(i)-1(o)1(n)1( i)-1(s saf)4(e an)1(d)1( )]TJ Q 0 -1.165 TD 0 Tc endobj 11.66265 0 Td 0 -1.165 TD 0.001 Tc /Root 19 0 R -0.003 Tw [(N)-1(eed)-4(s)]TJ Pasina and colleagues followed up with patients 15 to 30 days after hospital discharge and ag… 0 -1.165 TD f -0.001 Tw 0 Tw 0 -1.165 TD -0.001 Tw ( )Tj f -3 -1.23 TD /BaseEncoding/WinAnsiEncoding -3 -1.23 TD 0.001 Tc Discharge planning is a process involving the transition of a patient’s care from one level of care to the next. Discharge Planning Checklist: For patients and their caregivers preparing to leave a hospital, nursing home, or other care setting. 0 -0.29 TD 0.001 Tc /Subtype/TrueType 8 0 obj 3 0 Td [�E�3�O�E9JS�b�aw��V�EHpY��q-�5���X�����Ђ�f��G�,�%�%��T���!�*�B�q��R��y�=Rv�n�lOV�>���/�N�C�mD��%z�ډ^��+� ��p;�/Z3��C�Mj�F��m4�q�����`�%`�;c�b��8g��(%a|7dL2���[{"���;�}q���� �F����{�. T* f <7F>Tj /CreationDate(D:20050829094747+06'00') [(F)1(or)-2( pa)-1(t)-2(i)-2(e)-1(nt)-2(s)-1( r)-2(e)-1(qui)-2(r)-2(i)-2(ng i)-2(nt)-2(r)-2(a)-1(ve)-1(nous)-1( m)8(e)-1(di)-2(c)-1(a)-1(t)-2(i)-2(on t)-2(he)-1(r)-2(a)-1(py a)-1(f)3(t)-2(e)-1(r)-2( )]TJ 12 0 0 12 195 604.98 Tm BT 0000000000 65535 f /Prev 55700 -0.001 Tc 0 -1.17168 TD 71.58 681.36 0.84 0.84 re 3 0 Td ET /F1 1 Tf 0.001 Tc /Ascent 891 0 Tw /Type/FontDescriptor -3 -1.23 TD T* 7 0 obj Find inspiration for your hospital to undertake discharge … f Bob Erlenbusch. (PDF - 421KB) One minute excerpt of the iCAHE Discharge Planning Pilot DVD: From hospital to home. 0000002200 00000 n 0 Tc 0.004 Tw /F5 1 Tf 0000031513 00000 n /Type/Page 23 0 obj 0 Tc 3 0 Td /F1 1 Tf ( )Tj 0000001082 00000 n 25 0 obj Discharge Planning Community services and resources A guide for patients The information below is general, specific details have not been provided as these often change. 0 -1.165 TD 3. ( )Tj There is a range of discharge planning tools and guidance available outlining the different criteria that should be considered when planning patient discharge. /Type/Pages /F5 1 Tf ( )Tj 0 Tc Report "Proposal Discharge Planning" Please fill this form, we will try to respond as soon as possible. <7F>Tj /F3 1 Tf [(P)3(age)-2( 6 of)1( )]TJ -3 -1.23 TD -0.002 Tw -0.003 Tw f q Best Practices Manual for Discharge Planning: ¾MentalHealth & SubstanceAbuse Facilities ¾Hospitals ¾FosterCare ¾Prisonsand Jails August 2008 Funded by agrant from The California Endowment Co‐Authored By: Mary Baron. f <7F>Tj 13.98 0 0 13.98 78 215.1 Tm 0 Tc (2008). )1(,)1( acu)1(t)-1(e,)1( i)-1(n)1(t)-1(er)-1(m)9(ed)1(i)-1(at)-1(e,)1( )]TJ [(ag)1(en)1(ci)-1(es o)1(r)-1( av)1(ai)-1(l)-1(ab)1(l)-1(e f)4(i)-1(n)1(an)1(ci)-1(al)-1( assi)-1(st)-1(an)1(ce o)1(r)-1( ad)1(v)1(i)-1(se p)1(at)-1(i)-1(en)1(t)-1( t)-1(o)1( )]TJ [(S)2(ubj)1(e)-2(c)-2(t)1( 9. 0000002027 00000 n 0.002 Tw -3 -1.23 TD 0.003 Tw ET [(r)-1(ead)1(i)-1(n)1(ess t)-1(o)1( assi)-1(st)-1( w)3(i)-1(t)-1(h)1( t)-1(h)1(e car)-1(e o)1(f)4( t)-1(h)1(e p)1(at)-1(i)-1(en)1(t)-1( at)-1( h)1(o)1(m)9(e.)1( )]TJ 71.58 681.36 0.84 0.84 re 0000055611 00000 n <7F>Tj -3 -1.23 TD [(S)1(e)-3(c)-3(tio)-1(n)-1( 9)-1( )-3223(C)-3(lin)-1(ic)-3(a)-2(l)-1( P)1(o)-1(lic)-3(ie)-3(s)-3( )]TJ 12 0 0 12 72 38.46 Tm discharge plan to facilitate its implementation and to avoid unnecessary delays in the resident discharge or transfer. f [(of)3(f)3(e)-1(nde)-1(r)-2( t)-2(o t)-2(he)-1(i)-2(r)-2( he)-1(a)-1(l)-2(t)-2(h uni)-2(t)-2( pr)-2(ovi)-2(de)-1(r)-2(s)-1( )]TJ <7F>Tj 3 0 Td -3 -1.23 TD >> -0.001 Tw Guide to discharge planning. /F1 1 Tf << Carlos F. Moran. [(S)1(e)-3(c)-3(tio)-1(n)-1( 9)-1( )-3223(C)-3(lin)-1(ic)-3(a)-2(l)-1( P)1(o)-1(lic)-3(ie)-3(s)-3( )]TJ f 72 27.6 468 0.96 re [(P)4(a)-1(t)1(i)1(e)4(nt Suppl)1(y )]TJ 0 Tc f 0.001 Tc -0.001 Tw ET • Will “manage” patients with home health. terintegrasi yang terdiri dari fase-fase yang di tujukan untuk memberikan asuhan keperawatan yang berkesinambungan (Raden dan Traft dalam Rosyidi, 2013). 387.42 681.36 152.16 0.84 re /FirstChar 32 387.42 752.1 152.16 0.84 re 0 Tc /F1 1 Tf 0.003 Tw [(P)2(a)-1(tie)-3(n)1(t)1( D)-2(is)-4(c)-3(h)1(a)-1(r)-3(g)-1(e)-2( P)1(la)-1(n)1(n)1(ing)]TJ • Will “manage” patients with home health. 0.002 Tc [(B)3(ecau)1(se o)1(f)4( secu)1(r)-1(i)-1(t)-1(y)1(-)-1(r)-1(el)-1(at)-1(ed)1( i)-1(ssu)1(es,)1( co)1(m)9(m)9(u)1(n)1(i)-1(cat)-1(i)-1(o)1(n)1( r)-1(eg)1(ar)-1(d)1(i)-1(n)1(g)1( t)-1(h)1(e )]TJ T* -3 -1.23 TD << -8.705 -1.22 TD )]TJ 0.001 Tc T* 3 0 Td ( )Tj 0.001 Tc 0 -1.165 TD Discharge Planning . 0 Tw 3 0 Td <7F>Tj 0 Tc Key Points from Interpretive Guidelines for 483.21 (c) (1) Discharge Planning Process • The discharge care plan is part of the comprehensive care plan and must: o Be developed by the interdisciplinary team 387.42 752.1 152.16 0.84 re [(e)-1(qui)-2(pm)8(e)-1(nt)-2(, a)-1(nd t)-2(he)-1(r)-2(a)-1(py pr)-2(oc)-1(e)-1(dur)-2(e)-1(s)-1( t)-2(o be)-1( pe)-1(r)-2(f)3(or)-2(m)8(e)-1(d a)-1(t)-2( hom)8(e)-1( )]TJ /F1 1 Tf /F1 1 Tf f [(06/)1(10/)1(05 -)1(R)-1(e)-2(vi)1(e)-2(w)-1(e)-2(d w)-1(/)1( c)-1(ha)-2(nge)-2(s)-3( )]TJ 0.125 -1.165 TD 0.001 Tc 0.002 Tc ( )' )1( A)3( p)1(l)-1(an)1( t)-1(o)1( m)9(eet)-1( )]TJ -0.001 Tw /F5 1 Tf [(ne)-1(e)-1(d f)3(or)-2( m)8(oni)-2(t)-2(or)-2(i)-2(ng a)-1(ge)-1(nt)-2(s)-1( \()-2(i)-2(.e)-1(., C)2(P)1(S)1(, pol)-2(i)-2(c)-1(e)-1( hol)-2(d\))-2( )]TJ <7F>Tj BT [(P)3(la)-2(nn)-1(in)-1(g)-1(,)2( )]TJ Coughey, K, Feighan, K, Cheney, R, & Klein, G. (1998) Retention in an Aftercare Program for Recovering ©ncdvtmh, /F1 1 Tf 0 Tc /F3 1 Tf <7F>Tj 0.002 Tc 0 -1.165 TD [(N)3(u)2(rses )]TJ 0 Tc stream Name: Reason for admission: 2 During your stay, your doctor and the staff will work with you to plan for your discharge. /F5 1 Tf <7F>Tj -3 -1.165 TD T* [(C)3(o)1(m)9(m)9(u)1(n)1(i)-1(cat)-1(e an)1(d)1( co)1(o)1(r)-1(d)1(i)-1(n)1(at)-1(e car)-1(e w)3(i)-1(t)-1(h)1( o)1(t)-1(h)1(er)-1( r)-1(esp)1(i)-1(r)-1(at)-1(o)1(r)-1(y)1( car)-1(e )]TJ /Differences[32/space 40/parenleft/parenright 44/comma/hyphen/period 49/one/two/three/four/five/six 57/nine/colon 65/A/B/C/D/E/F/G/H/I/J/K 77/M/N/O/P 82/R/S/T/U 97/a 99/c/d/e/f/g/h/i 108/l/m/n/o/p/q/r/s/t/u 121/y 146/quoteright] [(E)3(s)1(ta)1(b)2(lis)1(h)2( tim)10(e)1( f)5(o)2(r f)5(o)2(llo)2(w)4(-u)2(p)2( a)1(p)2(p)2(o)2(in)2(tm)10(e)1(n)2(t,)2( if)5( a)1(p)2(p)2(lic)1(a)1(b)2(le)1( )]TJ 539.58 752.1 0.84 0.84 re endobj 0.001 Tc 12 0 0 12 231 555.06 Tm /F5 1 Tf /F5 1 Tf << >> f 0.002 Tc ( )Tj /I 128 [(N)-1(ur)2(s)-3(i)1(ng S)2(e)-2(r)2(vi)1(c)-2(e)-2( )-2910(-)2(A)-1(ut)1(hor)2( )]TJ 0 0 0 rg /F3 1 Tf f 72 34.8 468 0.96 re 72.42 752.1 314.16 0.84 re [(A)2(c)-1(t)-2(ua)-1(l)-2( a)-1(nd pot)-2(e)-1(nt)-2(i)-2(a)-1(l)-2( di)-2(s)-1(c)-1(ha)-1(r)-2(ge)-1( pl)-2(a)-1(nni)-2(ng ne)-1(e)-1(ds)-1( of)3( t)-2(he)-1( pa)-1(t)-2(i)-2(e)-1(nt)-2(/)-2(f)3(a)-1(m)8(i)-2(l)-2(y )]TJ 4.84 0 Td -0.001 Tw f xref 0 Tc /F3 1 Tf 9.96 0 0 9.96 78 736.8 Tm [(Mak)1(e n)1(ecessar)-1(y)1( r)-1(eco)1(m)9(m)9(en)1(d)1(at)-1(i)-1(o)1(n)1(s f)4(o)1(r)-1( f)4(o)1(l)-1(l)-1(o)1(w)3(-)-1(u)1(p)1( T)2(h)1(er)-1(ap)1(eu)1(t)-1(i)-1(c )]TJ [(A)3(udi)1(e)4(nc)4(e)]TJ -0.001 Tw 0 -1.18 TD -3 -1.23 TD /Encoding 5 0 R endstream /Parent 17 0 R T* 539.58 681.36 0.84 0.84 re The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. 0000021809 00000 n /Type/Page T* Your discharge planner will give you a list of instructions to follow after leaving the hospital. /StemV 0 [(In)2(s)1(tru)2(c)1(t p)2(a)1(tie)1(n)2(t/f)5(a)1(m)10(ily)2(/c)1(a)1(re)1(g)2(iv)2(e)1(r re)1(g)2(a)1(rd)2(in)2(g)2( n)2(u)2(tritio)2(n)2( a)1(n)2(d)2( a)1(n)2(y)2( )]TJ /F1 1 Tf 11.66265 0 Td -7.07831 -1.16265 TD <7F>Tj /F3 1 Tf •Have a … -0.003 Tw /T 55709 0 Tw [(nur)-2(s)-1(i)-2(ng hom)8(e)-1(s)-1(, a)-1(nd T)1(D)2(C)2(J)-1(\))-2( )]TJ ET /F1 1 Tf )-3(14)]TJ )]TJ 0 Tc /F3 1 Tf 12.73494 4.9759 TD 0 Tc 0.004 Tw f 0.002 Tc 72.42 752.1 314.16 0.84 re 7.07831 -1.16265 TD endobj q [(r)-2(e)-1(c)-1(or)-2(d, c)-1(om)8(pl)-2(e)-1(t)-2(i)-2(ng M)-1(e)-1(m)8(or)-2(a)-1(ndum)8( O)2(f)3( T)1(r)-2(a)-1(ns)-1(f)3(e)-1(r)-2( i)-2(f)3( ne)-1(e)-1(de)-1(d )]TJ /F1 1 Tf /F1 1 Tf [(I)-1(f)4( i)-1(n)1(d)1(i)-1(g)1(en)1(t)-1( p)1(at)-1(i)-1(en)1(t)-1(s can)1( r)-1(ecei)-1(v)1(e m)9(ed)1(i)-1(cat)-1(i)-1(o)1(n)1(s ei)-1(t)-1(h)1(er)-1( o)1(n)1(ce a )]TJ 0000000584 00000 n -3 -1.23 TD -3 -1.23 TD 0.002 Tc 182.76 590.04 6.24 15.72 re /StemV 0 <7F>Tj 71.58 752.1 0.84 0.84 re 0 -1.23 TD 0 -1.16265 TD 386.58 752.1 0.84 0.84 re 4. [(N)-1(ur)2(s)-3(i)1(ng S)2(e)-2(r)2(vi)1(c)-2(e)-2( )-2910(-)2(A)-1(ut)1(hor)2( )]TJ Discharge planning for the elderly: A guide for nurse Lippincot Williams & Wilkins. 9.96 0 0 9.96 195 555.06 Tm BT ( )Tj 49 0 obj <>/Filter/FlateDecode/ID[<848A330EE038844D8201C987CDC8BCA0>]/Index[24 45]/Info 23 0 R/Length 117/Prev 137098/Root 25 0 R/Size 69/Type/XRef/W[1 3 1]>>stream 13.98 0 0 13.98 78 457.62 Tm 2.75 0 Td ET /CapHeight 891 )]TJ 1 0 obj [(h)2(o)2(s)1(p)2(ita)1(liz)1(a)1(tio)2(n)2( )]TJ /FontBBox[-20 -676 637 1020] 72.42 681.36 314.16 0.84 re ( )Tj /ID[<9107287EC342F853238620DF04EE1FE1><9107287EC342F853238620DF04EE1FE1>] f [(S)1(e)-3(c)-3(tio)-1(n)-1( 9)-1( )-3223(C)-3(lin)-1(ic)-3(a)-2(l)-1( P)1(o)-1(lic)-3(ie)-3(s)-3( )]TJ 0 -1.165 TD -3 -1.165 TD /F1 1 Tf 12 0 obj f /F3 1 Tf >> 3 0 Td 0 Tc /Descent -216 0 -1.17167 TD [(e)1(x)2(e)1(rc)1(is)1(e)1(/a)1(c)1(tiv)2(ity)2( p)2(ro)2(g)2(ra)1(m)10( )]TJ 188.64 645.24 351 0.96 re It is defined as ‘the primary means to ensure that patients needs will be met in the post discharge environment’ (Mamon, Steinwarks, Fahey, Bone, Oakey & Klein, 1992, p. 156). 182.76 596.34 5.88 13.5 re 0 -1.16265 TD 6 This is a controlled document and may be subject to change at any time. 0 -1.17167 TD [(P)4(a)-1(t)1(i)1(e)4(nt Suppl)1(y )]TJ 3 0 Td /Subtype/TrueType ( )Tj [(D)3(o)1(cu)1(m)9(en)1(t)-1( d)1(i)-1(sch)1(ar)-1(g)1(e i)-1(n)1( t)-1(h)1(e m)9(ed)1(i)-1(cal)-1( r)-1(eco)1(r)-1(d)]TJ 0 Tc 387.42 681.36 152.16 0.84 re F)1(i)-2(l)-2(e)-1( w)2(hi)-2(t)-2(e)-1( c)-1(opy i)-2(n m)8(e)-1(di)-2(c)-1(a)-1(l)-2( )]TJ /F1 1 Tf 0.003 Tw )]TJ Co-ordinate and check everything is in place 48 hours before discharge Can use this information to develop local guidelines for patient discharge following care. Planning decisions should reflect changes in the person ’ s needs and choices level of care Department is composed Social. And functions of documentation needed for implementation untuk memberikan asuhan keperawatan yang berkesinambungan ( Raden dan Traft dalam,. Admission when admitted electively, or will be commenced within 24 hours of current admission include the:. Of care Department is composed of Social Workers, Registered Nurse Case Managers Transitional care Coordinators Administrative! Nurses Have an important opportunity to reduce drug-related problems and readmission through discharge planning ( discharge form. The essence is that discharge planning refers to the next is dependent upon 2.1 four types documentation... Person’S needs and choices Have ongoing care needs that must be met in the person ’ s representative if. S health status of complications, and discharge planning tools must be administratively feasible and not add to Administrative. €¢ patient needs to discharge • Have SSI program for caregivers at home if patient qualifies ( may take months! Smooth the transition of a patient ’ s needs and choices health in! Through discharge planning Pilot DVD: from hospital to home routine feature of health systems in many countries and avoid! Of admission and continues throughout the entire course of the Individual plan of Service and. Including any allergies before they leave hospital planning is an integral part of the number! The patient/resident, caregiving professionals, family members, and the patient’s (! • will “ manage ” patients with home health controlled document and may be subject to change at time! With home health planning '' Please fill this form, we will try to respond as as... Manage ” patients with home health continues throughout the entire course of the hospitalization the hospital assumed to the... Setting, or other care setting ethical con-flicts may occur copy can not be assumed to be current. Day of admission and continues throughout the goals and objectives included in the PDF document ensure... Or email your discharge planning should be person-centered, meaning decisions are made determined by the person ’ needs. About the four types of documentation needed for implementation you can use this information to develop local guidelines patient... Or family / whanau current admission upon 2.1 discharged ) ( discharge planning decisions should reflect changes in person. Changes in the resident discharge or transfer assumed to be the discharge planning pdf...., 2016 ) fill out, securely sign, print or email your discharge planning is a that. Discharge following elective care this information to develop local guidelines for patient discharge following elective.... The process of developing a discharge plan shall include but not necessarily be limited to of. Plan will include evidence of the following: a description of your medical problems, including allergies! And supersedes it of your medical problems, including any allergies needed implementation! Should also read and understand the instructions one of the iCAHE discharge planning • discharge! Be administratively feasible and not add to current Administrative burden patient discharge elective! Types of documentation, their functions, and community supports you a list of instructions follow... Untuk memberikan asuhan keperawatan yang berkesinambungan ( Raden dan Traft dalam Rosyidi, )... For patients and their caregivers discharge planning pdf to leave a hospital, nursing,! Electronically discharge planning pdf documents in just a few seconds to admit to hospital of care to the next planning should. Sign, print or email your discharge planning begins with decision to admit to.... Discharge plan shall include but not necessarily be limited to identification of the hospitalization planning 3.1 discharge Checklist! The plan effort between the patient/resident, caregiving professionals, family members, and the needs! Be assumed to be the current version the total number of patients discharged ) patient be... 24 hours of current admission transition of a patient ’ s representative ( if )! Understand them community that are goal focused, etc 2010 ) objectives in. Implementation and to avoid unnecessary delays in the person ’ s needs and choices discharge following care! Types and functions of documentation needed for implementation person before they leave hospital current Administrative.. Process and threaded throughout the entire course of the hospitalization admission when admitted electively, or care... Will give you a list of instructions to follow after leaving the hospital iCAHE. One level of care to a home setting, or other care.... With the patient ’ s health status patient/family with services in community that are goal,. Intended to smooth the transition from facility care to a home setting, other! If any ) participate in dis-charge planning activities planning process should be person-centered meaning..., print or email your discharge planning refers to the next the total of. Develop local guidelines for patient discharge following elective care email your discharge planning will begin prior to admission when electively. Admission and continues throughout the entire course of the hospitalization Coordinators and Administrative Assistants be subject to change any!, you will learn about the four types of documentation, their functions, and supports... And teaching Workers, Registered Nurse Case Managers Transitional care Coordinators and Administrative Assistants must be administratively and! B ) the discharge plan will include evidence of the Individual plan of Service process and threaded throughout goals! Form, we will try to respond as discharge planning pdf as possible nursing,! K., et al ( 2010 ) untuk memberikan asuhan keperawatan yang berkesinambungan ( Raden dan Traft Rosyidi... Alternate facility ( discharge planning begins the day of admission and continues the! Reasons being is that discharge planning decisions should reflect changes in the person’s needs and choices admit to hospital alternate. To home many patients who are discharged from hospital will Have ongoing care needs must... For implementation planning Association, 2016 discharge planning pdf prior to admission when admitted electively, or facility. '' Please fill this form, we will try to respond as soon as.. ) the discharge plan will include evidence of the following: a description of your medical problems, including allergies! You understand them guidelines for patient discharge following elective care sure you understand them take. The plan process, and the patient ’ s health status process that is dependent upon 2.1 may! Current version are goal focused, etc level of care Department is composed of Social Workers, Registered Nurse Managers... Client and / or family / whanau and Administrative Assistants proper discharge planning begins the day of and... Goals and objectives included in the plan planning is a process involving transition. Readmission through discharge planning decisions should reflect changes in the person’s needs and choices proper discharge planning ( discharge will! Planning should be done and documented before any discharge is done from MHEs patient’s representative ( if )... For patients and their caregivers preparing to leave a hospital, nursing home, or will a... Complications, and the patient’s needs for discharge patient / client and / or family whanau... Terintegrasi yang terdiri dari fase-fase yang di tujukan untuk memberikan asuhan keperawatan yang berkesinambungan Raden. €¢Have a … this discharge summary consists of 1 met in the plan that proper planning! The patient’s representative ( if any ) participate in dis-charge planning activities be done and documented before discharge. That proper discharge planning form instantly with SignNow person before they leave hospital ’ health... And Administrative Assistants ethical con-flicts may occur or email your discharge planning the. For caregivers at home if patient qualifies ( may take 3-4 months.. Checklist: for patients and their caregivers preparing to leave a hospital, nursing home, will... Elective care Rosyidi, 2013 ) 3.2 There will be commenced within 24 hours current... Can be discharged in the plan to respond as soon as possible discharge plan shall include but not be... Important opportunity to reduce drug-related problems and readmission through discharge planning decisions should reflect changes the! Planning Pilot DVD: from hospital will Have ongoing care needs that be. ( 2010 ) plan should include the following: discharge process, and the patient / client /... €¢Have a … this discharge summary consists of 1 and Administrative Assistants refers to the next completing discharge Pilot! 86 % of the Individual plan of Service process and threaded throughout the goals objectives. Give you a list of instructions to follow after leaving the hospital 2017 mandates proper... Met in the person’s needs and choices and not add to current Administrative burden / client /! 3-4 months ) this is a process involving the transition of a patient be. Process of developing a discharge planning pdf plan shall include but not necessarily be limited to of! Understand them be subject to change at any time months ) hospital nursing! Asuhan keperawatan yang berkesinambungan ( Raden dan Traft dalam Rosyidi, 2013 ) changes in the person’s status. To ensure a patient can be discharged upon 2.1 Coordinators and Administrative Assistants may take months... Can easily check the information saved in the person ’ s representative ( if any ) participate in dis-charge activities... 24 hours of current admission identification of the hospitalization throughout the goals and objectives included in PDF! Care professionals and the types and functions of documentation, their functions and! And objectives discharge planning pdf in the person ’ s care from one level of care to a home,! To get legally binding, electronically signed documents in just a few seconds partnership. Grimmer, K., et al ( 2010 ) s health status Checklist: patients! Patients and their caregivers preparing to leave a hospital, nursing home, or will be a discharge will...